HomeMy WebLinkAboutf2022-0297 - PermitsCity of Newport Beach - Building Division `F2022-0297*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 125 26TH ST NB
Inspector Area: 1
Owner: SERRA BRIAN & VICKI
Address: 125 26TH ST
NEWPORT BEACH, CA 92663
Phone:
Applicant:
SUMMIT FIRE PROTECTION INC
Address:
520 TEXAS STREET
REDLANDS CA
Phone:
909-793-0676
Code Edit: 2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
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: F2022-0297
Project No : 1515-2021
Inspection Requests Phone (949)644-3255
Description: DELTA 1 REVISION & ADD'L SCOPE: ADD (7) FIRE SPRINKLER
Legal Description: NEWPORT BEACH CITY BLK 26 LOT 23
Contractor:
SUMMIT FIRE PROTECTION INC
Architect:
Address:
520 TEXAS STREET
Address:
REDLANDS CA
Phone:
Phone:
Con State Lie:
362801
Engineer:
Lie Expire:
02/28/2023
Address:
Bus Lie:
BT30075789
Lie Exp Date:
07/3012022
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
STATE COMP
Address:
Policy No:
9027856
Expire:
10/02/2021
Phone:
Issued Date: 06/1312022
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
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SUMMIT FIRE PROTECTION INC
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520 TEXAS STREET
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REDLANDS CA 92374
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FEES
Construction Valuation:
$1,000.00
Building PC Fee :
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$4.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
Building Extention 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 Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$269.00
TOTAL FEE :
$495.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$495.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
Q 1
J G
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
IWNER-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
1e 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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
nprovements 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
nproved for thg b6?`p%e of sale).
I I, as owner of e'property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pplf?Van owVT DI lSrpperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
J I am exempt from licensure under the Contractors' State License Law for the following reason:
iy frtysignature 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 legal)
all a structure that I hale 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
'notes'sions Cone, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
iignetLre of Prgperty,Dwner or Authorized Agent Date
.C@IS�ED CPNfTMCTOR'S DECLARATION
Rereby 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
nc6cflect.
icense:--lass License No Date 1' 611 �J 42% Contractor Signature
11GRKFRS' C6APENSATION DECLARATION
iAPNWG�FAILUR6 TO LECYRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREPAOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, ISAMAGES AS PROVIDED FOR IN SECTION 3706 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
ormance of the work for which this permit is issued. Policy No.
have and will maintain 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' compensa'
Trance carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance of the work forwhich this permit is is5wed, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ag
if 1 should become subject to the,,Y✓orkers' compensation pro ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
P-
CLARATION REGARDING CONS UCTIUN LENDING AGENCY /
areby affirm under penalty of perj ry that there is a construction lending agency for the performance of the work for which this pennit 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.
I authorize representatives of this city or county to,the a
(nter e-identified property If on purposes.
nature of Property Owner or Authorized Agent /" G not Property Owner's or Authorized Agent's Name \hl%'aYIJC: C��.N. c Tate y
AC77ON
DATE
7 By
DECLARATION OF COMPLIANCE V✓LTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 61 OF TITLE40 AND
AQMD RULE 1403.
PERMITEXPIRED
❑ I SUBMLTTEOASBESTOS NOT7FICATION' TO:.
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT.EXTENDED
❑ ASBESTOS N07IRCA77ON IS NOT APPLICABLE TO
PROPOSED DEMOLITfON.
PERMITFINAL
t L
CERTIFICATEOF -
SIGNATURE:
OCCUPANCYISSUED