HomeMy WebLinkAboutF2018-0378 - Permits1+ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIIIIIIIII II
a 100 Civic Center Drive, Newport Beach, CA 92660 N
Permit Counter Phone (949)644-3288
Job Address: 621 NARCISSUS AVE NB
Inspector Area: 5
Owner: LORENZO LONGO
Address: 2401 S COAST HWY
LAGUNA BEACH CA 92651
Phone:
Applicant:
SCHROEDER ANTON
Address:
1325 N RED GUM ST #10
1325 N RED GUM STREET #10
ANAHEIM CA 92806
Phone:
714-630-3916
Code Edit : 2016
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
V-BSPR
R31U
0
0
FIRE Permit: F2018-0378
Project No : 1547-2018
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (46 HEADS) X2016-3585
Legal Description: CORONA DEL MAR BILK 640 LOT 21
Contractor:
ACT FIRST FIRE PROTECTION INC
Address:
1325 N RED GUM STREET #10
APPROVAL TO ISSUE:
ANAHEIM CA 92806
Phone:
714-630-3916
Con State Lie:
830883
Lie Expire:
03/31/2020
Bus Lie:
BT30014493
Lie Exp Date:
11/30/2018
Worker's Compensation Insurance
Carrier:
SECURITY NATIONAL
Policy No:
SWC11047496
Expire:
0311212019
3 Issued Date: 06/28/2018
0 Setback- Front:
Rear:
Y Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lie:
State Lie:
SCHROEDERANTON
1325 N RED GUM ST #10
ANAHEIM CA 92806
0000
n—�� OTHER DEPARTMENT:
0 0
PLAN CHECKED BY::
ocoo
APPROVAL TO ISSUE:
0
000m
mm0000
o c 0
0
00 c
m
.....
0 o c o
m
0
0 0 0
$0.00 Records Management:
00 0
0o m
$0.00
0 0 0
0
c oo
m°
°oo
$0.00
v
PROCESSED BY:
n—�� OTHER DEPARTMENT:
FEES
PLAN CHECKED BY::
FIRE APPROVAL :
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Valuation:
$4,000.00
m
.....
0 o c o
Building PC Fee:
$190.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
ooesmm o
• $4.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
.... o °
m m
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 as:
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee:
$225.00
TOTAL FEE :
$419.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$419.00
PROCESSED BY:
n—�� OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
FIRE APPROVAL :
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)WNER-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)
Section 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 fors
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
'rofessions 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U 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
rf `rdvementt`are"not interided 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
Aproved 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
Iy to an oikner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 Iegall
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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Dat
.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 Busines and Pr fes ons de nd my license is in full farce
nd effect. \ ��
(cense Class License No D'at�� Contractor Sigq lure
VORKERS' COMPENSATION DECLARATION
iARNING: 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 ($100,000), IN ADDITION TO THE
OST OF COMPENSAJP41•DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm tlhjter pAhalty of perjury one of the following declarations:
3} h • 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 tt
erf write of (he vaorli for which this permit is issued. Policy No.
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'
carrier mind plicy number are:
.9
Policy Number Expiration Date
Agent rte -
v that, in the p
of work for ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
he orkers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.,
areby affirm unaer perYalty of perjury that there is a construction lending agency for the performance of the work for which this permit is
lder'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 owne behalf.
I have read this application and the information I have provided' correct.
I agree to comply with all applicabl Ity and coun ranc and state laws relating to building construction.
I authorize representatives of thi cit unty t n r the ove-i ntified property for inspection purposes.
mature of Pronertv Owner or Authorized Acent Print Property Owner's or Authorized-ATMn'
AC77ON
PERMIT FINAL
CERT? ICATEOF
OCCUPANCYtSSUED
DATE I BY
L0
❑ 1 StBMITTEDASBESTOS N071FICATION T0:
EPA
❑ AQMD
❑ ASBESTOS A1017FFCAITONIS NOT APPLICABLE TO
PROPOSED DEMOUTION.
SIGNATURE:
(Section 3097, Civil Code).
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