HomeMy WebLinkAboutF2019-0286 - Permits (2)1• City of Newport Beach - Building Division
a4. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 311 ORCHID AVE NB
Inspector Area: 5
Owner SMITH M ELOISE
Address: 311 ORCHID AVE
CORONA DEL MAR, CA 92625
Phone
Applicant:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476-5370
Code Edit: 2016
Type of Construction:.
Occupancy Group:
Added /New sq.ft. Bldg:
Added/New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
V-BSPR
R31U
0
0
FIRE Permit: F2019-0286
F 2 9 1 9 9 2 6 6 Project No : 1081-2019
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLER SYSTEM 41 HEADS (X2018.-3412)
2 Issued Date: 05/14/2019
0 Setback- Front:
Rear
N Left:
Right:
Special Conditions:
FEES
Construction Valuation:
Legal Description: CORONA DEL MAR LOT 11 BILK 241(AND SWLY1/2 LOT 13 BILK 241 r ' n K
y , '�' e
6 L'
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
`:
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• • °
Address:
1101 KINGSTON DR
Address:
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°
$0.00
LA HABRA CA 90631
$0.00
•
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Phone:
714-476-5370
Phone:
State Lie:
$0.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Con State Lie:
876004
Engineer.
°
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Lie Expire:
04/30/2020
Address:
$0.00 Fee Due at Permit Issuance :
Dees
6
Bus Lie:
BT30040107
e • • ° „
Lip Exp Date:
09/31/2019
Phone:
State Lie:
m
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Worker's Compensation Insurance
Designer:
CASEY MONTY
• • • • • •
o 0 0
• °
Carrier:
NORGUARD INS CO
Address:
1101 KINGSTON DR
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Policy No:
MOWC002750
LA HABRA CA 90631
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m m m o
Expire:
02115/2020
Phone:
714-476-5370
....
2 Issued Date: 05/14/2019
0 Setback- Front:
Rear
N Left:
Right:
Special Conditions:
PROCESSED BY: <�/�" OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::. A
FIRE APPROVAL: k APPROVAL TO ISSUE: 5—�/ V
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$4,100.00
Building PC Fee:
$202.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$6.00
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 :
$448.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$448.00
PROCESSED BY: <�/�" OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::. A
FIRE APPROVAL: k APPROVAL TO ISSUE: 5—�/ V
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 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).
❑ 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
im roved for the purpose of sale).
I, as ownerol the property, am exclusively contracting with licensed Contractors toconstruct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
epply to an owne4bf Property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
410M exernIV n licensure under the Contractors' State License Law for the following reason:
By my signaturd belt* 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
sella stpucture 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 Coda, is available upon request when this application is submitted or atthe following Web site:http://www.leginfo.ca.gov/calaw.html.
§%atOgE of Prdlfettyllwner or Authorized Agent Date
tICBNSED CQAyTRACTOWS DECLARATION
btreraby affirm undo: Qgnalty of perjury that I am licensed under provisions of Chapter 9 (commencing wh Section 7000) of Division 3 of the Business and Professions Code, and my license's in full force
ar"affect.
I,igP,ryseFloss License No Date Contractor Signature
WRKIERS' CSSMPASATION DECLARATION
YP"11,10sFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE ZINIFIED THOUSAND DOLLARS 00), IN ADDITION TO THE
DOST OF SOMPENSATIDY, *MAGES 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:
❑ 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 thJ
performance 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
ne of Agent Phone
certify that, in the perf9rmance of the work for which this permit is issued, I shall not employ any person in any manner so as to become SL
, if I should become s )e the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
nature of ADolicant Date
Date
to the workers' compensation laws of California, and
I hereby affirm under p6nalty 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).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and c unty ordinances and state laws relating to building construction.
I authorize representatives of this city or coun to ter the above -i ed property for inspection purposes. /�\ ®/
Signature of Property Owner or Authorized Agen = Print Property Owner's or Authorized Agent's Name L- �- a Date`;%. +-k
AC77ON DATE (
BY
DECLARATIONOFCOMPLIANCEWfTHCODEOF /
FOR OFFICE DSE NtY
FEDERAL REGULATIONS PART dT OF TITLE40AND l
AQMDRULE7403.
PERNtTEXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO;
❑ EPA
❑ AQMD
PERNITCANCELLED
PERNITEXTENDED
PROPOSED DEMOLITION. NOOU FOA UONIS NOT APPLICABLE TO
PERMIT FINAL
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CERTIRCAT€Of
OCCUPANCYISSUED
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