HomeMy WebLinkAboutF2020-0301 - PermitsY1g City of Newport Beach -Building Division *F2020-0301*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 265 EVENING CANYON RD NB
Inspector Area: 5
Owner: BJ & SONS LLC
Address: 4521 CAMPUS DR#202
IRVINE CA 92612
Phone:
FIRE Permit: F2020-0301
Project No: 1264-2020
Inspection Requests Phone (949)644-3255
Description: NEW SFR FIRE SPRINKLERS (X2018-3871) 62 HEADS I V ^ P /1CTO
Legal Description: TRACT NO 1116 LOT 136 AND POR ABAND STR (GLEN DRIVE)
Applicant: CALIFORNIA FIRE PROTECTION
Con State Lie:
Contractor: CALIFORNIA FIRE PROTECTION
Architect: '.
Address: 647 CAMINO DE LOS MARES #109
Address:
SAN CLEMENTE CA 92673
Bus Lie:
Phone: 949-212.4417
Phone: Stale Lie:
Applicant: CALIFORNIA FIRE PROTECTION
Con State Lie:
1016781
Address: 647 CAMINO DE LOS MARES #108
Lie Expire:
08/31/2020
SAN CLEMENTE CA 92673
Bus Lie:
BT30063097
Phone: 949-2124417
Lie Exp Date:
06/31/2020
Code Edit: 2019
Worker's Compensation Insurance
Type of Construction: V -B -SPR
Carrier:
OHIO SECURITY
Occupancy Group: R3/U
Policy No:
XWS60230423
Added /New sq.ft. Bldg: 0
Expire:
09/18/2020
Added /New sq. 0. Garage: 0
949.468-7177•
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No of Stories: 2
Issued Date: 08/06/2020
No of Units : 0
Setback- Front:
Fire Plan Check Fee:
Flood Zone: X
Rear:
$0.00
Bldg Sprinklers: Y
Left:
$0.00
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Right:
Engineer
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
PROCESSED BY.. OTHER DEPARTMENT:
ZONING APPROVAL:
j- PLAN CHECKED BY::
FIRE APPROVAI APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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Slate Lic:
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Construction Valuation:
$6,200.00
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Building PC Fee:
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Building Overtime PC Fee:
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Building Extenlion Fee :
SAN CLEMENTE CA 92673
Planning Zoning PC Fee :
0 0
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949.468-7177•
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Fire Plan Check Fee:
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$0.00
$0.00
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$0.00
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$0.00
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TOTAL FEE :
$444.00
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$202.00 Fee Due at Permit Issuance :
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PROCESSED BY.. OTHER DEPARTMENT:
ZONING APPROVAL:
j- PLAN CHECKED BY::
FIRE APPROVAI APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEESD
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Construction Valuation:
$6,200.00
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Building PC Fee:
$202.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$2.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
Building Extenlion 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 :
$240.00
TOTAL FEE :
$444.00
Plan Check Fee :
$202.00 Fee Due at Permit Issuance :
$242.00
PROCESSED BY.. OTHER DEPARTMENT:
ZONING APPROVAL:
j- PLAN CHECKED BY::
FIRE APPROVAI APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
I hereby, affirm under penalty of perjury that I am exempt from the Contractors' State License Lawlor the reason(s) indicated below by the checkmark(s) I Iwo placed next to the applicable Hem(s)
iecton 7031.6. 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 llle a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Buauleas and
Tofassfom; Code) or that he or she Is exempt from licensure and the basis for the allsiled exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a 1: penally of
of more than five hundred dollars ($600).
7 1, as owner of the property, or my employees with wages as their sole compensation, will do L j all of or ( ) portions of the work, and the SWcture is not intended or offered for sale (Section 7444,
vainest and Professions Code: The Contractors' State License Law does riot 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, hoyever, the building or improvement Is sold within one year of Completion, the Ovmar-Suikder w1H have the burden of proving that it was not built or
n roved 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 pm)acts with a licensed Contractor pursuant to We Contractors Stale License Low).
7 I am exempt from frcensum under the Contractors' State License Law for the following mason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least vers year prior to completion of the Improvements covered by this permit, I cannot regally
all a structure that I have built as an owner -bulkier 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
rolesslone Code, is available upon request when this application is submitted or at the following web site:tdfp:/lwww,Isginfo,ca.9ov/Ca,aw,html, A 1 / — oz�
signature of Property Owner or Authorized Agent _ - Date ]� 6
MENSED CONTRACTOR'S DECLARATION
hereby affirm ung2r penalty of perjury that d am Beamed under provisions of Chapter 4 (commanC h Section 700 of Division 3 of the B nose and Pm{essio c da, and my Hoense Is in full force
nd effect, gi [ 1 to License No 1 0 ` (al Contractors ture
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VORKIseRS' CEiMKINSATION DECLARATION
AWN": FAILURE TO MWMMRKgM' COMPENSAThOM COvERAOE is wiLAv PUi., AND SHAI1 SUBJECT AN OMPLOTaR To cFtwixAL r'eNALT1Ea AHD CML FINES UP TO ONa HUNDRED THOUSAND DOLLARS (tT0e,00Qt IN ADDRRIN TC THE
,bStig eOMPENSATeJN, DMIAGSS ASPROVIOED FOR IN SECTIONVY" OF THE LABOR CODE, INTEREST,ArDI ATTORHM PEES.
heaq affirm un9eapenadty of perjury ons, of the following deciaratkur s:
bays and vJf rghtlntaht a certificate of consent to soff4mure for workers' Compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, .for the
irf)ance oill" forwhich this permit Is Issued, Policy No.
• and will maintain workers' compensation insurance, as required by Section 3700 of lite Labor Code, for the performance of the work for which this permit is issued. My workers' compensatlor
MR carrier atNl paficy number are:
carrier • \ �3Ety1(j-t�G" j Policy Number Q S 57 `i L 1 I Expiration Date
Imam"Anent •' Phone
3rWilry that,4n the poAormanoe of the vrork for h this p It is Issued, 1 shall not employ any person in any manor so as to become subject to the workers' compensation laws of California, and agree
Iat, if 1 should bbgpna Subject to the workers' atl provisions of Section 3700 of the Labor Cade, I Shap forthwith comply with thoalf provisions, G - b
tnnature of Militant r - o Zo ZIP
,shy afrmn under penalty of perjury that there is a construction lending agency
ier's Name
ny signature below, t Certify to Each of the fcllmWng:
1 am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have pr is c,
of the work for which this permit is iest%d (Section 3497, Civil Code),
I agree to comply with all applicable c'ty and county ordi c �ia laws Wolfing to building construction.
I authorize representatives of this arrounty to erte a danGtiad propertyfor inspection purposes.
AC77ON UAM BY
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SIGNATURE:
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