HomeMy WebLinkAboutF2020-0159 - Permits00 City o v ccNewport Beachenter Drive, - BboBuilding ivision VIII'�FIII�I0 200I5������IIIIII
Permit counter Phone (949)644-3288
Job Address: 1223 WINSLOW LN NB
Inspector Area: k A17.6
Owner: INTRACORP S N, LLC
Address: 895 DOVE ST f 400
NEWPORT BEACH CA 92660
Phone:
Applicant: AUSTON BRIAN
Address: 11800 STERLING AVE #L
RIVERSIDE CA 92503
Phone: 858-583-1541
Architect:
Code Edit: 2016
6438 ARVILLE ST
Type of Construction:
V-BSPR
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
Legal Description
FIRE Permit: F2020-0159
Project No: 0662-2020
Inspection Requests Phone (949)644-3255
Description: MFR FIRE SPRINKLERS (X2019-3996) 221 HEADS 2SL O-5 6i �1
Contractor:
ON GUARD FIRE PROTECTION
Architect:
Address:
6438 ARVILLE ST
Address:
$40,000.00
LAS VEGAS NV 89118
Phone:
702-966-8021
Phone:
Con State Lic:
950378
Engineer:
Lic Expire:
07/31/2022
Address:
Bus Lic:
BT30061770
Building Extention Fee:
Lic Exp Date:
07/3112021
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
BERKSHIRE HATHAWAY
Address:
Policy No:
REWC121171
$765.00
Expire:
02/16/2021
Phone:
Issued Date: 09/15/2020
Special Conditions:
Setback- Front:
$0.00
Rear:
$0.00
Left:
TOTAL FEE :
Right:
Plan Check Fee :
$1,123.00 Fee Due at Permit Issuance :
State Lic:
State Lic
B AUSTIN
6438 ARVILLE ST
LAS VEGAS NV 89118
702-966-8021
PROCESSED BY: ' • "^' OTHER DEPARTMENT:
ZONING APPROVAL: n PLAN CHECKED BY::
FIRE APPROVAL : " ° � ` 4O `' `AppiiOVAL TO ISSUE:
PERMIT EXPIRES 100 Dsl YG AFTER ISSU'. WCF b:4 LAST VALID INSPECTION
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FEES
Construction Valuation:
$40,000.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$14.00
Building Overtime PC Foe:
$0.00
Planning Counter Review:
$0.00
Building Extention Fee:
$0.00
Planning Zoning PC Fee :
$0.00
Building Investigation Fe.e:
$0.00
$0.00
Fire Plan Check Fee:
$765.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$344.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$1,123.00
Plan Check Fee :
$1,123.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY: ' • "^' OTHER DEPARTMENT:
ZONING APPROVAL: n PLAN CHECKED BY::
FIRE APPROVAL : " ° � ` 4O `' `AppiiOVAL TO ISSUE:
PERMIT EXPIRES 100 Dsl YG AFTER ISSU'. WCF b:4 LAST VALID INSPECTION
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R -BUILDER DECLARATION
affirmunder, penalty of perjury that I am exempt from'the Contractors' State License Law for the reason(s) indicated belowby the checkmark(s).i have placed next to theapplicable Item(s)
31.5,: Business and Professions' Code: Any. city or county thatTequires a.permit;to construct alter, improve: -demolish, orrepair any structure, 'prior to its issuance, also requires the applicant for
I file asignea statement that heorshe is licensed pursuant to the provisions ofthe,Contractors' State License. Law (Chapter 9 (commencing with'Section 7000)'of Division 3:ofthe: Business and
Code)orthei he or she is exemptfrom licensure and the basis for'the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the: applicanttoa. civil penalty of
in five hundred:dollars ($500).
Lt ],as owner of the.prooerty, or my employees withwagesastheir sola compensation, will do U all of or U portions of thework, andthe structure is not. intended or offered. for sa'le:.(Section 7044,
BusinessandProfessipm: Code: The Contraptors' State License Law does not apply to an owner of: property who, through employees' or personal effort, builds or Improves the propc rty;'provided 'that the
Improvements are not inu;nded or offered forsale, If, however, the building or:iioprovement is sold withln.one year ofcompletion, the Owner-Builderwlll.have the burden ofproving`tl lath was not built or
EProved for the purpose of sale).
t I, as owner of the;prooerty,. am exclusively contracting with licensed Contractors to construct': the. project'.(Section 7044, Business and Professions Code; The Contractors' State Ucense.Law.does not.
apply to an owner of proparty who: builds or Improves thereon, and who contracts for the projects with a licensed Contractor. pursuant tothe Contractors' State License Law).
I am exempt from licensure under the Contractors"State License Law• for the4ollowing reason:
By my signaturebelow i E.cknowledge that, except for my personal.residencer inwhich I.must have resided forst leastoneyaarprior to: completion of the imprgvements covered by this permit, Ir cannotfegall,
sella structurethatl have built as an owner -builder if it has not been constructed in its entirety by Ilcensed contractors. I'understand `that a copy of the applicable. law; Section 7044 o`. the Business and
Professions Code, is avahable upon request when this application is submitted'. or at the.fcllowing Web'sfte:h@p//www.leginfo.ca.govlcalaw.htrlil.
Signature of Property Ow. teror'Authorized Agent' Data _
LICENSED CONTRACTOR'S DECLARATION
I hereby.affirmUnder pen 31ty of pe 'u that I am licensed under provisions of'Chaptar 9'(commencing ,with Section 70 of Di 'Sion 3 of the Business and Prof ss' Cade an fpy license is in full force
and effect. License Class. 1.;16 License No 950378 Dafe. /15%2020 Contractor Signature
NORKERS COMPENSATION' DECLARATION
NARNING:FAILURE:TO'SECURE.WORKERS''.COMPENSATION COVERAGE 'ISUNLAWFUL. ANDSHALL SUBJECT AN-EMPLDYER:TO ORIMINAL PENALTIES ANO.CMCFINES UP TOONE HUNDRED THOUSAND DOLLARS is 00,000), 1NADDITIONTO THE
.OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAEORcODE)INTEREST, AND ATTORNErs FEES.
hereby affirm under pen;dty ofperjuryone of the following declarations;
1 have and will maintain a certificate of consent to self insure for workers' compensation,. Issued by the Director of Industrial Relations asprovided for by Section 3700 or the: Labor Code, for th
Iegormance of the work aor which this permit Is issued. Policy, No.
have and will mainta n workers' compensation Insurance, as required by Section $700 of the Labor Code, for the performance of the work forwhich this permit is issued. M,' workers''
rance carrier and:ray number are:
\
ler /'r1 I A A e _ Pol cyNRu'rnbyr ti _ Expiration Date.
of Agent
certify that, in the performance of the work for whioh this permit is issued, 1 shall not employ any; person in any manner so as to become subject to theworkers' compensation lawsof California, and agre
if I should:become sopject to the workers' compensation provisions of Section 37WOfthe Labor Code, I shall forthwith • comply with those provisions.
stuns of Applicant caoan ear�anac
hereby affirmunderpenAty,of perjury that there is.a construction lending agency for performance of the work for which this permit is issued (Section 3097, Civil Code).
.ender's Name Lender's: Address.
3y my signature below, I certify to each of'the following:
I am the propertyowr.er or authorized to action the property owners behalf.
I have read this application and the information have provided is: correct.
I agree to comply will all applicable. city; and county ordinances and state laws relating to building construction.
I authorize representLtives of this city or cc b,�p,terthe abo�¢fldentified'.property'fcr inspection purposes, e I
Signature of.Property'Ow� ter or Authorized Agent ,JSie rLaa. Jl.errewnLaerk Print Property:Owner's or:Authorized Agent's Name X it«A„A2 uA.,,.,,,
ACTION DATE. BY DECW�TION OF COMPUANCEWITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU TIONS PART 610FTITLE 40 AND-AQMD RULE
PERMIT EXPIRED
OCCUPANCY ISSUED-
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