HomeMy WebLinkAboutF2018-0613 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIillillillillillillilliillillillilljllI
c+. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 6 1 3
. Permit Counter Phone (949)644-3288
Job Address: 206 42ND ST NB
Inspector Area: 1
Owner: BALBOA & E INVS LLC
Address: 2015 SHIPWAY LN
NEWPORT BEACH, CA 92660
Phone:
Applicant: FIREPROOF FIRE PROTECTION
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714.476-5370
Code Edit : 2016
Type of Construction: V-BSPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 0
Flood Zone:
Bldg Sprinklers: Y
Construction Valuation
Building PC Fee:
Building Overtime PC Fee:
Building Exertion Fee:
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee
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$2,600.00
$202.00
$0.00
$0.00
$0.00
$0.00
$0.00
$240.00
$446.00
FEES
Fire Residential Alarm PC Fee:
Planning Counter Review:
Planning Zoning PC Fee:
Public Works PC Fee:
Public Works Traffic Plan Check Fee;
Plan Check Fee:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
$446.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
FIRE Permit: F2018-0613
Project No : 2689-2018
Inspection Requests Phone (949)644-3255
State Lie:
State Lie:
CASEY MONTY
1101 KINGSTON DR
LA HABRA CA 90631
Records Management
Fee Due at Permit Issuance
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$4.00
$0.00
$0.00
$0.00
Description: SFR FIRE SPF
Legal Description:
CANAL SECTION BILK 141 LOT 4
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 Lie:
BT30040107
Lie Exp Date:
0813112019
Worker's Compensation Insurance
Carrier:
NORGUARD INS CO
Policy No:
MOWC901180
Expire:
02115/2019
Issued Date: 11/15/2018
Setback- Front:
Rear:
Left:
Right:
$202.00
$0.00
$0.00
$0.00
$0.00
$0.00
$240.00
$446.00
FEES
Fire Residential Alarm PC Fee:
Planning Counter Review:
Planning Zoning PC Fee:
Public Works PC Fee:
Public Works Traffic Plan Check Fee;
Plan Check Fee:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
$446.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
FIRE Permit: F2018-0613
Project No : 2689-2018
Inspection Requests Phone (949)644-3255
State Lie:
State Lie:
CASEY MONTY
1101 KINGSTON DR
LA HABRA CA 90631
Records Management
Fee Due at Permit Issuance
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$4.00
$0.00
$0.00
$0.00
)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 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
3rofessions 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 (_) 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
mproved 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 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 Cade, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
>ignature 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
Ind effect.
.icense Class License No Date Contractor Signature
YORKERS' COMPENSATION DECLARATION
IARNING: 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:
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 the
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.
nature of Applicant Date
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
ereby 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).
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 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. ... • °„ ° °
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