HomeMy WebLinkAboutF2019-0525 - Permitsv,pa City of Newport Beach - Building Division Permit: F2019-0525
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0- 100 Civic Center Drive, Newpoa
Beach, CA 92660
F 2 0 1 9 0 5 2 5
Project No: 2109-2019
Permit Counter Phone (949)644-3288
�'�Ratveaug
Inspection Requests Phone (949)6443255
Job Address: 7006 W OCEAN FRONT NB
Description: SFR FIRE SPRINKLERS (27 HEADS) X2019-0396
Inspector Area: 3
Legal Description:
SEASHORE COLONY TR LOT 4 BLK J SWLY 60 FT -INC POROF ST ADJ.
Owner FLANAGAN JOSEPH
Contractor:
FIREPROOF FIRE. PROTECTION Architect:
Address: 506 SIGNAL RD
Address:
1101 KINGSTON DR Address:
NEWPORT BEACH, CA 92663
LA HABRA CA 90631
Phone:
Phone:
714-476-5370 Phone: State Lie:
Applicant: FIREPROOF FIRE PROTECTION
Con State Lic: 876004 Engineer.
Address:. 1101 KINGSTON DR
Lie Expire:
04/30/2020 Address:
LA HABRA CA 90631
Bus Lie:
BT30040107
Phone: 714-476-5370
Lie Exp Date:
07/3112020 Phone: State Lie:
Code Edit :.2016
Worker's Compensation Insurance Designer: CASEY MONTY
Type of Construction:. V-BSPR
Carrier:
NORGUARD INS CO. Address: 1101 KINGSTON DR
Occupancy Grou.ft. R31U
Policy No..
qBR. 90831
Added /New sq 0
Exp re:
02115/2020750
'®
_f00
Added /New sq. ft. Garage: 0
r�' ®�����
No of Stories: 3
Issued Date:
0913012019 tV® Special Conditions:
No of Units : 0
Setback- Front:
Flood Zone:
Rear:
-
Bldg Sprinklers: : Y
Left:
, m,EP_KENE)
Right
t �J�J G
��e
ON
FEES
Construction Valuation:$2,700.00
Building PC Fee:
$202.00
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Fire Residential Alarm PC Fee : $0.00 Records MT'ia
YY
Building Overtime PC Fee
$0.00
Planning Counter Review: $0.00 ®.d
i�
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 :
$448.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $448.00
PROCESSED BY:
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ZONING APPROVAL:
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PLAN CHECKED BY::
FIRE APPROVAL: Y -
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APPROVAL TO ISSUE: -
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OWNER -BUILDER DECLARATION 11
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) 1 have placed next to the applicable item(s)
lection 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
1e 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 L) 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
pply 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),
7 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 legal)
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 AgentDate
.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
effect.
is
icense Class License No Date 10 1 i Contractor Sign
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLYER 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
3s 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
erflormance 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
Date
1e of Agent —rnone u
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.
of
CLARATION REGICR[&G CONSTRUCTION LENDING AGENCY
Irebyaffirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is
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 to enter the above -identified property for inspection purposes.
nature of Prooertv Owner or Authorized AGent JAQ, 11 cp!?f A Print Property Owner's or Authorized Agenl
(Section 3097, Civil
ACT70N DATE - BY - uts.uitwtltnr cir wmrusvvC.r=rrrrn wuc yr ry .r we.ircr
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PERMIT EINAL eoia PROPOSED DEMOLITION. %— .•• .•. •'• :'' : .
CERTtE1CATEOF SIGNATURE, • • • • • : : :' : •
OCCUPANCYISSUED ••• •. .. ... _
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