HomeMy WebLinkAboutF2018-0488 - PermitsCity of Newport Beach - Building Division *F2018-0488* FIRE Permit: F2018-0488
100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2129-2018
H Permit Counter Phone (949)644-3288
q,r rna"Po- Inspection Requests Phone (949)644-3255
Job Address: 2007 PORT PROVENCE PL NB Description: SFR FIRE SPRINKLERS 50 HEADS (X2017-1276)
Inspector Area: 4
Owner: ST JOHN ROBERT
Address: PO BOX 7206
NEWPORT CENTER CA 92658
Phone:
Applicant: VO JOHN
Address: 526 N SHADYDALE AVE
WEST COVINA, CA 91790
Phone: 714.310-0194
Code Edit: 2016
Contractor:
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:
Lie Exp Date:
Bldg Sprinklers:
N
Legal Description: N TR 6624 LOT 51
Contractor:
FIREGUARD SPRINKLER SYS INC
Address:
9543 VICTORIA AVE
WEST COVINA, CA 91790
SOUTH GATE CA 90280
Phone:
714-310-0194
Con State Lie:
992002
Lie Expire:
04130/2020
Bus Lie:
BT30046886
Lie Exp Date:
04/3012019
Worker's Compensation Insurance
Carrier:
FALLS LAKE FIRE & CASUALTY
Policy No:
FLA0080008-00
Expire:
12/2912018
Issued Date: 09/0612018
Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
State Lic:
State Lie:
Designer:
VO JOHN
Address:
526 N SHADYDALE AVE
WEST COVINA, CA 91790
Phone:
714-310-0194
Special Conditions:
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PROCESSED BY: �'J�" OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL : i APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$7,000.00
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 as:
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$225.00
TOTAL FEE:
$419.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$419.00
PROCESSED BY: �'J�" OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL : i APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
VNER-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)
Iction 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
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
4essions 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
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,
siness 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
)rovements 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
)roved 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
)ly 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:
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 legal)
I a strucipia lilat 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
Jfessioft.(;q le, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Nature of Property Owner or Authorized Agent Date
,ENSEL; C).NTRACTOR'S DECLARATION
:reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit ecti n 7000) of Division 3 of the BusinesAanlr ns Code, and my license is in full force
i.effect.ense ClasS•" License No Date b Contractor Signatu
IV
5RKERS'CAMPENSATION DECLARATION
ItNING: FAIIJ&JH SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE
W OF COMRENSRRON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
wiiby affirm Under penalty of perjury one of the following declarations:
'PAave ans;Jyig.roaintain 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
fornhance of the wbrk for which this permit is issued. Policy No.
W andyailliriafntain 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
drlance carriet and policy number are:
:arrier Policy Number Expirati
lame of Agent I Phone I
]I certify that, in the perf ance f the wor for which this permit is issued, I shall not employ any person in any manner so as to become su
tat, if I should become s bj ct to t e workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
signature of Applicant Date
IECLARATION REG DIN ON TRUCTION LENDING AGENCY �
hereby affirm under enalty of e ry that there is a construction lending agency for the performance of the work for which this permit is issue
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 prop owner's behalf.
I have read this application and the information 1 have on
d is correct.
I agree to comply with all applicable city and co ty or finance and state laws relating to building construction.
I authorize representatives of this city or county o ant r the el ejltifiied property for inspection purposes.
ii nature of Property Owner or Authorized Agent 11 Print Property Owner's or Authorized Agent's Na
AC77ON I DATE 11 DECLARATION OFCOMPLIA C MTHCODEOF n
CERTIFICATE OF
OCCUPANCYISSUED
I SUBMITTEDASBESTOS N077FLCATION €O:
❑ EPA
❑ AOMD
❑ ASBESTOS NO17FICAAONIS NOT APPLICABLE TO
PROPOSED .DEMO71 770N
SIGNATURE:
Date
compensation laws of California, and
(Section 3097, Civil Code).
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