HomeMy WebLinkAboutF2018-0606 - Permits (2)vrt City of Newport Beach - Building Division
100 Civic CenteroDriue, iJewport F3eachY CA 92660
' g Permit Counter Qhone"(949)644-22 6 :" a
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Job Add4ess:518ALISOAVEJ& mae esm mem
1
Inspector'Alrea: 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
Designer:
Type of Construction:
V -S -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:
Issued Date:
Bldg Sprinklers:
Y
F 2 0 1 8 0 6 6��
FIRE Permit: F2018-0606
Project No: 2639-2018
Inspection Requests Phone (949)644-3255
Worker's Compensation Insurance
Designer:
CASEY MONTY
e n e e eo
Description: SFR FIRE SPRINKLERS (X2018-0881) 31 HEADS
Legal Description: FIRST ADD TO NEWPORT HEIGHTS BILK 38 LOT 5
1101 KINGSTON DR
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
Address:
1101 KINGSTON DR
Address:
Phone:
LA HABRA CA 90631
Issued Date:
Phone:
714.476.5370
Phone: State Lie:
Con State Lie:
876004
Engineer:
Lie Expire:
04130/2020
Address:
Bus Lie:
BT30040107
Left:
Lie Exp Date:
08131/2019
Phone: State Lie:
Worker's Compensation Insurance
Designer:
CASEY MONTY
Carrier:
NORGUARD INS CO
Address:
1101 KINGSTON DR
Policy No:
MOWC901180
LA HARBRA CA 90631
Expire:
02115/2019
Phone:
714-476-5370
Issued Date:
11/0812018
Special Conditions:
Revised # of heads
Setback- Front:
Planning Counter Review:
$0.00
12112118
Rear:
Building Extention Fee :
$0.00
Planning Zoning PC Fee :
Left:
Building Investigation Fee:
Right:
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:
$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:
$446.00
Fee Q4b at'Pertnitt"ISAAceL
$0.00
-.r,'$
15
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)WNER-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 cheakrimaric(s.)1. clave p1ac:4 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 repaij ally str4tuCe,:3ribr tp it% i%suaQce, 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 Mrr"dhcing with•Sectidn 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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and -the straaure is net intended or-offerelfor sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' cr$ersolal e4foA„buildCor ifnp}gyes 0* property, provided that the
nprovemehts are not intended or offered for sale. If, however, -the building or improvement is sold within one year of completion, the OBap@r-�Twer willravefir burcLerbf p%ing that it was not built or
Jroved 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
only 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).
I 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 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.
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 force
nd effect.
icense Class License No Date Contractor Signature
YORKERS' 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 ($100,000), IN 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:
7 1 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 IN
erformance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance 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
, if I should become subject to -the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Date
)ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 property owners 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 county to enter the above -identified property for inspection purposes.
Date
AC77ON
DATE BY
DECLARATION OFCOMPLtANCEWITN CODE OF
FOR DFRCE USE ONLY
FEDERAL REGULATIONS PART Of OF TITLE .40AND
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SIGNATURE.