HomeMy WebLinkAboutF2022-0256 - Permits�wnrr4,r City of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 2 5 6
Permit Counter Phone (949)644-3288
+Tki
Job Address: 504 ACACIA AVE NB
Inspector Area: 5
Owner:
TJC HOME BUILDER LLC
Address:
26940 ALISO VIEJO PKWY STE 100
ALISO VIEJO CA 92656
Phone:
949-481.7026
Applicant:
N P MECHANICAL INC
Address:
9129 STELLAR COURT A
CORONA CA 92878
Phone:
951-667-4220
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
FIRE Permit: F2022-0256
Project No : 1304-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLER SYSTEM 45 HEADS (X2021-2964)
Legal Description: CORONA DEL MAR BLK 529 LOT 6
Contractor:
N P MECHANICAL INC
Address:
9129 STELLAR COURT A
CORONA CA 92878
Phone:
951-667-4220
Con State Lic:
890694
Lic Expire:
02/28/2023
Bus Lic:
BT30053053
Lic Exp Date:
0613012022
Worker's Compensation
Insurance
Carrier:
SEPAT. OF INDUSTRIAL
Policy No:
4503-103
Expire:
2 Issued Date: 0611812022
0 Setback- Front:
Rear:
N Left:
Right:
Architect:
Address:
Phone:
State Lic:
Engineer:
Address:
Phone:
Designer:
MAHOOD KE N -
--.
Address:
9129 STELIAURT A
CORONA CA 92878
Phone:
Special Conditions:
FEES
Construction Valuation:
$6,185.00
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 as :
$269.00
TOTAL FEE :
$497.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$497.00
PROCESSED BY: C OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: �9'l APPROVAL TO ISSUE: ✓IY PERMIT EXPIRES 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)
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
ie 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Pieressions 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 a,E got 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
n�m-,d for tte rirr ose 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 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).
am exempt -from ;censure under the Contractors' State License Law for the following reason:
ly 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
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
': cf�csions Code; is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
I'gnn'ure of Property Owner or Authorized Agent Date
JCFNSED CONTRACTOR'S DECLARATION
hereby affirm tuncle, 'penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Businesg apd Profe sions Code, and my license is in full force
no effect. - /���(,/
.icensc• Class License No Dat Contractor Signatu
VORKERS' COMPENSATION DECLARATION
IARNING: 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 IE100,0001, IN ADDITION TO THE
'DST 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:
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 IN
erformance of the work for which this permit is issued. Policy No.
and will aintain 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'
cao:40. �d-DOlicv 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
It, if I should become subjec ipthe Workers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those pWsions. _ , _
of
2
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 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 county ordinanc and state laws relating to building construction. /1
I authorize representatives
entatives of this city or gcoun t enter �i a-ide ified roperty for inspection ppurposes. 9 n 7 /�� �7/ /n��� /,�sl
Signature of Property Owner or Authorized Agent i Print Property Owner's or Authorized Agent's Nam ��� If 1 Date///�
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART bt OF TITLE40AND
AQMD RULE 1403.
PERMiTEXPRED
❑ I SUBMITTED ASBESTOS NOTIFICATIONTO:
❑ EPA
❑ AQMD'
PERMITCANCELLEO
PERMITEXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATEOF
SIGNATURE:.
OCCUPANCYISSUED