HomeMy WebLinkAboutF2018-0605 - Permits�wt�,& City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE permit: F2018-0605
w4° 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 6 0 5
p Project No :2638-2018
®:; �.. � Permit Counter Phone (949)644-3288
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�'.r�,�>'. Inspection Requests Phone (949)644-3255
Job Address: 6310 W OCEAN FRONT NB
Description: SFR FIRE SPRINKLERS (X2017-3131) 25 HEADS
- REVISED 1211112019!
Inspector Area: 3
Legal Description: SEASHORE COLONY TR LOT 6 BILK C ALL -INC 15 FT ADJ ON SW- -EX
ALLEY-
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Owner: ALTIERI PAUL M
Contractor: FIREPROOF FIRE PROTECTION Architect:
Address: 206 DRIFTWOOD RD
Address: 1101 KINGSTON DR Address:
fE9
CORONA DEL MAR CA 92625
Phone:
LA HABRA CA 90631
Phone: 714.476-5370 Phone: State Lic:
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Applicant: FIREPROOF FIRE PROTECTION
Con State Lic: 876004 Engineer:
Address: 1101 KINGSTON DR
Lic Expire: 04/3012020 Address:
LA HABRA CA 90631
Bus Lic: BT30040107
Phone: 714476-5370
Lic Exp Date: 0713112020 Phone: State Lic:
Code Edit : 2016
Worker's Compensation Insurance Designer: CASEY MONTY
Type of Construction: V -B -SPR
Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR
Occupancy Group: R3/U
Policy No: MOWC002750 LA HABRA CA 90631
Added /New sq.ft. Bldg: 0
Expire: 0211512020 Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Issued Date: 11/0812018 Special Conditions:
No of Units : 0
Setback- Front:
Flood Zone:
Rear:
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation: $2,700.00
Building PC Fee:
$202.00 Fire Residential Alarm PC Fee : $0.00 Records Management :
$4.00
Building Overtime PC Fee:
$0.00 Planning Counter Review: $0.00
Building Extention Fee :
$0.00 Planning Zoning PC Fee : $0.00
Building Investigation Fee:
$0.00
$0.00
Fire Plan Check Fee:
$0.00 Public Works PC Fee : $0.00
$0.00
Fire Permit Fee :
$0.00 Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee:
$240.00
TOTAL FEE :
$446.00 Plan Check Fee : $446.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
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ZONING APPROVAL:
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FIREAPPROVAL:
APPROVAL TO ISSUE:
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PERMIT EXPIR 98Q PAWS .,R gsU/NGE OR LAST VALID INSPECTION
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IWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
lection 7031.5, Business and Professions Code: Any city or county that requires a. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall)
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.html.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pro essions Code, andnyLli nse is in full force
nd effect.
icense Class License No Date Vim\ \S. Contractor Signature
YORKERS' COMPENSATION DECLARATION
ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (60,0J), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
ormance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My.workers'
rance carrier aeT-P' icv number are: i—\ _
Date
is of Agentrnone s
certify that, in the performance of the work for which this per, it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
, if I should become subject to the workers' compensationpfovisions of Section 3700 of the Labor Code, I shall forthwith comply with thgse provisions.
natureof Applicant ' -� - 1, a-- 1,�\\�a
CLARATION REGAR CONSTRUCTION LENWG AGENCY 1-1
:reby affirm under pertalty of perjury that there is a c4sbyCtion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county, toe above -identified pro rty-for inspection purposes.
nature of Prooertv Owner or Authorized Agent c_.._ Print Property Owner's or Authorized Agent's Name'
ACTION DATE BY
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