HomeMy WebLinkAboutF2018-0153 - PermitsCity of Newport Beach - Building Division *F2018-0153*
D. '! 100 Civic Center Drive, Newport Beach, CA 92660
F `a_ Permit Counter Phone (949)644-3288
Job Address: 2209 PRIVATE RD NB
Inspector Area: 3
Owner: LAFRANCE CRAIG
Address: 2209 PRIVATE RD
NEWPORT BEACH CA 92660
Phone:
Applicant: MILLENNIUM FIRE PROTECTION
Address: 1227 FLYNN RD STE 307
CAMARILLO CA 93012
Phone: 805-389-3056
Code Edit: 2016
Type of Construction: V -B -SPR
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 0
Flood Zone:
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:
$4,600.00
FIRE Permit: F2018-0153
Project No: 0603-2018
Inspection Requests Phone (949)644-3255
FEES
$190.00
Description: SFR FIRE SPRINKLERS (33 HEADS) X17-0373
Legal Description:
N TR 2513 LOT 2
Planning Counter Review:
Contractor:
MILLENNIUM FIRE PROTECTION
Architect:
Address:
1227 FLYNN RD STE 307
Address:
CAMARILLO CA 93012
Public Works PC Fee :
Phone:
805-389-3056
Phone:
Con State Lie:
1003050
Engineer:
Lie Expire:
04130/2019
Address:
Bus Lie:
BT30053745
Lie Exp Date:
01131/2019
Phone:
Worker's. Compensation Insurance
Designer:
Carrier:
ZURICH AMERICAN
Address:
Policy No:
WC651376402
Expire:
1 0101/2 01 8
Phone:
Issued Date: 03/1412018
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
$190.00
Fire Residential Alarm PC Fee:
$0.00
$0.00
Planning Counter Review:
$0.00
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
$0.00
Public Works PC Fee :
$0.00
$0.00
Public Works Traffic Plan Check Fee;
$0.00
$225.00
$419.00
Plan Check Fee :
$0.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
IN's"P7�KTO'NState Lie:
State Lie:
NGUYEN VINCENT
1227 FLYNN RD STE 307
CAMARILLO CA 93012
Records Management
Fee Due at Permit Issuance
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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OWNER-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
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 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).
❑ 1, 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 orimproves 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 dontractors' 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.htmi.
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 Busi ss d rofessio Code, and y license is in full force
and effect. "'�
License Class - License No a D Contractor Sig ature
WORKERS' COMPENSATION DECLARATION (t
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 ($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.
hereby affirm un(jpr�penalty of perjury one of the following declarations:
I have and wiil.rnaintain 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
• Eermance of Uie wojk for which this permit is issued.. Policy No.
have and w6148intain 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' compensatior
Rsut anc a carrier and policy number are:
Dwrier • • Policy Number Expiration Date
certify that, In t perfce o
ormanf the work for which this permit is issued, I shall not employ any person in any manner so as to become su
9houId be a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
3 CONSTRUCTION LENDING AGENCY
of perjury that there is a construction lending agency for the performance of the work for which this permit is
Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to acf o e property owner's behalf.
I have read this application and the informati I ave provided is correct.
I agree to comply with all applicable city and cou ty ordinances and state I
I authorize representatives of this city -or co ove-identified
to the workers' compensation laws of California, and
(Section 3097, Civil Code).
Is relating to building construction.
property for inspection purposes.
Print Property Owner's or Authorized s Name
ACT70N
DATE BY
DECLARATIOPIOFCOMPLIANCEMTNCODEOF
FOR OF CE USE ONLY
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