HomeMy WebLinkAboutF2018-0435 - Permits (2)"gw1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II FIRE Permit: F2018-0435
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 4 3 5 Project No: 1875-2018
H + 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 (X2017-0986) 32 HEADS
Inspector Area: 5 Legal Description: CORONA DEL MAR BLK 328 LOT 9 ., 4
Owner: REKLAW LLC Contractor: FIREPROOF FIRE PROTECTION Architect:
Address: 413 ACACIA AVE Address: 1101 KINGSTON DR Address: 0)
CORONA DEL MAR, CA 92625 LA HABRA CA 90631 701P
Phone: Phone: 714.476.5370 Phone: State Lie:
Applicant: CASEY DENISE Con State Lie: 876004 Engineer:
Address: 1101 KINGSTON DR Lie Expire: 04130/2020 Address: • •
LA HABRA CA 90631 Bus Lie: BT30040107 ...... o • ° ° ° • °
Phone: Lie Exp Date: 0 813112 01 8 Phone: State Lic: ° ° o ° • • • ° °
Code Edit: 2016 Worker's Compensation Insurance Designer:
Type of Construction: V-BSPR Carrier: NORGUARD INS CO Address: ° ° . • ° o
Occupancy Group: R31U Policy No: MOWC901180
Added /New sq.ft. Bldg: 0 Expire: 02115/2019 Phone: o o • o
oe o
Added /New sq. ft. Garage: 0
No of Stories: 2 Issued Date: 08113/2018 Special Conditions: ° ° ° ° ° o ° ®° • ° °
No of Units : 0 Setback- Front:
0
Flood Zone: Rear:
Bldg Sprinklers: Y Left: ° ° • • ° • ° °
Right: °
omo•oo
00 0 0 0
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FEES
Construction Valuation: $3,200.00
Building PC Fee: $190.00 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 : $225.00
TOTAL FEE : $41,4,00 Plan Check Fee: $210.00 Fee Due at Permit Issuance : $209.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
1WNER-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 items)
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
Irofessions 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).
1, 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 Cdde: 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
nproved for the purpose of sale).
J 1, as owpeF df 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
pply 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).
11 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 legally
elf 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
'rofePxsions 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
.ICENSED CORTMCTOR'S DECLARATION
hereby affirm er d� r 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's in full force
%effect.
icense:Class .'." License No Date Contractor Signature
NRKERS' CbMaENSATION DECLARATION
�ARMNG: 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 1 0001, IN ADDITION TO THE
QST of COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hQrglf affirm under penalty of perjury one of the following declarations:
2 -1 -Nave 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 thr
sari areance oPMe Mrk for which this permit is issued. Policy No.
MrEYe 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' compensatior
ranee carrier: artd&licy number are:
Grft• Policy Number Expiration Date
aaof Agenk
certify that, in the pi
, if I should become
iature of Applicant
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
be workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
;reby affirm under penalty of perjury that there is K2nruction 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 ord}iraances and state laws relating to building construction.
I authorize representatives of this city or county to e9l6rthe,3llove-identified property f nspection purposes.
ACTION I DATE I BY
PERMITF1NAt. ,§ • �'9 -
C€RTIFKAT€OF
OCCUPANCYISSUED
Authorized
OFTITLE40AND
1 SUBMITTEDASBESTOS NOTIFICATION TO.
❑ EPA
❑ AOMD
ASBESTOS NOTITICATIONIS NOT APPLICABLE TO
PROPOSEDDEMOUTION.
SIGNATURE:
(Section 3097, Civil Code).
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