HomeMy WebLinkAboutF2021-0274 - Permits„N,•r,�7 City of Newport Beach - Building Division II�IIIIIIIIIIIIIIII�IIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
S
CCC/Yf1YY�`
Job Address: 304 JASMINE AVE NB
Inspector Area:
BLK 2 37
Owner:
DANZ FAMILY TRUST
Address:
774 MAYS BLVD #10368
INCLINE VILLAGE NV 89451.7620
Phone:
Applicant:
VO JOHN
Address:
7907 LEEDS ST
DOWNEY CA 90242
Phone: 714-3210-0194
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:
3
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
Construction Valuation
Building PC Fee,
Building Overtime PC Fee:
Building Extention Fee:
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee
$6,000.00
FIRE Permit: F2021-0274
Project No : 1490-2021
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (41) HEADS (X2020-1556)
Legal Description: CORONA DEL MAR LOT 4 BLK 237 NELY 20 FT(AND SWLY 20 FT LOT 6
Contractor:
FIREGUARD SPRINKLER SYS INC
Address:
7907 LEEDS ST
DOWNEY CA 90242
Phone:
714-310-0194
Con State Lic:
992002
Lic Expire:
0413012022
Bus Lic:
BT30046886
Lic Exp Date:
04/30/2022
Worker's Compensation
Insurance
Carrier:
FALLS LAKE FIRE & CASUALTY
Policy No:
FLA0080008
Expire:
12/2912021
Issued Date: 07/01/2021
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
$495.00
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
State Lic:
State Lic:
VO JOHN
7907 LEEDS ST
DOWNEY CA 90242
714-310-0194
Records Management
$0.00 Fee Due at Permit Issuance
PROCESSED BY: - OTHER DEPARTMENT:
e
ZONING APPROVAL: E.. PLAN CHECKED BY::
FIRE APPROVAL: Ar"'20VAL TO ISSUE:
z
C )
d
0
$4.00
$0.00
$0.00
$495.00
PERMIT EXPIRES 180 Dr,,; AFTER 133UANCE OR LAST VALID INSPECTION
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law far 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 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-Builderwill have the burden of proving that it was not built or
improved 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 forthe 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 legall
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 Se 770�
of Division 3 of the Busines and Pro ssions Code, and my license is in full force
and effect.
License Class License No Date Contractor Signatu
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND 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:
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
iormance of the work for which this permit is issued. Policy No.
have and w I m 'ntain 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' compensa
ie of Agent
certify that, in the p1
. if I should become
Date
of a work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the orkers' compensation laws of California, and
the orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pyovisiyf�sl rl 1
'signature of ApplicaEGnt
IECLARATION RARDI G C ST UCTION LENDING AGENCY
hereby affirm under penalty of perj that there is a construction lending agency for the performance of the work for which this pe
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 prope y o er's behalf.
I have read this application and the information I have pr vided I correct.
I agree to comply with all applicable city and county ordi antes nd state laws relating to building construction.
I authorize representatives of this city or county to me the -identified property for inspection purposes.
Iignature of Property Owner or Authorized Agent Print Propert Owner's or Authorized
(Section 3097, Civil Code).
ACTION
DATE
Y
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
,'EDER.IL RE S:;LAT;ONS PART 61 OF TITLE40 AND
:4QMD.KULE 1A03.
PERMITEXPIRED
'1 %S!_/BNfrTic4 ASEFS FOS NOIIFI':ATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
09.
❑ ASBESTOS N077RCA7701Y IS NOT APPLICABLE TO
PROP33EDDEMOUTION.
PERMIT FINAL
A
CERTIFICATEOF
W
SIGNATLRE:
OCCUPANCYISSUED