HomeMy WebLinkAboutF2022-0238 - Permits�6wrrl� City of Newport Beach - Building Division *F2022-0238*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 2 TWIN LAKES CIR NB
Inspector Area: 6
Owner: CONWAY MARK
Address: 2 TWIN LAKES CIR
CORONA DEL MAR, CA 92625
Phone:
Applicant: VO JOHN
Address: 526 SHADYDALE AVE
WEST COVINA, CA 91790
Phone: 714-310-0194
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:
X
Bldg Sprinklers:
Y
Construction Valuation
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:
$8,000.00
FIRE Permit: F2022-0238
Project No : 1163-2022
Inspection Requests Phone (949)644-3255
Description: SFR NEW FIRE SPRINKLER SYSTEM W/ (53) HEADS. X2020-1698
Legal Description:
N TR 7510 LOT 8
Contractor:
FIREGUARD SPRINKLER SYS INC
Address:
7907 LEEDS ST
DOWNEY CA 90242
Phone:
714-310-0194
Con State Lic:
992002
Lic Expire:
04/3012024
Bus Lic:
78648
Lic Exp Date:
04/30/2023
Worker's Compensation
Insurance
Carrier:
FALLS LAKE FIRE & CASUALTY
Policy No:
FLA0080008
Expire:
12/29/2022
Issued Date: 05/03/2022
Setback- Front:
Rear:
Left:
Right:
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
$495.00
_ Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
(,tee✓/A��
State Lic: �`�
C"
By
State Lic:
Designer: FIREGUARD SPRINKLER SYSTW "' ,
Address: 7907 LEEDS ST
DOWNEY, CA 90242 '
Phone: 714-310-0194
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
Records Management
Fee Due at Permit Issuance
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$4.00
$0.00
$0.00
$495.00
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).
❑ 1, 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).
J I am exempt from licensure 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 legall,
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.Ga.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 70 0) of Division 3 of the Business and Prof ssion Code and my license is in full force
no effect. 9 �/ ,—
icense Class License No Date % Z L., Contractor Signature
✓ORKERS' COMPENSATION DECLARATION
'ARNINCFAILURE TO SECURE 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
0' 7 CF COMPEN3--.;ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm .;ndE.- 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 th
Rrformance of the wurk for which this permit is issued. Policy No.
.ve 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'
nce carrier end policy number are:
of Agent
certfy that,'In the nerforman e of
, ;f I should become subiec the
Policy Number
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r I
igna[u re of App:icant " X Date
IECLARATION REG DING COPS3AUCTION LENDING AGENCY
hereby affirm under penalty of per ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the
I have read this application and the information I h
I agree to comply with all applicable city and count
I authorize representatives of this city or county t
ignature of Property Owner or Authorized Agent
owner's behalf.
led is correct,
a d state laws relating to building construction.
v -i entified property for inspection purposes.
Print Property Owner's or
atPT e
ACTION
DATE
a
DECLAP4TION OFCOMPLIANCE MTH CODE OF
FEDERAL REGULATIONS PART 61 OF TITL.E40 AND
AQMD RULE 1403,
❑ I SUBMITTED ASBESTOS N077FICATION'TO:
❑ EPA
❑ AQMD
El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
FOR OFFICE USE ONLY
PERMIT EXPfREO
PERMITCANCELLED
PERMlTEXTENDED
PERMITFINAL
CERT7FICATEOF
OCCUPANCYISSUED