HomeMy WebLinkAboutF2020-0333 - PermitsCity Centeric Drive, ofNewport Be a Beach, - Building
A66o 19tlg Division 0IIIIIIIINIIIdIIIIIdIIIIII�lllll� II
3 Permit Counter Phone (949)644-3288
FIRE Permit: F2020-0333
Project No: 1442-2020
Inspection Requests Phone (949)644-3255
Job Address: 1807 GALATEA TER NB
Description: SFR - FIRE SPRINKLERINEW SFR 66 HEADS (X2019-0480)
1442-2020
Inspector Area: 5
Legal Description:
N TR 2813 LOT 144
.
Owner: ZAHEDI MOSHENIPEGGY
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
Address: 621 MALABAR DR
Address:
1101 KINGSTON DR
Address:
CORONA DEL MAR, CA 92625
-
LA HABRA CA 90631
Phone:
Phone:
714-476-6370
Phone:
State Lic:
Applicant: CASEY MONTY
Can State Lic:
876004
Engineer:
Address: 1101 KINGSTON DR
Lic Expire:
04/30/2022
Address:
LA HABRA CA 90631
Bus Lic:
BT30040107
Phone: 714-476-5370
Lic Ecp Date:
08/31/2021
Phone:
State Lic:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
CASEY MONTY
Type of Construction: V-B-SPR
Carrier.
NORGUARD INS CO
Address:
1101 KINGSTON DR
Occupancy Group: R31U
Policy No:
MOWC148394
LA HABRA CA 90631
Added /New sq.ft. Bldg: 0
Expire:
02116/2021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Issued
Date: 0912212020
Special Conditions:
No of 0
Setback- Front
vL
OR
Zone:
Flood Zone:
Rear:
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation: $6,600.00
Building PC Fee:
$217.00
Fire Residential Alarm PC Fee:
$0.00
Records Management:
$6.00
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:
$263.00
TOTAL FEE :
$486.00
Plan Check Fee:
$217.00
Fee Due at Permit Issuance :
$269.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL
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APPROVAL TO ISSUE: .
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copERMLT EXRIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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)WNER-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
is 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 licensors 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
rut more than five hundred dollars ($500).
1, 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,
fusiness 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
Tlprovements are not intended or offered forsale. 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
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 Lew does not
ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
I am exempt from licensors under the Contractors' State License Law for the following reason:
fy 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, 1 cannot legally
yell a structure that I have built as an owner -builder H it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable few, Section 7044 of the Business and
rrofessions Code, is available upon request when this application is submitted or at the following Web site:http:tAvww.leginfo.ca.govlca(aw.hhnl.
signature of Property Owner or Authorized Agent Date
JCENSED CONTRACTOR'S DECLARATION
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 Professions Code, and Ifcense IS in Full force
and effect.
Icense Class License No DaleY ��?-r��2=ram Contractor Slgnsturg� ---�
VORKERS' COMPENSATION DECLARATION
iARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OPAL FINES UP TO ONE HUNDRED THOUSAND OOLLARS 4100,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37N OF THELABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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 the
w*rrmance 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'
Cartier and policy number are:
Number Expiration Date
is of Agent Phone f)
certify that, in the performance of the work for which this ermd 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 become subjgcR%4he vwoorkem' comps cation pRitiskns of Section 3700 of the Labor Coda, I shall forthwith comply with those provisions.
Store of Applicant Date-,/ Elts
:LARATIONI REG RDING CTION LENDIN Y
Eby affirm under penalty of perjury that there is a consbimllbrit lending agency for the performance of the work for which this penult is issued (Section 3097, Civil Code).
lees Name - Lender's Address
Ty 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 sta s relating to building construction.
I authorize representatives of this city or county I idenOfted prop for inspection purposes. \ r
iature Of Property Owner crAuthorized Agent-� -�� Print Property Owners or Authorized Agent's
AC770N
DATE
BY
--DECLARA17ON OF COMPLIANCE WITH CODE OF
FOROFRCEU. E LY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AyMDROLE 1403.
PERMITEXPIRED
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SIGNATURE:
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