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HomeMy WebLinkAboutF2022-0097 - Permits�1;etror City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 0 9 7 4 N" Permit Counter Phone (949)644-3288 c nit �rr�YKt� Job Address: 1419 DOLPHIN TER NB Inspector Area: 2 Owner: HEUSER GEORGE Address: 1419 DOLPHIN TER CORONA DEL MAR, CA 92625 Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABARA, CA 90631 Phone: 714476-5370 Code Edit : 2019 Type of Construction: V-BSPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y FIRE Permit: F2022-0097 Project No : 0496-2022 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (75) HEADS. (X2020-1524) REVISED 04/25/2022 (REV22-0734) Legal Description: N TR 2334 LOT 10 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714476.5370 Con State Lic: 876004 Lic Expire: 0413012022 Bus Lic: ET30040107 Lic Exp Date: 0713112022 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1325710 Expire: 0211512023 Issued Date: 0 3/1612022 Setback- Front: Rear: Left: Right: Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABARA, CA 90631 Phone: 714476-5370 Special Conditions: FEES Construction Valuation: $7,100.00 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 : $497.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLA^.J CHECKED BY:: FIRE APPROVAL: APIl:O ISSUE: PERMIT EXPIRES 180 DAYS HF7 EF ISSUANCE 9R 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 :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 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 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 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 im roved 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 Date 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 Professions Code, and my license is in full force and effect. Is � l(' IL ContractorSignaturPJC License Class License No Date WORKERS' COMPENSATION DECLARATION ✓DARNING: 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: 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 e of the work for which this permit is issued. Policy No. and w' mal In workers' com,p.�nsation 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 altdpolicy number J „„ r--� I-) is of Agent , certify that, in the pl , if I should become Date of the rk for which this permit is isysued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and the worke s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'ignature of ApplicantIr I 1(- I I L IECLARATION R.., RyfNG CONSTRUCTION LENDING AGENCY hereby affirm under pet6alty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly 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 county or Inances and state laws relating to building construction. I authorize representatives of this city or county4Qeler the above -identified property for inspection purposes. 1 A, r or Authorized ACTION DATE BY DECLARATION OF COMPLIANCE MTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403, PERMIT EXPIRED _ Q . , SUBMIT I-EDASBESTOSNGTIF+CATION TO: - D EFA � AQMD PERMIT CANCELLED PERAgITEXTENDED U ASBESTOS NOnFICAT'iON/S NOTAPPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFVCATF OF SIGN7T'J,'T�: OCCUPANCYISSUED City of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 9 2 2 0 0 9 7 Permit Counter Phone (949)644-3288 rf Ctl"]Ytlll4�y3 Job Address: 1419 DOLPHIN TER NB Inspector Area: 2 Owner: HEUSER GEORGE Address: 1419 DOLPHIN TER CORONA DEL MAR, CA 92625 Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABARA, CA 90631 Phone: 714-476-5370 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/1.1 Added /New sq.ft. Bldg: 0 Added/New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y FIRE Permit: F2022-0097 Project No : 0496-2022 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (71) HEADS. (X2020-1524) Legal Description: N TR 2334 LOT 10 Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 1101 KINGSTON DR Address: LA HABRA CA 90631 Phone: 714-476.5370 Phone: State Lic: Con State Lic: 876004 Engineer: Lic Expire: 04/3012022 Address: Bus Lic: BT30040107 Lic Exp Date: 07/31/2022 Phone: State Lic: Worker's Compensation Insurance Designer: FIREPROOF FIRE PROTECTION Carrier: SECURITY NATIONAL INS Address: 1101 KINGSTON DR Policy No: SWC1325710 LA HABARA, CA 90631 Expire: 0211512023 Phone: 714-476-5370 Issued Date: 03/1612022 Special Conditions: Setback- Front: Rear: Left: Right^ - FEES Construction Valuation: $7,100.00 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: L PLAN CHECKED BY:: FIRE APPROVAL: ,L APPROVAL TO ISSUE: PERMIT tX01RFF 1V0 DAYS AFTER IS31LIANCE OR LAST VALID INSPECTION OWNER -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 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 not 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 l_) 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). ❑ 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 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). ❑ I am exempt from Iicensure 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 legal 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.htm[. Signature of Property Owner or Authorized Agent Date 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 Professions Code, and my license is in full force and effect. License Class License No Dat 71 Contractor SignatyrryV COMPENSATION DECLARATION IARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 the rt mance of the work for which this permit is issued. Policy No. I aye 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 s ante carrier and policy number are: Policy Number of Agent Date 5 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 ag iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant �UCTION LENDING AGENCY Date � �� C/ 7 L IECLARATION REGA CONSTR 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). Ender's Name Lender's Address ly 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 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'V Print Property Owner's or Authorized Agent's Name/ • w�.. i e . Date3 I Ch 1 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULA71ONS PART 51 9F T1T1 F 40 AND AQMD RULE I4'13. PERMITEXPIRED ❑ 1 SUBMIrfFDAS73EsTOS NDTFICl:TION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEaINGUTIO.d, PERMIT FINAL CERT/,ACATEOF SIGNATURE: OCCUPANCYISSUED