HomeMy WebLinkAboutF2020-0155 - PermitsnwM,,r, City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 217 ORCHID AVE NB
Inspector Area: 5
Owner: ZILKER INVESTORS LLC
Address: 217 ORCHID AVE
CORONA DEL MAR, CA 92625
Phone
Applicant: SIRIGNANO KEITH
Address: 22762 LAMBERT ST #609
LAKE FOREST CA 92630
Phone: 949-521-2460
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:
2
No of Units:
0
Flood Zone:
Bldg Sprinklers:
Y
'F2020-0155"
CTTC
FIRE Permit: F2020-0155
Project No : 0671-2020
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS 38 HEADS(X2019-3816) NO CONSTRUCTION INOISE
Legal Description:
RESUB OF CORONA DEL MAR BLK 141 LOT 13
Contractor:
ALL STAR PLUMBING & FIRE SPRINKLER COMPANY
Address:
P O BOX 1413
Address:
LAKE FOREST CA 92609
Phone:
949-470-0072
Phone:
Con State Lie:
715588
Engineer
Lie Expire:
08/31/2021
Address:
Bus Lie:
BT30059737
Lie Exp Date:
0713112020
Phone:
Worker's Compensation
Insurance
Designer
Carrier:
BENCHMARK INS CO
Address:
Policy No:
CST5018455
Expire:
02105/2021
Phone:
Issued Date: 04/20/2020
Setback- Front:
Rear:
Left:
Right:
Architect:
ON SATURDAY
State Lie:
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State Lie:
HFP/ALL STAR PLUMBING & Ffw- 80RO
PO BOX 1413
LAKE FOREST CA 92630 ...
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Special Conditions: Noise agreement received
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FEES
Construction Valuation:
$6,000.00
Building PC Fee:
$202.00
Fire Residential Alarm PC Fee : $0.00 Records Management:
$4.00
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 :
$240.00
TOTAL FEE :
Plan Check Fee: $202.00 Fee Due at Permit Issuance :
$244.00
PROCESSED BY:
L�,$44446.6`.000
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OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
FIRE APPROVAL:
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APPROVAL TO ISSUE: l�
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
V Y1rINGn'VVILV L�\ ✓r..�.r..^••�••
I hereby affirm under penalty of perjurythat I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) 1 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 repairany structure, pdorlo 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 Ilcansure and the basis forlhe alleged examption. Any violation of Section 7031.5 by anyappllcant 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 (_) 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-Bullderwill have the burden of proving that it was not built or
ri-m-roved for the purpose of sale).
u 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 :oho builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
E5 I am exempt from Ilcensura 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 Iegall
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
ProfesslDnL Code, :: available upon requestwhen this application Is submitted or at the following Web site:http:Irwww.leginfo.ce.govyealaw.hbnl.
Sinn Oturs of Pro party Owner or Authorized Agent Date
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I hereby effm` a.lutr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing Ilh action 7000) of Division 3 of the Business and otessigrt,9 Gode nd my license Is In full force
and effect. 5l. 0(0 5 // y`�
Ili p anus C!ee= License No ` �_._.__ orilraliorSldn�tt l77
' .c .K7 1—1,^. -
I WiJ,RKERS', P. UkPENSATION DECLARATION ///
1 Y,AANINGi FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO R T CRIMINAL PENALTIES AND CIVIL FINESUP TO ONE HUNDRED THOUSAND DOLLARS (S100,000). IN ADDITION TO THE
COST OF COM^ENSATION, DAMAGES AS PROVIDED FOR IN SECTION 070e of THE LABOR CODE, INTEREST, AND ATTORNETS FEES.
11 hm'eby affirm unoer penalty of perjury one of the following declarations:
!M I have and will maintain a certificate of consent to self•Insurs for workers' compensation, Issued by the Director of Industrial Relations as provided for by Secliou 3700 of the Labor Code, for thl
edhrmance of the cork for which this permit is Issued. Policy No,
F11eve and will maintain workers' compensation Insurance, as required by Section 3700 of the tabor Code, for the performance of the work for which this permit Is issued. My workers' compensatior
)ns4ance cerher ImO policy number are:
to of Agent
certify that, in the perfprm n ce of the
It I should becornk s 6 ec tgthe wo
Policy Number
Dale
torwhleh 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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prgvislgAs,
,,,by afgrrR under pdnaN of perjury thsohers la a construction lending agency for the performance of the work for which this permit Is Issued
Ider's Name Lender's Address
my signature below, I certify to each of the following;
I am the property owner or authorized to act on the properly 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 ou y ordinances and stale laws relating to building construction.
I authorize representatives of this city or couno enter "'above-litienll0ed property for Inspection purposes.
aC'il17N DATE ' nY --
--
FEDERAL REGULATIONS PART 5IOFTITLE40AND
PERPAr7ExPIRED AOMD RULE 1403,
❑ 1 SUBMITTED ASBESTOS NOAFICATION To:
PERMITCANCELLED ❑ EPA
PERM IT EXTENDED ❑ AOMD
❑ A58E5T05 NOTIFICATION 15 NOT APPLICABLE 70
PERMIT FINAL PROPOSED DEMOLITION.
CERTIFICAiT OF SIGNATURE:
OCCUPANCY;SSUEO
3097. Civil Code).