HomeMy WebLinkAboutF2018-0557 - Permitsw,r City of Newport Beach - Building Division
uT� 100 Civic Center Drive, Newport Beach, CA 92660
* Permit Counter Phone (949)644-3288
Job Address: 1038 WHITE SAILS WAY NB
Inspector Area: 4
Owner:
1038 WHITE SAILS LLC
Address:
1038 WHITE SAILS WAY
Occupancy Group:
CORONA DEL MAR, CA 92625
Phone:
0
Applicant:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
No of Units :
LA HABRA CA 90631
Phone:
714-476-5370
Code Edit : 2016
Description: NEW SFR FIRE SPRINKLERS (52 HEADS) X2017-2418
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:
1
No of Units :
0
Flood Zone:
714-4765370
Bldg Sprinklers:
Y
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FIRE Permit: F2018-0557
Project No : 2416-2018
Inspection Requests Phone (949)644-3255
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State Lic: ;•0000
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State Lie:
Worker's Compensation Insurance Designer: CASEY MONTY
Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR
Policy No: MOWC901180 LA HABRA CA 90631
Expire: 02/15/2019 Phone:
Issued Date: Special Conditions:
Setback- Front:
Rear:
Left:
Right:
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Description: NEW SFR FIRE SPRINKLERS (52 HEADS) X2017-2418
Legal Description:
N TR 2202 LOT 33
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
Address:
1101 KINGSTON DR
Address:
$202.00
LA HABRA CA 90631
$0.00 Records Management :
Phone:
714-4765370
Phone:
Con State Lie:
876004
Engineer:
Lie Expire:
04/30/2020
Address:
Bus Lie:
BT30040107
Building Investigation Fee :
Lie Exp Date:
08/31/2019
Phone:
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State Lic: ;•0000
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State Lie:
Worker's Compensation Insurance Designer: CASEY MONTY
Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR
Policy No: MOWC901180 LA HABRA CA 90631
Expire: 02/15/2019 Phone:
Issued Date: Special Conditions:
Setback- Front:
Rear:
Left:
Right:
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PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$5,200.00
Building PC Fee:
$202.00
Fire Residential Alarm PC Fee :
$0.00 Records Management :
$0.00
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:
$240.00
TOTAL FEE :
$442.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$442.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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
he 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
lot 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,
3usiness 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
mprovements 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
m roved 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
Ipply 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:
3y 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 legall)
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-5es' 7044 of the Business and
rrofessions Cdd@• IS•Vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/caiaw.html.
ililHWQre of Proprtyy Owner or Authorized Agent Date
ICENSED 00NO Y IACTOR'S DECLARATION
VrdV affirm ukd'er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3.of Business and Professions Code, and my license is full force
Indreffect.
�icertse Class y~ License No Rate\ ti`\ �\ % Cc
Signature
VORKERS'''CgOMPENSATION DECLARATION
ID.RNING: FAIL~ F•Tp�SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1 ,DO IN ADDITION TO THE
§',AF COMPENSATI DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
ppl;ppy affirm under penalty of perjury one of the following declarations:
I;cave aQ(t Vj11•I=Iaintain 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 th
e4foimance of the Work for which this permit is issued. Policy No.
and•vdlt hpintain 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'
carflerldhd policy number are:
is of Agent
certify that, in the performance of the work for
, if I should become _§_ubject to the workers' cc
Policy Number
Date
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
I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
CCARATION REGARDING-GOMSTRUCTI NDING AGENCY
:reby affirm under penalty of perjury that thea"nstruction lending agency for the performance of the work for which this
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 ordinances and slate laws relatin to building construction.
I authorize representatives of this city or cc t er the above -identified pr a for inspection purposes.
nature of ProDertv9&w*P- fFd�rized AaenRtC' Print Property Owner's or Authon;
AC71ON I DATE I BY
I PERMITEXPIRED I I I
PERMITCAMCELLED
rERMITEXTEMDED _
issued (Section 3097, Civil Code).
OF717LE40AND
I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTFRCA770N1S NOT APPIL1CABLE 7O
PROPOSEDDEMOLITION.
OCCUPANCYISSUED I I I I SIGNATURE:
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