HomeMy WebLinkAboutF2022-0066 - PermitsCity of Newport Beach - Building Division 'F2022-0066`
.T` 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
t'aiuN''�
Job Address: 127 E BAY AVE NB
Inspector Area: 1
52.40FT AND
Owner: BASSO MICHAEL
Address: 7 SHELL BEACH
NEWPORT BEACH CA 92657
Phone: 9491922-8324
Applicant: FIREPROOF FIRE PROTECTION
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714-476-5370
Code Edit: 2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
0
Added Mew sq. ft. Garage:
0
No of Stories:
3
No of Units :
0
Flood Zone:
Bldg Sprinklers:
N
FIRE Permit: F2022-0066
Project No: 0334-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLER SYSTEM 28 HEADS (X2021-1222)'e�'4�'i
Legal Description: EAST NEWPORT BILK 1 LOT 2 AND W 3FT OF LOT 1 AND E 5FT OF N
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
Address:
1101 KINGSTON OR
Address:
LA HABRA CA 90631
Phone:
714-476-5370
Phone:
Con State Lic:
876004
Engineer:
Lic Expire:
0413012022
Address:
Bus Lic:
BT30040107
Lic Exp Date:
07/31/2022
Phone:
Worker's Compensation
Insurance
Designer:
Carrier:
SECURITY NATIONAL INS
Address:
Policy No:
SWC1325710
Expire:
02/15/2022
Phone:
Issued Date: 0211012022
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
�s
0
State Lic: ^ e
�a, oca
0
State Lic:
CASEY MONTY
1101 KINGSTON DR
LA HABRA, CA 90631 '
FEES
Construction Valuation:
$2,800.00
Building PC Fee:
$222.00
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 :
$269.00
TOTAL FEE :
$497.00
Plan Check Fee :
$222.00 Fee Due at Permit Issuance :
$275.00
PROCESSED BY: �.�� OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)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
he 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 Iicensure 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
lot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Susiness 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).
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
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' State License Law).
I am exempt from Iicensure under the Contractors' State License Law for the following reason:
ry my signatwe belov. 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
ell a structure trial 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
'nfas:.ions 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 Date
.IrENSED CUNTR.4CTOR'S DECLARATION
heieoy affirm u9dPr 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
.iJ --.fact. fl..----
'c�gre Class License No Date '— I I ° L Contractor Signature
. RXERS' COMPENSATION DECLARATION
IARNINC: FAILUR-- TO SE4URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED 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 wide, 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 IN
erformance of the work for which this permit is issued. Policy No.
t-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' compen
Tame carrier and policy number are:
Fier Policy Number Expiration Date
me of Agent Phone #
I certify that, in the perfor ance of the work forwhich 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
I. if I should become su ject t0 the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
(nature of Applicant �✓ Date r✓ 7-/ t" / -It
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(Sekdon 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 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 count ordinances and state laws relating to building construction.
I authorize representatives of this city or count t enter the above -identified property for inspection purposes.
Signature of Property Owner or Authorized Agent -'L�—�"� Print Property Owner's or Authorized Agent's Name LL i c to �..'t• i j,
ACTION
DATF
BY
DECLARATION OF COMPLIANCE KITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 51 OF TITLE 40AND
AQMD RULE 1403.
PERMITEXPfRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIFICA HON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED