HomeMy WebLinkAboutF2018-0259 - PermitsCity of Newport Beach - Building Division - IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 2 5 9
w Permit Counter Phone (949)644-3288
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Job Address: 407 38TH ST NB Description: SFR - FIRE SPRINKLERS - 28 HEADS
Inspector Area: 1
Owner: GUO JACK
Address: 1817 VISTALOMITAS DR
FULLERTON CA 92831
Phone:
Applicant: CASEY DENISE
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714.476-5370
FIREPROOF FIRE PROTECTION
Code Edit: 2016
1101 KINGSTON DR
Type of Construction:
V -B -SPR
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
0
Flood Zone:
Carrier:
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 :
$4,000.00
Legal Description: CANAL SECTION BLK 438 LOT 15
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
-
LA HABRA CA 90631
Phone:
714-476-5370
Con State Lie:
876004
Lie Expire:
04130/2020
Bus Lix
BT30040107
Lie Exp Date:
0 813 112 01 8
Worker's Compensation Insurance
Carrier:
NORGUARD INS CO
Policy No:
MOWC901180
Expire:
0211512019
Issued Date: 0510712018
Setback- Front:
Rear:
Left:
Right:
FEES
$190.00
Fire Residential Alarm PC Fee:
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee
$0.00
$0.00
Public Works PC Fee:
$0.00
Public Works Traffic Plan Check Fee;
$225.00
$419.00 Plan Check Fee :
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Inspection Requests Phone (949)644-3255
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Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
State Lie:
MIL
Slats ts f
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Records Management
$0.00 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$4.00
$0.00
$0.00
$419.00
)WNER-BUILDERDEC6 AMC)K ; ••.
I hereby affirm under ponalty of $erjur;thaf I arg BxemIt 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 ft;Prgfe;Si8gSrC6
det 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.
ie permit to file a signed statement that he or she is CAM 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 ($500),
I, as owner of the property, or my pI Qith wa9p; ap tIair sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professiony{CQde: The Contr$ctdrs -State-Li cense 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 ihterrtted tPeffered for sale. If, hoMtevet 16 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).
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
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).
1 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
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-t,�
'rofessions 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 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)re
rce
nd effect.
icense Class License No DateContractor Signature ..
IIORKERS' 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 ($1 ADDITION TO THE
OST 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 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 the
Performance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
ne of Agent
certify that, in the performance of the work for wkhlttltl5�
if I should becomea workers' compensation
iature of ADDlicant "t;IL
Date
issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
s,s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
;reby affirm under penalty of perjury that there is a constrdFipn lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
ider's Name L 1 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or countrte.Pnter the above -identified property for inspection purposes. '�� f -
of Property Owner or Authorized
ACT70N
DATE BY
CLARATIONOFCOMPLfANCEWITNCODEOF
FOR OFFICE USE ONt
DE RAL REGULATIONS PART 61 OF TITLE40AND
DRULE9493.
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO.
❑ EPA
❑ AOMD
PERMfTEXPIR€D
PERMITCANCELLED
PERMIT EXTENDED
[3 ASBESTOS
PROPOSED DEMOLITION.DONISNOT.,dPPLtCABtETO
PERMITFINAL
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CERTIRCAT€OF
SIGNATURE:
OCCUPANCYISSUED