HomeMy WebLinkAboutF2018-0126 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 1 2
W Permit Counter Phone (949)644-3288
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FIRE Permit: F2018-0126
Project No: 0501-2018
Inspection Requests Phone (949)644-3255
FEES
Job Address: 2024 NAUTILUS LN NB
Description: SFR FIRE SPRINKLER
SYSTEM 42 HEADS
(X2017-1111)
*REVISED 9/17/10*
$190.00
Fire Residential Alarm PC Fee:
Inspector Area: 3
Legal Description: N TR 3763 LOT 75
Building Overtime PC Fee:
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II AT
Planning Counter Review:
Owner: BRILES RICHARD & KEANNA
Contractor: MARTINEZ FIRE PROT SYS
Architect:
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Address: 2024 NAUTILUS LN
Address: 888 N. H ST
Address:
-
NEWPORT BEACH, CA 92660
SAN BERNARDINO, CA 92410
Fire Plan Check Fee:
$0.00
-—
Phone:
Phone: 909-562-8637.
Phone:
State Lie:
Public Works Traffic Plan Check Fee;
Applicant: MARTINEZ FIRE PROT SYS
Con State Lie: 955955
Engineer:
$225.00
Address: 888 N. HST
Lie Expire: 12131/2018
Address:
°°O°°°
Plan Check Fee:
SAN BERNARDINO, CA 92410
Bus Lie: BT30049343
Phone: 909-562-8637
Lie Exp Date: 08131/2018
Phone:
State Lic:
Code Edit : 2016
Worker's Compensation Insurance
Designer:
MARTINEZ ARMANDO
Type of Construction V-B-SPR
Carrier: SECURITY NATIONAL INS-
Address:
888 N. H ST
Occupancy Group: R31U
Policy No: SWC1157661
SAN BERNARDINO, CA 92410
Added /New sq.ft. Bldg: 0
Expire: 0811212018
Phone:
909-562-8637.
Added /New sq. ft. Garage: 0
No of Stories: 2
Issued Date: 03102/2018
Special Conditions:
No of Units : 0
Setback- Front:
°
Flood Zone:
Rear:
° °
Bldg Sprinklers: N
Left:
°
Right:
° °c
oo°°°.
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:
$6,000.00
Building PC Fee :
$190.00
Fire Residential Alarm PC Fee:
$0.00
Records Management : $6.00
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 :
$225.00
TOTAL FEE :
$421.00
Plan Check Fee:
$421.00
Fee Due at Permit Issuance : $0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
YNER-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)
iction 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
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
Ifessions 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
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,
siness 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
Irovements 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
)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
Ay 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 ezeriipt from'licehsure under the Contractors' State License Law for the following reason:
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
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
ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Property Owner or Authorized Agent Date
SENSED COATRACTOR'S DECLARATION
neby affirm %cieryenalty 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
snse.Class . • • License No Date Contractor Signature
?RKERS' COV1;ENSATION DECLARATION
rMMG: 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
IT qp COMPENjJTJ J%QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
k&I'affirm under penalty of perjury one of the following declarations:
drtr'ave 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 tht
IglinLnce oMMe work for which this permit is issued. Policy No.
N31 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' compensalior
Trance carrier and4licy number are:
Tler • Policy Number Expiration Date
neof Agent- • : Phone #
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 agree
:, 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
=reby 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 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 county to enter the above -identified property for inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION DATE BY
DECLARATION OF COMPLIANCEYYITHCODEOF
FOROFFICE USE ONLY
FEDERAL REGULATIONS PART Hf OF TITLE40AND
AOMORULE1403.
PERMiTEXPfR€D —
I SUBMITTED ASBESTOS M071FICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIRCA710MIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITFINAL f /
CER77F1CATEOF
OCCUPANCYISSUED
SIGNATURE.
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