HomeMy WebLinkAboutF2020-0201 - Permits-., City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660 uni F 2 0 2 0 0 2 0 1ian Permit Counter Phone (949)644-3288
Job Address: 2889 WAY LN NB
Inspector Area: 5
Owner:
LOWENTHALANIA
Address:
2889 WAY LN
CORONA DEL MAR, CA 92625
Phone:
Applicant:
CASEY-MONTY
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
Code Edit 2019
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:
Construction Valuation
V-B-SPR
R3/U
0
0
FIRE Permit: F2020-0201
Project No : 0787-2020
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (X2019-2984) 51 HEADS
"REVISED 04/14/2021
Legal Description: CORONA DEL MAR LOT 1 BILK C-33 AND LOT 2 BLK C-33
Contractor: FIREPROOF FIRE PROTECTION Architect:
Address: 1101 KINGSTON DR Address:
LA HABRA CA 90631
Phone: 714-476-5370 Phone:
Con State Lie: 876004
Lie Expire: 04/30/2022
Bus Lie:
BT30040107
Lie Exp Date:
08/31/2021
Worker's Compensation Insurance
Carrier:
SECURITY NATIONAL INS
Policy No:
SWC1325710
Expire:
02/16/2022
3 Issued Date: 05129/2020
0 Setback- Front:
Rear:
Y Left:
Right:
Building PC Fee:
Building Overtime PC Fee:
Building Extention Fee:
Building Investigation Fee:
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee
- TOTAL FEE:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL :
$5,300.00
FEES
Engineer:
Address:
Phone:
State Lie:
State Lie:
Designer:
CASEY MONTY
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476-5370
Special Conditions: HIGH DENSITY
$202.00
Fire Residential Alarm PC Fee:
$0.00 Records Management :
$8.00
$0.00
Planning Counter Review:
$0.00
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
$0.00
$0.00
Public Works PC Fee:
$0.00
$0.00
$0.00
Public Works Traffic Plan Check Fee;
$0.00
$240.00
$450.00
Plan Check Fee:
$450.00 Fee Due at Permit Issuance :
$0.00
OTHER DEPARTMENT:
• 6
®° A >; • ° MAN CHECKED BY::
a °
• AOROVAL TO ISSUE:
PERMIT EXF,`IRS 180 D:4Y$ AFNEF•ISSIJ$PYCE OR LAST VALID INSPECTION
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) 1 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
the 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
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
Im 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
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
IJ I am exempt from licensure under the Contractors' State License Law for the following reason:
By 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
sell 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
Professions 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Se tion 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. �/
License Class License No - Date - _ A( 1 t Contractor SignatW h/iL----
NORKERS' COMPENSATION DECLARATION
NARNING: 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 IS100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one 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 as provided for by Section 3700 of the Labor Code, for the
)e rmance of the work for which this permit is issued. Policy No.
I have and will Be In 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' compensation
nsurance carrier acv,number,5ile: . n
Date
of Agent
certify that, in the performance of thl work for which this dermit 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 becomisubje�o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those�]pro�ws. ns.
lature of ApplicantX -- — Dal€ \
Ireby 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).
Ider'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.
1 authorize representatives of this city or county ter the above -identified property for inspection purposes. /'
nature of Property Owner or Authorized Agent �� Print Property Owner's or Authorized Agent's NameV r'�. •+%� i.i..
ACRON
DATE
By
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFRCE USE ONLY
FEDERAL REGULATIONSPART 61 Q 11TS.R40 AND
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PERMIT CANCELLED
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PERMITFINAL
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