HomeMy WebLinkAboutF2019-0161 - Permits' v
w1n City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII'1111 II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 1 6 1
Permit Counter Phone (949)644-3288
Job Address: 407 IRIS AVE NB
Inspector Area: 5
Owner: DDFRJ INVS LP
Address: 4686 ONTARIO MILLS PKWY
ONTARIO CA 91764
Phone:
Applicant:. CASEY MONTY
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone;
Code Edit: 2016
Type of Construction: V -B -SPR
Occupancy Group: R31U
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
FIRE Permit: F2019-0161
Project No : 0699-2019
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (X2017-3604) 44 HEADS
Legal Description: CORONA DEL MAR LOT 7 BILK 335(AND NELY112 LOT 5 BLK335 f F*�
Contractor: FIREPROOF FIRE PROTECTION Architect:,
Address: 1101 KINGSTON DR Address: - - -
LA HABRA CA 90631 -
PROCESSED BY:
OTHER DEPARTMENT:
FEES
PLAN CHECKED BY::
Phone:
714476-5370
Phone:
State Lic:
Con State Lic:
876004
Engineer:
$202.00
Lic Expire:
0413012020
Address:
Building Overtime PC Fee:
Bus Lic:
BT30040107
$0.00
Lic Exp Date:
0813112019
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
CASEY MONTY
Carrier:
NORGUARD INS CO
Address:
1101 LINGSTON DR
Policy No:
MOWC002750
$0.00
LA HABRA CA 90631
Expire:
02115/2020
Phone:
$0.00 -
Issued Date:
Building Permit Fee:
Special Conditions:
Setback- Front:
TOTAL FEE :
$442.00
Rear:
$202.00 Fee Due at Permit Issuance:
$240.00
Left:
Right:
PROCESSED BY:
OTHER DEPARTMENT:
FEES
PLAN CHECKED BY::
FIRE APPROVAL:
Construction Valuation:
$4,000.00
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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:
$202.00 Fee Due at Permit Issuance:
$240.00
PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
FIRE APPROVAL:
APPROVAL TO ISSUE: -
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER -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 items)
(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
the 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
Professions 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
not 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,
Business 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
improvements 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
im roved 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
apply 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:
By 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
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, Section 7044 of the Business and
Professions 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of he Business and Professions Code, and my license is in full force
and effect.
License Class License No DaI - - Contra Signature 1��
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($700,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 thI
0eiformance of the work for which this permit is issued. Policy No.
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'
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 -fire subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with�th : provisions.
lature of A✓✓DDliicant el' - , - mate
IECLARATION REGARDING CONSTRHCTION 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
y 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 cou9ty to enter the above -identified property for inspection purposes.
ACTTON DATE By
DECLARATION OF COMPLIANCE WITH CODE OI=
FOR OFFICE USEONLY
FEDERAL REGULATIONSPART III OF TITLE40AND
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SIGNATURE.
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