HomeMy WebLinkAboutF2022-0313 - Permits„£wr„�,h City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111 II
100 Civic Center Drive, Newport Beach, CA 92660 Y
{�.. ry.. Permit Counter Phone (949)644-3288
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Job Address: 712 IRIS AVE,NS
Inspector Area:
Owner:
SZIGETI JOSEF
Address:
12 CORPORATE PLAZA #250
NEWPORT BEACH CA 92660
Phone:
949-981-3310
Applicant:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476-5370
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:
Construction Valuation
V-B-SPR
R3/U
0
0
Description: MFR FIRE SPRINKLER SYSTEM 27
Legal Description:
CORONA DEL MAR ELK 736 LOT 14
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA. HABRA CA 90631
Phone:
714-476-5370
Con State Lic:
876004
Lic Expire:
0413012024
Bus Lic:
BT30040107
Lic Exp Date:
07/31/2022
Workers Compensation
Insurance
Carrier:
SECURITY NATIONAL INS
Policy No:
SWC1373758
Expire:
02/1512023
3 Issued Date: 06/21/2022
0 Setback- Front:
Rear:
117
Left:
Right:
Building PC Fee :
Building Overtime PC Fee:
Building Extention Fee :
Building Investigation Fee:
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee
TOTAL FEE
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$3,000.00
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
$491.00 Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address)
Phone:
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FIRE Permit: F2022-0313
Project No : 1579-2022
.�s
Inspection Requ41°�n ne (949)644-3255
(x2020-0729)
d 0
State Lic: '
State Lic:
CASEY MONTY
1101 KINGSTON OR
LA HABRA, CA 90631
Records Management
Due at Permit Issuance
$0.00
$0.00
$0.00
$491.00
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 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 L) 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 owne• iF 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 cri.n licensure under the Contractors' State License Law for the following reason:
Hy my signature hpinw 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 st ucture .ha, 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
P: cfes3ions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
.tiignnt ire of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
f 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. I.
f /
License.Class License No Date ti I 1 Contractor Signaturey
WORKERS' COMPENSATION DECLARATION
V.AR:UNG. FAILURE ":O SE-JRE 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 COMPENSA,TICN, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I'ha,eoy.affirm under penalty of perjury one of the following declarations:
I have and w:ll 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, forth(
performance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
I 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 Taws of California, and
It, if I should becomes lect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
(nature of Applicant 'I� Date /V a /t, /L
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 (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 owners 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 couaaiivv a ter the above -identified property for inspection purposes. V
Signature of Property Owner or Authorized AgenN Print Property Owner's or Authorized Agent's Namelt �., i .. -1 DateZ LL1 ( I
ACTION
DATE
BY
DECLARATION OF COMPLIANCE KITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMDRULE 1403,
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMiTCANCELLED
PERMIT EXTEIHDED
❑ ASBESTOS N077FICA77ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
..j _a,�
K.-{'��
CERPRCATE OF
SIGNATURE:
OCCUPANCYISSUED