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HomeMy WebLinkAboutF2018-0606 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII�II�IIIIIIIIIIII II FIRE Permit: F2018-0606 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 6 0 6 Project No: 2639-2018 Permit Counter Phone (949)644-3288 x� "r+getiwcg Inspection Requests Phone (949)644-3255 Job Address: 518 ALISO AVE NB Description: SFR FIRE SPRINKLERS (X2018.0881) 33 HEADS Inspector Area: 2 Owner: FOSS FAMILY TRUST Address: 518 ALSIO AVE NEWPORT BEACH, CA 92663 Phone: Applicant: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714.476.5370 Code Edit : 2016 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: Bldg Sprinklers: Y Legal Description: FIRST ADD TO NEWPORT HEIGHTS SLK 38 LOT 5 1A� Sx'1 Contractor: FIREPROOF FIRE PROTECTION Architect: F.. p Svx' TO R Address: 1101 KINGSTON DR Address: 4i LA HABRA CA 90631 Phone: 714-476-5370 Phone: State Lie: Con State Lie: 876004 Engineer: Lie Expire: 04/3012020 Address: o • • ° o Bus Lie: BT30040107 ° Lie Exp Date: 08/3112019 Phone: State Lie: D D ©o ° ®• • ° ° o Worker's Compensation Insurance Designer: CASEY MONTY • • ° Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR • ° ° • ° •. ° o Policy No: MOWC901180 LA HARBRA CA 90631 ° • ° Expire: 02115/2019 Phone: 714.476-5370 ® m ° •°•oo Issued Date: 11/08/2018 Special Conditions: Setback- Front: Rear: oD••Dm • ® o Left: D ° Right: DD ° Do•eoD ° PROCESSED BY: A-W—�_ ZONING APPROVAL: FIRE APPROVAL :� OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ••DD FEES Construction Valuation: $3,300.00 Building PC Fee : $202.00 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 : $240.00 TOTAL FEE : $446.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $446.00 PROCESSED BY: A-W—�_ ZONING APPROVAL: FIRE APPROVAL :� OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) 1 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 ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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). 7 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, 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 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 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 -,pate - .ICENSED CQ,hLTMCTOR'S DECLARATION hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (comme 'ng with Section 7000) of Division 3 oft a Busines ndProfessions Code, and my li ense is in full force efl�+,rLdct. . . - !cerise Class- ° • °' _ License NoDo Co tra to ignature --1 - ✓PRFjERS' COMPENSATION DECLARATION ARRMG: FAILURE61P.WCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND IJL RS ($100,000), IN ADDITION TO THE PST QF COMPENSATIOWDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .... hprPb; affirm under penalty of perjury one of the following declarations: °I•IfL(.ve and%ill "Antain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the Itarmance of they work for which this permit is issued. Policy No. Min and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation isuranCe carridr*AMp$licy number are: Policy Number Expiration Date 3bf Agent" certify that,in the�i[+erformance of the work forwn' Is permit is issued, I shall not employ any person in any manner so as to becc if I shQdM;:e a subll:ct to the workers' compens tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with hereby affirm under penalty of perjury that th4rals_a)'construction lending agency for the performance of the work for which this permit is ender's Name Lender's Address y my signature below, 1 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 cityr coynty nter the above-identifie property for inspection purposes. innafure of Prnnerly nwner nr Authnri i d drZ0. - _ Print Prooertv Owner's or Authorized ADen' ACTION DATE BY uc�tr�rcrtuvip ure-ulwrusuNe.e Fwrn vuue ur �,_, FEDERAL REGULATIONSPART 61 OFTIT LE40ANO AOMD RULE 1403. XPIR€D ❑ I SUBMITTEDASBESTOS NOTIFICATION TOr ❑ EPA ❑ AOMD ANCELLED KT€NDED ❑ ASBESTOS N017RCAT70MIS NOT APPLICABLE TO PROPOSEDDEMOUTION. INAL 7 I OCCDPANCYISSDED Ir I I I' SIGNATURE: to the workers' compensation laws of California, and (Section 3097, Civil Code).