HomeMy WebLinkAboutf2021-0402 - Permitsr.>A City of Newport Beach - Building Division
' +? 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 1853 PORT SHEFFIELD PL NB
Inspector Area: 4
Owner: FRAZIER BRYAN & CHRISTIIE
Address: 1853 PORT SHEFFIELD PL
NEWPORT BEACH, CA 92660
Phone: 714-865-5567
Applicant: FIREGUARD SPRINKLER SYS INC
Address: 7907 LEEDS ST
DOWNEY CA 90242
Phone: 714-310-0194
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:
2
No of Units :
0
Flood Zone:
Bldg Sprinklers:
N
*F2021-0402*
FIRE Permit: F2021-0402
Project No : 2124-2021
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLER SYSTEM 55 HEADS (X2020-2198)
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Legal Description:
N TR 6620 LOT 10
Contractor:
FIREGUARD SPRINKLER SYS INC
Architect:
Address:
7907 LEEDS ST
Address:
DOWNEY CA 90242
Phone:
714-310-0194
Phone:
State Lic:
Con State Lic:
992002
Engineer:
Lic Expire:
04/30/2022
Address:
Bus Lic:
BT30046886
Lic Exp Date:
0413012022
Phone:
State Lic:
Worker's Compensation
Insurance
Designer:
VOJOHN
Carrier:
FALLS LAKE FIRE & CASUALTY
Address:
526 N SHADYVALE
Policy No:
FLA0080008
WEST COVINA, CA 91790
Expire:
12/2912021
Phone:
Issued Date: 09115/2021
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
Construction Valuation:
$10,000.00
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: S�
OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
DWNER-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
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 S500).
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
improvements qs" lot 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
improved for ihw.pHpose of sale).
...L as ownereaf thelproperty, 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 o�ia6oro. property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
'. Pam exempt:rom licensure under the Contractors' State License Law for the following reason:
By My signaturg 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
Dell mstructure that?:ave 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
P�ojassions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htm].
5i9g4ture of FrsopertyOwner or Authorized Agent Date
L•IP•IOSED CONY CTOR'S DECLARATION
I he reby affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing Sec ion 7000) of Division 3 of the Business an rof ssio Cd d my license is in full force
and effect. • • • - 011__
License• Class•••• License No Date Contractor Signature
IlbO•IZ14ERS' 9P.NV:NSATION 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 th(
oerformance 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' compensatior
surarlri fir and pPlicyyrlu�mber are: I [�.11 jj'1 �( �j
Carrier t'N 4 S LQ IV' Policy Number FL + VV N D Expiration Date I� ���
me of Agent
I certify that, in the
It, if I should becorp
)nature of Applicant
Phone #
Ice of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iECLARATION REGPJRDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued action 3097, Civil Code).
ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the
I have read this application and the information I ha p vided is correct.
I agree to comply with all applicable city and cou ty rdin nces an state laws relating to building construction.
I authorize representatives of this city or count o e er th above Identified property for inspection purposes. 7� /
of Property Owner or Authorized Agent d' Print Property Owner's or Authorized Agent's Namel/ \ ., h, 11In V 'a
owner's behalf.
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIOIVSPART 6t OF TITLE40AIIVD
AQMD RULE 1403
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
, qtA
CERTIRCATEOF
SIGNATURE:
OCCUPANCYISSUED