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HomeMy WebLinkAboutF2019-0386 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r Permit Counter Phone (949)644-3288 Job Address: 613 NARCISSUS AVE NS Inspector Area: 6 Owner: WATERPOINTE PROPERTIES Address: 610 NEWPORT CENTER DR STE 890 NEWPORT BEACH, CA 92660 Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON OR LA HABRA, CA 90631 Phone: 714-476.5370 Code Edit : 2016 Contractor: Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: Lie Exp Date: Bldg Sprinklers: N II IIS III SII 0IIII ILII VIII TBI 0IIII VIII 8IIII IIII II FIRE Permit: F2019-0386 Project No : 1541-2019 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLER SYSTEM 42 HEADS (X2018.3431) Legal Description: CORONA DEL MAR BLK 640 LOT 13 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR State Lie: LA HABRA CA 90631 Phone: 714-476-6370 Con State Lie: 876004 Lie Expire: 04/30/2020 Bus Lie: BT30040107 Lie Exp Date: 07/31/2019 Worker's Compensation Insurance - Carrier: NORGUARD INS CO Policy No: MOWC002760 Expire: 02116/2020 Issued Date: 07/0912019 Setback- Front: Rear: Left: Right: Architect Address: Phone: State Lie Engineer: Address: Phone: State Lie: Designer: CASEY MONTY Address: 1101 KINGSTON DR @ f y� LA HABRA, CA 90631 Phone: - 714.476.6370 Special Conditions: revised # of heads 7/24/19 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: me Bm® a oeo e e OTHER DEPARTMENT: om o ooc o 0 o m ® • o 0 0• e 0 o m m m e m P�411 CWI!CKED BY:: ® m 6 m APPROVAL TO ISSUE: my mmc o • • •o• c c c o e o e m PERMIT EXPIRES 190 E1AYDcAATE3 %SGUANC•E 06 LAST VALID INSPECTION o c c m c e o• •oo • o •o oe ee• FEES Construction Valuation: $3,900.00 @ f y� Building PC Fee : $202.00 Fire Residential Alarm PC Fee: $0.00 RecoS'MIeA6per e9t : y $4.00 Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00 1 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 as, $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: ZONING APPROVAL: FIRE APPROVAL: me Bm® a oeo e e OTHER DEPARTMENT: om o ooc o 0 o m ® • o 0 0• e 0 o m m m e m P�411 CWI!CKED BY:: ® m 6 m APPROVAL TO ISSUE: my mmc o • • •o• c c c o e o e m PERMIT EXPIRES 190 E1AYDcAATE3 %SGUANC•E 06 LAST VALID INSPECTION o c c m c e o• •oo • o •o oe ee• )WNER-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 is 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 'rofessions 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 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, lusiness 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 nprovements 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 n 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 Jonly 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: ly 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 ell 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 'rofessions 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 .ICENSED 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 Business and Professions Code, and my license is in full force nd effect. .icense Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 thl erformance 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: - Policy Number Date ie of Agent Pnone s 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant Lima IECLARATION REGARDING CONSTRUCTION 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 ly 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. ;innature of Pronertv Owner or Authorized Aoent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMIDUANCE 4YIT HC DEOF FOR OFFICE USE ONLY f��'•DD��Ct4L REGV1#ATIONb PAf9AJ Cf.TITLE40AND J4QMD)2DLE 1403. ..: PERMITEXPIRED C3.1 SO$MMTTF.DASBESTOS N•OTITiCAT/ON TO: • [}•-EPA • • • . 13 AQMD ASBESTOS NONFICARONIS NOT APPLICABLE TO PR0FVSEDDEM6IUTIOM ..• . • • . • • • • • � • • SIGNATURFy• • • •. PERMITCANCELLED PERMITEXTENDED PERMITFINAL ( CERTIFICATEOF OCCDPANCYISSOED • • .