HomeMy WebLinkAboutF2018-0435 - Permitsa
City of Newport Beach - Building Division IIIIIIIIII�IIIIIIIIIIIII�IIIIIIIIIIIIII FIRE Permit: F2018-0435
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 4 3 5 Pro ect No: 1875-2018
Permit Counter Phone (949)644-3288)
Inspection Requests Phone (949)644-3255
Job Address: 413 ACACIA AVE NB Description: RES FIRE SPRINKLERS FOR NEW SFR (X2017-1986) 36 HEADS
REVISED 0812012018 REV18-1479
Inspector Area: 5 Legal Description: CORONA DEL MAR BILK 328 LOT 9
Owner: REKLAW LLC
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
Address: 413 ACACIA AVE
Address:
1101 KINGSTON DR
Address:
CORONA DEL MAR, CA 92625
LA HABRA CA 90631
Phone:
Phone:
714.476.5370
Phone:
State Lie:
Applicant: CASEY DENISE
Con State Lie:
876004
Engineer:
Address: 1101 KINGSTON DR
Lie Expire:
04/30/2020
Address:
LA HABRA CA 90631
Bus Lie:
BT30040107
Phone:
Lie Exp Date:
08/3112018
Phone:
State Lic:
Code Edit : 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V -B -SPR
Carrier:
NORGUARD INS CO
Address:
Occupancy Group: R31U
Policy No:
MOWC901180
Added /New sq.ft. Bldg: 0
Expire:
02/1512019
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Issued Date: 08/1312018
Special Conditions:
No of Units: 0
Setback- Front:
Flood Zone:
Rear:
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation: $3,200.00
Building PC Fee:
$190.00
-:
Fire Residential Alarm PC Fee: $0.00
Records Management:
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
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 Fee:
$225.00
TOTAL FEE :
$419.00
Plan Check Fee :
$419.00
Fee Due at Permit Issuance:
PROCESSED BY:
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PTHER DEPARTMENT:
ZONING APPROVAL:
° o
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0 0
-PLAN CHECKED BY::
0
FIRE APPROVAL:
°` °
•
APPROVAL TO ISSUE:
PERMIT EXP/RES 18Q<UAY°S°+AFTEOSSUANEE OR LAST VALID INSPECTION
$4.00
$0.00
$0.00
$0.00
IWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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
is 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).
11, 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,
lusiness 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
nprovements 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
nIroved 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
only to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
] I am exempt from licensure under the Contractors' State License Law for the following reason:
�y 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 legallt
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.ca.gov/calaw.htmi.
ignature 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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
rid effect.
icense Class License No Date Contractor Signatur_
✓bRKERS' COMPENSATION DECLARATION
ARNING: 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 t$ OI, 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
A,rmance of the work for which this permit is issued. Policy No.
have and will 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'
,ante carrier„,,d p q'Icy number are:✓� t (\
ler _ 1 — 1 P,eh NUm&r^ Expiration Date
of Agent
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
, if I should become subject to the workers' compen provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
IECLARATION REGAYMG CONSTRUCTIONNG AGENCY N I
hereby affirm under enalty of perjury that there is a struction 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 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 building construction.
I authorize representatives of this city or couQty torenter the above -identified propyfor. inspection purposes.
ACTION
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
DATE It BY
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