HomeMy WebLinkAboutF2019-0497 - Permits (2)City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
> Permit Counter Phone (949)644-3288
Job Address: 521. ANGELITA DR NB
InspectorArea: 5,
Owner: STORAGE DIRECT PTRS III LLC
Address: 9834 RESEARCH DR
IRVINE CA 92618
Phone:
Applicant: CASEY MONTY:
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714-476-5370
Code Edit: .2016
Type of Construction: V -B -SPR
Occupancy Group: R3/1-1
Added /New sq.ft, Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 0
Flood Zone: X
Bldg Sprinklers: Y
Construction Valuation
Building PC Fee :
Building Overtime PC Fee:
Building Extention Fee :
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee:
IlteTif_1my
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$4,400.00
III�IIIIII�IIIII IITI0�II4I�II�III7 II
FIRE Permit: F2019-0497
Project No: 1918-2019
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (44) HEADS (X2018-3299)
Legal Description:
Fire Residential Alarm PC Fee:
Contractor:
FIREPROOF FIRE PROTECTION
Address: -
1101 KINGSTON DR
$0.00
LA HABRA CA 90631
Phone:
714-476-5370
Con State Lie:
876004
Lie Expire:
04130/2020
Bus Lie:
BT30040107
Lie Exp Date:
07131/2020
Worker's Compensation Insurance
Carrier:
NORGUARD INS CO
Policy No:
MOWC002750
Expire:
02115/2020
Issued Date: 08129/2019
Setback- Front:
Rear
Left:
Right:
FEES
$202.00
Fire Residential Alarm PC Fee:
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee:
$0.00
$0.00
Public Works PC Fee:
$0.00
Public Works Traffic Plan Check Fee;
$240.00
$442.00
Plan Check Fee
Architect:.
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
State Lie:
State Lic:
CASEY MONTY
1101 KINGSTON DR
LA HARBRA CA 90631
714-476-5370
Records Management
$0.00 Fee Due at Permit Issuance
OR To c a o OCHER DWAt2`rMENT:`
PIcRN CHV�CKESD 6Y::
APPROVAL TO ISSUE: c
c c Lc i
PERMIT EXPIRES 180 DAYS AFTER ISSUANC-Z ORCASTaVALID
<JN< PEC�dO_y
a �
Va4 O. GY 4 4 YGG IDG.
$0.00
$0.00
$0.00
$442.00
)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 for
he 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
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
Tlprovements 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
reproved for the purpose of sale).
I, 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
Ipply 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).
1 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 legally
yell 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 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 Professions Code, and my license is in full force
D1d effect y j �� (0 ,
.icense Class License No Date Z�J �'yo\q Contractor Signature.T UKW
VORKERS' COMPENSATION DECLARATION
1ARNING: 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7700 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 th,
erf mance of the work for which this permit is issued. Policy No.
1 have and willam In workers' co pens tion insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation
isurance carrier an pol y number ar
Date
of Agent
ertify that, in the performance of the workfor which 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
if I should become;;a6ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions.
of Applicant
3reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
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 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 counly t4enter the above -identified property for inspection purposes. %
ACTION DATE BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFRCE USEONLY
REGULATIONS PART Of OF TITLE40AND
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