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HomeMy WebLinkAboutF2022-0312 - PermitsCity of Newport Beach - Building Division �111111 11111111111111111111111111111111111111111111 111� 11 s 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 3 1 2 Permit Counter Phone (949)644-3288 .J[J✓•a1YN� FIRE Permit: F2022-0312 Project No : 1579-2022 Inspection Requests Phone (949)644-3255 �4 Job Address: 712 1/2 IRIS AVE NB Description: MFR FIRE SPRINKLER SYSTEM 17 HEADS (X2020-0730)� Inspector Area: Legal Description: CORONA DEL MAR ELK 736 LOT 14 A Owner: SZIGETI JOSEF Contractor: FIREPROOF FIRE PROTECTION Architect Address: 12 CORPORATE PLAZA #250 NEWPORT BEACH CA 92660 Address: 1101 KINGSTON DR Address: LA HABRA CA 90631 ' Phone: 949-981-3310 Phone: 714-476-5370 Phone: State Lic: Applicant: FIREPROOF FIRE PROTECTION Con State Lic: 876004 Engines ' Address: 1101 KINGSTON DR Lic Expire: 0413012024 Address: >> LA HABRA CA 90631 Bus Lic: BT30040107 Phone: 714-476-5370 Lic Exp Date: 07/3112022 Phone: State Lic: - ' ' •' Code Edit: 2019 Worker's Compensation Insurance Designer: CASEY MONTY Type of Construction: V-B-SPR Carrier: SECURITY NATIONAL INS Address: 1101 KINGSTON DR Occupancy Group: R3IU Policy No: SWC1373758 LA HABRA, CA 90631 >> Added /New sq.ft. Bldg: 0 Expire: 02/15/2023 Phone: Added /New sq. ft. Garage: 0 ' No of Stories: 3 Issued Date: 0612112022 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: k y Left: I / Right: FEES Construction Valuation: $1,400.00 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 $0.00 Fire Plan Check Fee: $0.00 Public Works PC Fee : $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 : $0.00 Fe Due at Permit Issuance : $497.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: L PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION IWNER-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) iection 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 to 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 'rofessions 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 of 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 nprovements 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 nproved 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 poly to an owneif property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). am exempt aoln licensure under the Contractors' State License Law for the following reason: my signature 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo,ca.gov/calaw.html. lignLtire of Property Owner or Authorized Agent Date .IOEN.SED CONTRACTOR'S DECLARATION 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 effect.nd is icensense Class License No Dat 0_ k Contractor Signatur j ^� VOR KERS' COMPENSATION DECLARATION iARNING: FAILURE 10 SEC! IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS I$100,000I, IN ADDITION TO THE OST OF COMPENSFT'CN, CAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. nereby,sffirm under penalty of perjury one of the following declarations: I have and wlii 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 thl erformance 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 laws of California, and agre that, if I should become�,,}pu/b'e/' tt Ito the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro(vi Signature of Applicant I IoGO` / `i Date DECLARATION REGA DFI 114G COASTRUCTION LENDING AGENCY 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 (Lion 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. I agree to comply with all applicable city and count ordinances and state laws relating to building construction. I authorize representatives of this city or count o enter the above -identified property for inspection purposes. �//r, �t 1 I Signature of Property Owner or Authorized Agent ,�� Print Property Owner's or Authorized Agent's Name/ 1" 1•_ �'9 C, f t,i Da O n ,, ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE US€ONLYr ` FEDERAL REGULATIONS PART 61 OF TITLE 40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERA41TCANCELLED PERMIT EXTENDED ❑ ASBESTOS N077FICA7ION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERD.Fi CATEOF SIGNATURE:. OCCUPANCYISSUED