HomeMy WebLinkAboutF2019-0344 - Permits (2),vo City of Newport Beach - Building Division
o 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 516 NARCISSUS AVE NB
Inspector Area: 5
Owner:
516 NARCISSUS LC
Address:
15 CORPORATE PLAZA STE 150
Occupancy Group:
NEWPORT BEACH CA 92660
Phone:
949-723-1800
Applicant:
CASEY DENISE
Address:
1101 KINGSTON DR
No of Units :
LA HABRA CA 90631
Phone:
714.476-5370
Code Edit : 2016
Description: SFR FIRE SPRINKLERS (X2018-3003) 46 HEADS
Type of Construction:
V -B -SPR
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
3
No of Units :
0
Flood Zone:
714.476-5370
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
TOTAL FEE
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$3,800.00
iiiiiiii4 II
FIRE Permit: F2019-0344
Project No: 1305-2019
Inspection Requests Phone (949)644-3255
1%a 5 ;
3
State Lic:
State Lic:
Worker's Compensation Insurance
Description: SFR FIRE SPRINKLERS (X2018-3003) 46 HEADS
Legal Description:
CORONA DEL MAR BLK 541 LOT 18
NORGUARD INS CO
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
Address:
1101 KINGSTON DR
Address:
Expire:
LA HABRA CA 90631
Phone:
Phone:
714.476-5370
Phone:
Con State Lic:
876004
Engineer:
Lic Expire:
04/30/2020
Address:
Bus Lic
BT30040107
Lic Exp Date:
07131/2019
Phone:
1%a 5 ;
3
State Lic:
State Lic:
Worker's Compensation Insurance
Designer:
CASEY MONTY
Carrier:
NORGUARD INS CO
Address:
1101 KINGSTON DR
Policy No:
MOWC002750
Planning Zoning PC Fee:
LA HABRA CA 90631
Expire:
02115/2020
Phone:
Issued Date:
06110/2019
Special Conditions:
PERMIT REVISED 06-19-19
Setback- Front:
$0.00
Public Works Traffic Plan Check Fee;
-- - - - --
Rear:
$240.00
Left:
$446.00
Plan Check Fee:
$446.00 Fee Due at Permit Issuance :
Right:
FEES
mmem
i 4
e®oe
mese
seem m
cmmoco
0
e em
01
s
oanx
m
cmacmo
m
o A mo
m 900
e
�eumc
0
o m�
se ,
9 O
m m
Op p
on mo,
eemmco
mm.n, ca
m
m
noamoo
m
mmem�
$202.00
Fire Residential Alarm PC Fee :
$0.00 Records Management :
$4.00
$0.00
Planning Counter Review:
$0.00
$0.00
Planning Zoning PC Fee:
$0.00
$0.00
$0.00
$0.00
Public Works PC Fee,
$0.00
$0.00
$0.00
Public Works Traffic Plan Check Fee;
$0.00
$240.00
$446.00
Plan Check Fee:
$446.00 Fee Due at Permit Issuance :
$0.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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 itsI(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).
❑ 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,
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
m 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
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, 1 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 Coog,iS %ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of PropLrtytlwner or Authorized Agent Date
b.I SAEDCOffl,114CTOR'SDECLARATION
°hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commeancingyvith Section 7000) of Division 3 of th Business and Professions Code, and my license is in full force
W eftt.
L•icerfse Class License No to Contras o Signatur
"KIrRS' C'UM14 ISATION DECLARATION
IARNN45: FAILURE TASECgRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND LLAR ($100,0001, IN ADDITION TO THE
COST e6 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
•.•
�heceby affirm under penalty of perjury one of the following declarations:
and will maitltain 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
ormance of tfibWolfor which this permit is issued. Policy No.
v'a'and will.maintein 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
nstti'diBe carrief grWCpd1icy number are:
Policy Number
7e of Agent Phor
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with the
Date
to the workers' compensation laws of California, and
Jreby affirm under penalty of perjury that there is a cr%struction 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 count er t above -identified property for inspection purposes.
nature of Property Owner or prized A ant - Print Property Owner's or Authorizedl(kgent`s.Name
AC1701V DATE BY DECLARATIONOFCOMPUANCE MTHCODEOF O!
FEDERAL REGULATIONS PART ST OFTTTLE40AND
PERMITEXPIRED AQMD RULE 1403.
I SUBMITTEDASBESTOS NOTIFICATIONTO.
PERMITCAIVCELLED ❑ EPA
......,.rte.,-.F....,�„ i ❑ AQMD
PERMIT FINAL
OCCUPANCYISSUED
SIGNATURE.,
NOT APPLICABLE TO
T
S
m
M
a1 ❑O❑❑
LO
W
d
aN
rr�,
U oa
� .crj N
p��yygq9
P�q
ro
tf
4l>
A
M
�z
rn
0
OC7�i$
3
0
m�
E
c c
®
c
o
r
c
U
a
U
� U
Q
0
a1 ❑O❑❑
I
I• ■
N pj
(►q �� �r fi 1,4
U
yN
d
aN
'd
ro
L >
A
M
�z
0
3
N
E
c c
o
a
U
Aa
Q
A
i_°
CO,
0
t
C
n.
X
o
�
�
m m
m
m
>
>
N
�0
O
p .t.
Ea
o m
N
m d
m
v
�
CL
3
rn
F
n
Z
I
I• ■
N pj
(►q �� �r fi 1,4
4
❑0
U
yN
d
aN
'd
ro
L >
0
3
N
E
c c
o
a
U
E
A
i_°
CO,
0
° c
'o
X
CL
m
m
>
N
0
Ea
t q,q�
m
v
�
CL
3
rn
F
n
Z
r°E
CL
01
O
C
0,40)
CL
° a
o
_fa
o
e
m
cCl
>03
d
U
. C
m
y
i
N
RI
-d
[I
V
4
❑0
U
d
aN
ro
N
C
a
U
w
0
X
d
a
cN C
0
Ea
t q,q�
m
v
�
CL
3
rn
F
n
Z
r°E
CL
01
C
C
0,40)
c
,y
y
�m
o
a
>o
y
W
a
ZI
m
'i
I
EIld �
O W
U a o
to
2
m �o
❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 10