HomeMy WebLinkAboutF2017-0384 - Permitsoeu
City of Newport Beach - Building Division II IIIIIIIIIIIIII IIIIIIIII IIIIIIIIIIIIIIIIII II FIRE Per4litl•F2b11-®3 34; ee
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 7 0 3 8 4 Project NO".cW4_2O ° : x
Permit Counter Phone(949)644-3288 a ¢ee Vie.
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'aL�iti,4:"'xp. Inspectt)nfegeuests Phone (9¢9)644-3255
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Job Address: 2392 REDLANDS DR NB Description: SFR -FIRE SPRINKLERS -32 HEADS (X2016-1858)
Inspector Area: 3
Owner: BAZARCHI NASSER
Address: 2401 NARBONNE WAY
COSTA MESA CA 92627
Phone:
Applicant: CASEY MONTY
Address: 1011 KINGSTON DR
LA HABRA CA 90631
Phone: 714.476-5350
Contractor:
Code Edit : 2016
Address:
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:
Worker's Compensation Insurance
Bldg Sprinklers:
Y
Construction Valuation
Building PC Fee:
Building Overtime PC Fee:
Building Extention Fee :
Building Investigation Fee:
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee
$3,500.00
IITOTAL FEE :
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL: �V
Legal Description:
N TR 3062 LOT 3
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714.476-5370
Con State Lic:
876004
Lic Expire:
04/3012018
Bus Lic:
BT30040107
Lic Exp Date:
08/31/2018
Worker's Compensation Insurance
Carrier:
EXEMPT
Policy No:
(NO EMPLOYEES)
Expire:
Issued Date: 0610212017
Setback- Front:
Rear:
Left:
Right:
$190.00
$0.00
$0.00
$0.00
$0.00
$0.00
$225.00
$419.00
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: State Lic:
Engineer
Address:
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions:
$0.00 Records Management: $4.00
$0.00
$0.00
$0.00
$0.00 $0.00
$0.00
$0.00 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$419.00
I heretly affirm undt:rpena4y of pl:rjuty Aat I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031-.5, Bdsmess 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 siteisexamat frol 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 ttigh-five�l'+ndrelddliacs `6590)•• a
❑ 1, as own@l;of t;e propeilA o; ny employees [vith wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Prof cions 60de: Tile 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 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).
❑ 1 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 legal)
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.html.
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 the Business and Professions Code, and my license is in full force
and effect. �'Y)A,,,
License Class License No Date B - Contractor Signal r
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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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
performance 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:
of Agent
Policy Number
Date
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
3ecome, subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applica t �" - ✓Z �—
CLARATION REGA ING CONSTRUCTION LENDING AGENCY
weby 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 ante a ove-identified
property for inspection purposes.
Date
nature of Propert Owner or Authorized Agent
Print Property Owner's or Authorized Agent's Na a -1. 4–L
ACTION DATE BY -
DECLARATION OFCOMPLIANCEWITN CODE OF FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART61 OFTITLE40AND
AQMDRULE1403.
PERMlTEXPIREQ
❑ISUBMIITEDASBESTOSN077FICATIOIVTO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
[3 ASBESTOS
PROPOSED DEMOLITION.7IONI5 NOTAPPLICABLE TO
SIGNATURE:
PERMITFINAL a / S 44
CERTIFICATE OF
OCCUPANCYISSUEO