HomeMy WebLinkAboutF2019-0566 - Permitsrge'ruq City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II
A 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 5 6 6
ti ti9 Permit Counter Phone (949)644-3288
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Job Address: 906 BELLS ST NS
Inspector Area: 8
Owner:
DENNIS KENNETH L
Address:
906 BELLS ST
NEWPORT BEACH CA 92660
Phone:
949-307-1711
Applicant:
CASEY MONTY
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
Code Edit : 2016
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:
X
Bldg Sprinklers:
Y
FIRE Permit: F2019-0566
Project No : 2264-2019
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (X2019-0844) 39 HEADS
Legal Description:
N TR 4893 LOT 14
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476-5370
Can State Lic: 876004
Lic Expire: 04/30/2020
Bus Lic:
BT30040107
Lic Exp Date:
07131/2020
Worker's Compensation Insurance
Carrier:
NORGUARD INS CO
Policy No:
MOWC002760
Expire:
0211512020
Issued Date:
1013012019
Setback- Front:
Rear:
Left:
Right:
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Architect:
Address:
Phone:
State Lic:
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1 1 1
Engineer:
Address:
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Phone:
State Lic:
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Designer:
CASEY MONTY
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Address:
1101 KINGSTON DR
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LA HABRA CA 90631
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Phone:
Special Conditions:
FEES
Construction Valuation:
$3,900.00
Building PC Fee:
$202.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$0.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
Building Extention Fee :
$0.00
Planning Zoning PC Fee:
$0.00
$0.00
Building Investigation Fee:
Fire Plan Check Fee:
$0.00
$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 :
$442.00
Plan Check Fee :
$442.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHE13 DEPARTMENT:
PLAt' C`iECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DA} S .4F'.'EP 18S(•ANCE OR I- AST VALID INSPECTION
ER -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 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto 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://www.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 Section 7000) of Division 3 of the Business and P ofessions Code, and license is in full force
and effect.
License Class License No Date \ Contractor Signature
NORKERS' 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 ( ,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:
1 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 thI
mpfformance of the work for which this permit is issued. Policy No.
have and wil�I ' tain 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'
'ance came and dolicv number an6) n
ie of Agent
certify that, in the performance of the work for
if I should become sgbject to the workers' co
(nature of Applicant
Date
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
atioD-provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ICLARATION REG&RNW CONSTRUCTION I-ElfItRNIG AGENCY
sreby affirm under Penalty of perjury that there is a n ruction lending agency for the performance of the work for which this permit is
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 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 ordinances and state laws relating to b construction.
I authorize representatives of this city or county t to�`Ht�-v`e-identified property Inspection purposes.
(nature of Property Owner or Authorized Agen��Print Property Owner's or Authorized Agent
(Section 3097, Civil Code).
ACTION
DATE
BY
D LARATION OF COMPLIANCEWITN CODE OF
F L REGULATIONS PART 61 OF TI ILE 40 AND
AQh: - ULE 1403.
❑ i SUBMITTED ASBt SIDS NOTI,-ICATION TO:•
H SPA
❑ AQMD
El ASBESTOS NOT7RCA TIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION,
SIGNITHRE;
FOR 1 USE ON
PERMITEXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIRCATEOF
OCCUPANCYlSSUED
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