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
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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