HomeMy WebLinkAboutF2020-0162 - Permitsw` Cityvof Newport Beach - Building Division IIIIIIIIIIIIIII�IIIIIIII�III�II�IIIIIIIIIIIIIIII II
d 100 Civ:c Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 1 6 2
Permit Counter Phone (949)644-3288
V
e'rStrhY�� '.
Job Address: 1237 WINSLCW LN NB
Inspector Area: X 1, Itf
Owner: INTRACORP I-.OMES
Address: 895 DOVE ST 4400
NEWPORT BEACH CA 92660
Phone:
Applicant: AUSTON BRIAN
Address: 11800 STERLI NG AVE #L
RIVERSIDE CA 92503
Phone: 858-583-1541
Contractor:
Code Edit : 2016
Address:
Type of Construction:
V -B -SPR
Occupancy Group:
R21U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
3
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
FIRE Permit: F2020-0162
Project No : 0678-2020
Inspection Requests Phone (949)644-3255
Description: MFR FIRE SPRINKLERS (X2019.3999) 112 HEADS
Legal Description:
B AUSTIN
Contractor:
ON GUARD FIRE PROTECTION
Address:
6438 ARVILLE ST
Phone:
LAS VEGAS NV 89118
Phone:
702-966-8021
Con State Lic:
950378
Lic Expire:
07/31/2022
Bus Lic:
BT30051770
Lic Exp Date:
07/31/2021
Worker's Compensation Insurance
Carrier:
BERKSHIRE HATHAWAY
Policy No:
REWC121171
Expire:
02116/2021
Issued Date:
Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
.Z -
State Lic:
State Lic:
Designer:
B AUSTIN
Address:
6438 ARVILL ST
LAS VEGAS NV 89118
Phone:
702-966.8021
Special Conditions:
PROCESSED BY: aOTHER DEPARTMENT:
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ZONING APPROVAL: ` _ `c ° ° ° ° o PLAN CHECKED BY::
FIRE APPROVAL: ° "O APPROVAL TO ISSUE:
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PERMIT EXPI$ES 180 4AYS�4R1rCtiQ IjSU/YNC7 OR LAST VALID INSPECTION
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FEES
Construction Valuation:
$20,000.00
Building PC Fee:
$0.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$10.00
Building Overtime PC Fae:
$0.00
Planning Counter Review:
$0.00
Building Extention Fee .
$0.00
Planning Zoning PC Fee :
$0.00
Building Investigation F:e:
$0.00
$0.00
Fire Plan Check Fee:
$465.25
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$228.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$703.25
Plan Check Fee :
$703.25 Fee Due at Permit Issuance :
$0.00
PROCESSED BY: aOTHER DEPARTMENT:
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ZONING APPROVAL: ` _ `c ° ° ° ° o PLAN CHECKED BY::
FIRE APPROVAL: ° "O APPROVAL TO ISSUE:
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PERMIT EXPI$ES 180 4AYS�4R1rCtiQ IjSU/YNC7 OR LAST VALID INSPECTION
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OWNER -BUILDER DECLARATION
Lhereby affirm under tonally of perjury, that I am exemptfrom'the Contractors'State License -Law for the reason(s) indicated below by theaheckmark(s). 1 have placed next to the applicable item(S)
coon 7031.5,, Busines s and Professions Code: Any city or county that?requires a permit toconstruct Alter, improve,. demolish, orrepair.any structure, prior to Its issuance, also.reeuires the applicant for
permit to file a signed statement that he or she is licensed pursuanftothe .provisions oflthe.Contractors' plate License Law (Chapter (c mm witlt:Section 7QOOpof0ivisio i 3: of the Business and
fessions Code) or than he or she is exempt from licensure and the basis for alleged exemption. Any violation of Section 7031.5. by any applicant for a permit subjects the .appik:adtto a civil penalty of
more than five hundre&dollars ($500).
J 1, as owner of the.pro jerty, or my employees with wages as their sole cont pensation, will do U all of or U portions of the work, and the structure is not, intended or offered: far sale.,(Section 7044,
lusiness and Profession<: -Cade: The Contractors' State License Law does not apply to an owner of property who, through employeeW 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-Builderwlll:.have the burden ofproving�ti -at it Was not or
Yroved for the purpose of sale).
I, asowner of the -pro3erty,.am exclusively contracting with licensed Contractors to constructthe.project'(Section 7044, Business.and Professions Code; The Contractors' State L cerise.Law:does•not.
pply town owner of prop arty who:builds or improves thereon, and who contracts for the projects with ;a'licensed Contractor pursuant to the Contractors' State LicenseLaw).
7 lam exempt from lice nsure under the Contractors' State License Law for the following reason:.
,y my signature below I ecknowledgethat except for my personal residence in,which I mu
sl have:resided for.atteast=oneyearpriorto:completiorof the Improvements covered by his permit, beannof leg;
ell a structurethat.l have: built assn owner -builder if it has not been constructed: in its entirety by licensed contractors: I'understand'that a, copy the applicable law; Section 7044 o'the Business and
'rofessions Code,.is available upon requestwhen thisapplicationis submitted:or at the.followingWeb'site:http:/Avww.leginfo.ca.gov/calaw.html.
ignature of Property Ow ieror'Authorized Agent Date
.ICENSED CONTRAcTOR'.S DECLARATION
hereby affirm under penalty of perr'iry-that I am licensed under provisions of Chapter 9 (commencing, with Section 7080 of Division 3 of the Business end.Pm as' Code an Hicensa is in full force
nd effect. Lioense•Class ((;; 66 License No 9S�.i78 DateN/15/2020 contractncSimnature V . na., ., .,.,. I_;)11
FINES UP TO ONE HUNDRED THOUSANO DOLLARS (5. 00,000), IN ADDITION TO
hereby affirm under penAty 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
bimance of the.work fwwhich this permit Is Issued. Policy. No.
have and will mainta.it workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the' work for.which this permit is Issued. M;:� workers'"compensai
uancecarderand: t>ynumber am:
rier \ PDlicOrlb r. Explrotfon Date.
is of Agent PM.. w.
certify that, in the pen ormance of the work for whloh.this permitis issued, I:shall not em. ploy: any. person in any manner sous to become subject to theworkers' compensation law,-ofDalifornia, and agre
, if 1 should become subject,to the workers' compensation previsions of Section 3700:of the Labor Code, I shall forthwith comply with those provisions. 9/1 5
IatureofApplicant l�e— a
—-mct �J-1 can nnaysr
.LARATION'REGA GING (:f1NFRRLICnnrJ I cnlnrlvr_ nc]ernry
webyafgrm under pematyof perjury that there is a construction lending agency for the performance of the work for which this permitis issued'(Section 3097,.Civil Code)..
Ider's Name Lender's. Address.
my signature below, I certify, to each ofthe following;
I am the propertyowcar 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 complywith all applicable. city and county ordinances and state laws relating to building construction.,
I authorize representatives of this city.or coy ty o peter the abo)"entified.p_operty for inspection purposes, -
1=11 "
OCCUPANCY'ISSUED
REGULATIONS PART 51.OFTITLE.40 AND AQMD RULE
NOTIFICATION 15
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