HomeMy WebLinkAboutF2021-0640 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
` sty Permit Counter Phone (949)644-3288
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Job Address: 29 OVERLOOK DR NB
Inspector Area: 6
Owner:
MUMFORD DREW
Address:
29 OVERLOOK DR
NEWPORT COAST CA 92657
Phone:
Applicant:
CASEY MONTY
Address:
1101 KINGSTON DR
LA HABARA CA 90631
Phone:
714476-5370
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:
X
Bldg Sprinklers:
Y
Construction Valuation: $1,000.00
Building PC Fee:
Building Overtime PC Fee:
Building Extention Fee :
Building Investigation Fee:
Fire Plan Check Fee:
Fire Permit Fee
Building Permit Fee:
TOTALFEE
PROCESSED BY: y
ZONING APPROVAL:
FIRE APPROVAL
FIIII I�� IIII2��I IIII�I�III0 6�I I0 II
FIRE Permit: F2021-0640
Project No : 3024-2021
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (6) HEADS (X2021-0381)
Legal Description:
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476-5370
Con State Lic:
876004
Lic Expire:
0413012022
Bus Lic:
BT30040107
Lic Exp Date:
07/31/2022
Worker's Compensation
Insurance
Carrier:
SECURITY NATIONAL INS
Policy No:
SWC1325710
Expire:
02/1512022
Issued Date: 01/25/2022
Setback- Front:
Rear:
Left:
Right:
FEES
$222.00
Fire Residential Alarm PC Fee
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee
$0.00
$0.00
Public Works PC Fee:
$0.00
Public Works Traffic Plan Check Fee;
$269.00
$497.00 Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lic:
State Lic:
CASEY MONTY
1101 KINGSTON DR
LA HABRA CA 90631
$0.00 Records Management: $6.00
$0.00
$0.00
$0.00
$0.00 $0.00
$0.00
$0.00 Fee Due at Permit Issuance : $497.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 160 DAYS AFTER ISSUANCE 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) 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
ie 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 (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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 the purpose of sale).
1 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
pply 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).
I I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legal
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
',ignature of Property Owner or Authorized Agent Date
.ICENSED 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 my license is in full force
nd effect.
icense Class License No Date �. �� 1 L Contractor SicnatLAi 144 ,
COMPENSATION DECLARATION
'ARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
111 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
erfq}rmance of the work for which this permit is issued. Policy No.
,I hpva 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' compensation
Lsu nce carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #
I certify that, in the performance 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 agre
that, if I should become ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant � D&
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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 owners 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 enter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent />( kN —� Print Property Owner's or Authorized Agent's Name Date ) 7 t
AC77ON
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 61 OF TITLE40AIVD
AQMD RULE 1403.
-
PERMIT EXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:.
❑ EPA
❑ AQMD'
PERPsTITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIFICA77ONISNOT APPLICA13LETO
PROPOSED DEMOLITION.
PERMITFINAL
.,,y.Lz
CERTIFICATE OF
SIGNATURE.,
OCCUPANCYISSUED