HomeMy WebLinkAboutF2021-0278 - PermitsCity of Newport Beach - Building Division FIRE Permit: F2021-0278
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 2 7 8 Project No: 1496-2021
(9)
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 929 ZURICH CIR NB Description: SFR FIRE SPRINKLERS (98) HEADS (X2019-2729)
Inspector Area: 2
Owner:
THE 929 ZURICH CIRCLE TRUST
Address:
18101 VON KARMAN AV #750
IRVINE CA 92612
Phone:
949-535-5334
Applicant:
DURANT BILL
Address:
2259 ORANGE AVE
SIGNAL HILL CA 90755
Phone:
562-424-8816
Code Edit : 2019
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
V-B-SPR
R3/U
0
0
Legal Description: TR 907 LOTS 4241425
Contractor:
ALL STAR PLUMBING & FIRE
Address:
P O BOX 1413
LAKE FOREST CA 92609
Phone:
949-470-0072
Con State Lic:
715588
Lic Expire:
0813112023
Bus Lic:
BT30059737
Lic Exp Date:
07/31/2022
Worker's Compensation Insurance
Carrier:
BENCHMARK INS CO
Policy No:
CST5018455
Expire:
02/0712022
2 Issued Date: 08/26/2021
0 Setback- Front:
X Rear:
Y Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lic:
State Lic
MITCHELL BRENT
22672 LAMBERT ST #619
LAKE FOREST CA 92630
801-647-6161
LIQUEFACTION AREA
FEES
Construction Valuation:
$15,500.00
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.OQ .
Plan Check Fee :
$222.00 Fee Due at Permit Issuance :
$275.00
PROCESSED BY: eJ'rY "/ _ o OZH;�R DEPARTMENT:
ZONING APPROVAL: - - - , PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 1 eo BAYS 4FTE:4 ISSUANCE On 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
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 -Builder will 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 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://w .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 SEC IT of Division 3 of the Business and Professio a my license is in full force
and effect.
License Class License No Dat Contractor Signatur
WORKERS' COMPENSATION DECLARATION
NARNING: 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.
hereby affirm under penalty of perjury one of the following declarations:
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
Wince of the work for which this permit is issued. Policy No.
have and will
rance carrier
1e of Agent cokgd,=
certify that, in the performance of
if I should become s ject to the
lature of Applicant
required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Expiration Date
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
cotypensaJir provisions of Section 3700 of the Labor Code, I shall forthwith comply with thow provisions. y
I hereby affirm underipenalty of perjury t .t eris nstruction 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 owner's behalf. )�,
I have read this application and the information I have provided is correct. Qr�7%,n /"/
I agree to comply with all applicable city and county ordinances s aws relating to building construction. CC..//l (Oval/ -
I authorize representatives of this city or county to nter d ified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na hT D
ACTION
DATE
If BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FLPERAI REG'JLATIGNSPAki 61 Ur 17RE40AND
: DA& RtiLE 1403.
PERMIT EXPIRED
❑ I DU3MITTLDA£BESTOS NC'7IFI'--ATION TO:
EPA
❑ AQMD
PERMITCANCELLED
t❑-
PERMIT EXTENDED
❑ ASBESTOS NOTfRCATIONIS NOT APPLICABLE TO
PROPOSEDPEf^OfITIDN
PERMIT FINAL
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CERTIFIC.4TEOF
SIGNATURE:
OCCJPANCYISSUED