Loading...
HomeMy WebLinkAboutF2021-0266 - Permits�10 City of Newport Beach - Building Division IIIIIII IIII IIII III IIIIIIIII IIIIIIIIIIIII FIRE Permit: F2021-0266 0 C 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 2 6 6 Project No : 1451-2021 3� Permit Counter Phone (949)644-3288 Y Inspection Requests Phone (949)644-3255 Job Address: 2309 SANTIAGO DR NB Description: SFR FIRE SPRINKLERS (X2019-4077) 49 HEADS Inspector Area: 3 Legal Description: P BK 108 PG 43 PAR 2 Owner: TENORE PATRICK Contractor: FIREGUARD SPRINKLER SYS INC Architect: Address: 2405 TUSTIN AV Address: 7907 LEEDS ST Address: COSTA MESA CA 92627 DOWNEY CA 90242 Phone: 949-903-1426 Phone: 714-310-0194 Phone: State Lic: Applicant: VO JOHN Con State Lic: 992002 Engineer: Address: 526 N SHADYDALE AV Lic Expire: 04/30/2022 Address: WEST COVINA CA 91790 Bus Lic: BT30046886 Phone: 714-310-0194 Lic Exp Date: 04/30/2022 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: VO JOHN Type of Construction: V-B-SPR Carrier: FALLS LAKE FIRE & CASUALTY Address: 526 N SHADYDALE AV Occupancy Group: R3 Policy No: FLA0080008 WEST COVINA CA 91790 Added /New sq.ft. Bldg: 0 Expire: 12/29/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Issued Date: 06128/2021 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: X Bldg Sprinklers: Y Rear: Left: Right: FEES Construction Valuation: $8,000.00 Building PC Fee: $217.00 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 ; $263.00 TOTAL FEE : $484.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $484.00 PROCESSED BY: ° 0V. °o ° © ° o 0 c ° ° o °CITHER DEPARTMENT: ° o °o a ° ZONING APPROVAL: ° ©° `, ° ° ° ° ° G ° ° PLLAN CHECKED BY:: FIRE APPROVAL: IAT APPROVAL TO ISSUE: 00 000 0 ° 3 000 - O L G O J PERMIT E (PARGS't80°-P#YS AFTER ISSUANCE OR LAST VALID INSPECTION 00 000 ° oo °o Uo° DWNER-BUILDER-DECLARATION= I hereby affirm under penalty of perjury that I am exempt from the _Cont ractors' 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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). ❑ I 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.htm]. Signature of Property Owner or Authorized Agent JCde, LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ection 7000) of Division 3 of the Business and ProCssionsnd my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION J WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER i0 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 thi r(Ormance of the work for which this permit is issued. Policy No. rave 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' compensatiol ire u ance carrier and policy number are: ame of Agent Policy Number Expiration Date Phone # JI certify that, in the perform nce 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 agref lat, if I should become subje t to th workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, ell� ignature of Applicant_ I Date ECLARATION REGA INd C TRUCTION LENDING AGENCY hereby affirm under p nalty of rjury 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 y my signature below, I certify to each of the following: I am the property owner or authorized to act on the pn I have read this application and the information I have I agree to comply with all applicable city and county of I authorize representatives of this city or county t ent ignature of Property Owner or Authorized Agent wner's behalf. +vid is correct. 1anCA and state laws relating to building construction. the ab ve-identified property for inspection purposes. Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE MTtf CODE OF FOR OFFICE USE ONLY FEDERAL REGULAtIONS' JFAR:T: "51JOF1J'1VE#( AND JQMDRt;,Ey'93 { J F Fn p PFlL ppT'py `3ES Ny^y{T ❑ OEPA ., J J J J J PERMIT CANCELLED ® AQMD ASBESTOS NOTIFICA77ONIS NOT APPLICABLE TO D IV. PROPOSEIJ�.d. UMW fT�'t.� J J J J J J PERNUT EXTENDED PERMIT - � � k�i. 6 Cll�. CERT/F/CATE'O /�.^(J �5 { r�*�*p � r�^y OCCUPANC [SSUED SIGNATURE.-. J J J J 0 J J J :1 :1