The URL can be used to link to this page

Home My WebLink AboutF2019-0274 - Permitsna City of Newport Beach - Building Division IIIIIIIIIIIIIIIilllllllllllllllllllll FIRE Permit: F2019-0274 100 Civic Center Drive, Newport Beach CA 92660 F 2 e 1 9 9 2 7 4 Project. No : 1055-2019 Permit Counter Phone(949)644-3288 - Inspection Requests Phone (949)644-3255 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: TOTALFEE: `$5,100.00 $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 $240.00 $446.00 h , Fire Residential Alarm PC Fee: $0.00 Records Management: Job Address: 37 BURNING TREE RD NB Planning Counter Review: Description: SFR FIRE SPRINKLERS 51 HEADS (X2017-4042) Inspector Area: 4 - Legal Description: N TR 7638 LOT 56 Owner. CANNERY SAILHOUSE LP Contractor: FIREPROOF FIRE PROTECTION Architect: Public Works Traffic Plan Check Fee; Address: 37 BURNING TREE RD Address: 1101 KINGSTON DR Address: • m.. NEWPORT BEACH, CA 92660 LA HABRACA 90631 0 ' Phone: Phone: .714-476-5370 Phone: m Applicant: CASEY DENISE Con State Lie: 876004 Engineer: Address: 1101 KINGSTON DR : Lie Expire: 04/30/2020 Address: LA HABRA, CA 90631 Bus Lie: BT30040107 o 0 0 0 a m o Phone: 714-476-5370:.. Lie. Exp Date: 0813112019 Phone:, o mo Code Edit: 2016 - Worker's Compensation Insurance Designer: CAST Type of Construction: V -B -SPR Carrier: NORGUARD INS CO Address: 1101 Occupancy Group: R31U Policy No: MOWC002750 m. m LA H Added /New sq.ft. Bldg: 0 Expire: 02/15/2020. Phone: 714- " Added /New sq. ft.. Garage: 0 cm000 0 00 No of Stories: 2 Issued Date: 0 510 91201 9 Special Conditions: 0000 No of Units :.. 0 ' Setback- Front: Flood Zone: Rear:.. Bldg Sprinklers: N Left: Right: 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: TOTALFEE: `$5,100.00 $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 $240.00 $446.00 h , Fire Residential Alarm PC Fee: $0.00 Records Management: $4.00 Planning Counter Review: $0.00 Planning Zoning PC Fee : $0.00 $0.00 Public Works PC Fee : $0.00 o�om Public Works Traffic Plan Check Fee; $0.00 e m ' State Lie: • m.. •...mo • o 0 0 o o • m • . e o m• n momo c o 0 0 State LIC: o 0 0 0 a m o ov o o mo ONTY eomo m 'STON DR om000 %, CA 90631 o 000000 m. m 370 00000m cm000 0 00 0 0 0 0 0 0 0000 opoo FEES Fire Residential Alarm PC Fee: $0.00 Records Management: $4.00 Planning Counter Review: $0.00 Planning Zoning PC Fee : $0.00 $0.00 Public Works PC Fee : $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $446.00 PROCESSED BY: > OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: 6 APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -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 apermit 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 (_) 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 Lyp licensure under the Contractors' State License Law for the following reason: By my signature below l 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 legaill cell a stwcture thtf I'llave 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 .ib?d§SJJns CogQJs 9Vilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Sature of Property -Owner or Authorized Agent Date Its EASED CONTRACTOR'S DECLARATION 'herelry affirm undaii penalty of perjury that I am licensed under provisions of Chapter 9 (commencingATO tion 7000) of Division 3 of the Business and ofessions Code, and my lice as is in full force 3rfd.efl2Gt. ' _icernse Class License No DatContractor Signature NVRRj„RS' 106 9P NSATION DECLARATION CQfiNRJG: FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOIMINAL PENALTIES AND CIVIL FINES UP TOO HUNDRED THOUSAND DOLLARS ( 0,0 01, IN ADDITION TO THE iQr.T"OOMPENSAT ON, DAMAGES A5 PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN 'he'reby affirm i4lep p$nalty of perjury one of the following declarations: I the and v✓11L 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 th, lefteviance offhe work for which this permit is issued. Policy No. K�I 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' compensatior s nce carrier and policy number are: ne of Agent _ certify that, in the pi , if I should become nature of Applicant Policy Number tion Date Ice of the work for which this permit is issued, I shall not employ any person in any manner so as to become sr to the workers' compen5ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those CLARATION REG}IRDING CONSTRUCTIODING AGENCY areby affirm underbenalty of perjury that there Is 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and co my ordinances and state,11aws relating to building construction. I authorize representatives of this city or count`e�ar�Iter the ab_ed property for inspection purposes. nature of Property. Owner or Authorized Agent `s ove-iden' lPrint Property Owner's or Authorized Agenl the workers' compensation laws of California, and (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE IMTN CODE OF FOR OFFICE USED Y FEDERAL REGULATIONSPART6I OFTITLE40AND AQMORULE1403. PERMITEXPIR€D IJ I SUBUTFEDASBESTOS NO7lF1CATION TO: ❑ EPA ❑ AQMD PERMfT CA WELLED PERMIT EXTENDED ❑ ASBESTOS M07IRCA770NIS NOT APPLICABLE TO PROPOSED DEMOLITION.. SIGNATURE: PERMITFINAL CERTIFICATEOF tet, /�Zt� OCCUPANCYISSUED q I.7�f'