HomeMy WebLinkAboutF2019-0026 - Permits (3)City of Newport Beach - Building Division ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ��
FIRE Permit: F2019-0026
100 Civic Center Drive, Newport Beach, CA 92660
F 2 0 1 9 0 0 2 6
Project No : 0126-2019
t Permit Counter
(949)644-3288.
Phone
Inspection Requests Phone (949)644-3255
Job Address: 108 OPAL AVE N13
Description: SFR FIRE SPRINKLERS (29) HEADS (X2016-3445)
Inspector Area: 2
Legal Description:
BALBOA ISLAND RESUB SEC 1 BLK 11 LOT 35
-1
I -
.Owner: SANTA CATERINA LLC
' Contractor:
FIREPROOF FIRE PROTECTION
Architect:
INSPECTOR
1 pw�, �8
y�.�1
S 1
ECT®
Address: 215 STONE OAK CV
Address:
1101 KINGSTON DR
Address:
HOLLAND OH 43528
LA HABRA CA 90631.
Phone:
Phone:
714-476-5370.
Phone:
State Lia
Applicant: CASEY MONTY
Con State Lia.
876004 -
Engineer
'.
Address: 1101 KINGSTON
Lie Expire:
X04130/2020
Address:
LAHARBRA CA 90631
Bus Lia
BT30040107
Phone: 714-476-5370
Lie Exp Date:.
08131/2019
Phone:
State Lia
Code Edit : 2016
Worker's Compensation Insurance
Designer:
CASEY MONTY ...... •
Type of Construction: V -B -SPR
Carrier:
NORGUARD INS CO
Address:
1101 KINGSTON ° ° ° °
Occupancy Group: R3/U
Policy No:
MOWC002750 -
LAHARBRA CA 90631 m ° • ° •
m ° °'s o
Added /New sq.ft. Bldg:. 0
Expire:
0 211 5/2 01 9
Phone:
714-476-5390
Added /New sq. ft. Garage:. 0
_
®
o ° °'°
No of Stories: 3
Issued Date: 01114/2019
Special Conditions:
PERMIT"REVI$ED 02-20-1 • •
..m °
•.
No of Units : 0
Setback- Front
o
o
°: °
0
Flood Zone: AE
Rear:
mm to
Bldg Sprinklers: .Y
Left:
.pOOOm
m•m.°m
Right:
emmco
m
FEES
0
m••mo°
Construction Valuation:
$2,700.00
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 Due at Permit Issuance : $0.00
PROCESSED BY: 6"L—�
OTHER DEPARTMENT:
ZONING APPROVAL:
-
PLAN CHECKED BY::
i
""
FIREAPPROVAL :
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 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
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).
LJ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L 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
improved 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 r;c
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:
Bymy 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 legall)
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://v w .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED 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 usiness and Professions Code, and my license is in full force
and effect ,r A
License Class License No p ! Contractor a ure 42! {vim_
NORKERS' COYLPiNSATION DECLARATION
N(ke�rjr�{(I�jG' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EM ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($'100,000), IN ADDITION TO THE
V �.yMPENS0'1`101y B&MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby;affirm unM pelTalty of perjury one of the following declarations:
:. I.IR&e 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
10formiance of the wari<Zfor which this permit is issued. Policy No.
..
and will tggjgtain 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' compensatior
nsenarlee carrier andpo licy number are:
:SRie►• Policy Number Expiration Date
J$Mpbf Jtgent Phone #
:5I 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
*i',1f 163ould beggme subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.,..rile �,,.,rsa i • • _1Li 1. /I a 114
reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is isgued (Section 3097, Civil Code).
der's Name Lender's Address
ny 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 oLlh*Wor county to enter the above -identified property for inspection purposes.
ACTION DATE
BY
DECLARATION OF COMPLIANCE WITH COD&OF
FOR OFFICE USE LY
FEDERAL REGULATIONS PART fit OF TIlIE40AND
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PERMITEXPIR€D
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CERTIFICATEOF
OCCUPANCYISSUED
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