The URL can be used to link to this page

Home My WebLink AboutF2021-0308 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIII�IIIII'IIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 3 0 8 Permit Counter Phone (949)644-3288 Job Address: 114 19TH ST NB Inspector Area: 1 Owner: HOBERG ROBERT Address: PO BOX 2466 CHINO, CA 91708 Phone: Applicant: SCHROEDERANTON Address: 1325 N RED GUM ST STE 10 ANAHEIM, CA 92806 Phone: 714-630-3916 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: F2021-0308 Project No: 1661-2021 Inspection Requests Phone (949)644-3255 Description: MFR FIRE SPRINKLERS 57 HEADS (X2020-1061) Legal Description: NEWPORT BEACH SEC B ELK 18 LOT 15 Contractor: ACT FIRST FIRE PROTECTION INC Address: 1326 N RED GUM STREET #10 ANAHEIM CA 92806 Phone: 714-630-3916 Con State Lie: 830883 Lie Expire: 03/31/2022 Bus Lie: BT30030288 Lie Exp Date: 11/30/2021 Worker's Compensation Insurance Carrier: SECURITY NATIONAL Policy No: SWC1188764 Expire: 03112/2022 ArcFli C) cONS 1 rlUiJT'i. N • ORK Address: Phone: Q TlJ6i9JA S ON`✓� Engineer: Address: Phone: State Lie Designer: SCHROEDERANTON Address: 1325 N RED GUM ST STE 10 ANAHEIM, CA 92806 Phone: 714-630-3916 Issued Date: 07/29/2021 Special Conditions: Setback- Front: Rear: Left: Right: FE,:Seo '�✓' d Construction Valuation: $3,800.00 x Building PC Fee, $222.00 Fire Residential Alarm PC Fee: $0.00 Records Management : $8.00 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 : $499.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $499.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER b2iPAR`rMENT: w ° w o • u ° a < ° PLAN CHEC4D,B1:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR L47cVAL10 IF; S,ECT101V ° o 0 o r a m e cc ava o • ao a• aas LDER 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 improved for the purpose of sale). ❑ I, 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' State License Law). ❑ 1 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.html. Signature of Property Owner or Authorized Agent 17 Dag li LICENSED CONTRACTOR'S DECLARATION I hereby 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 Profess ns e, d my license is in full force and effect. License Class License No Date 7 Z- Z Contractor Signall�,e� WORKERS' COMPENSATION DECLARATION V(\ WARNING: 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. Ihereby affirm under penalty of perjury one of the following declarations: LJIh1 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 thI peTE,4amance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: ie of Agent certify that, in the performai if I should become subject of Policy Number Expiration Date Phone # 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 npensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / DECLARATION REGARYINN,_C'ONSTRUCTION LENDING AGENCY " V ( ' I 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 (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property w4na lf. I have read this application and the information I have prov a I agree to comply with all applicable city and county ordina slaws relating to building construction. I authorize representatives of this city or coun t nter abad property for inspection purposes. Signature of Property Owner or Authorized Agent, int Property Owner's or Authorized Agent's Nam Date jZq ACTION DATE BY DECLARATIONOF COMIDUANCE M TH CODE OF FOR OFFICE USE ONLY •• •' .FFDERAL PEGULATIOUSPART61 OF TITLE40AAtD MDRULE 14U3. PERMITEXPIRED • • T I SUBMITTED ASBESTOS N077FICATION' TO:. `: ❑ EPA ❑ AOMD' PERMITCANCELLED • ••� ' • ' ° PERMIT EXTENDED ❑ ASBESTOS NOURCATIONIS NOT APPLICABLE TO . �PROPOSEDDEMOLtTION. PERNRT FINAL Z ° ° CERTIFICATEOF • • • • • °•° • • ° ° ° 6tG�NARIRE: OCCUPANCYISSUEO • e e o