HomeMy WebLinkAboutF2019-0496 - Permits� wnr�d City of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111111111 Jill
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 4 9 6
r`.. Permit Counter Phone (949)644-3288
cY
Job Address: 410 IRIS AVE NB
Inspector Area: 5
Owner:
TRIMAR PROPERTIES LLC
Address:
2015 SHIPWAY LN
Phone:
NEWPORT BEACH CA 92660
Phone:
Occupancy Group:
Applicant: CASEY MONTY
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714-476-5370
FEES
Code Edit: 2016
Phone:
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:
X
Bldg Sprinklers:
Y
FIRE Permit: F2019-0496
Project No : 1917-2019
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (38 HEADS (X2018-2047)
Legal Description: CORONA DEL MAR BILK 336 LOT 12
Contractor: FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
FEES
LA HABRA CA 90631
Phone:
714-476-5370
Con State Lic:
876004
Lic Expire:
04130/2020
Bus Lic:
BT30040107
Lic Exp Date:
07/3112020
Worker's Compensation Insurance
Carrier: NORGUARD INS CO
Policy No: MOWC002750
Expire: 02/15/2020
Issued Date: 08/29/2019
Setback- Front:
Rear:
Left:
Right:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
State Lic:
State Lic
CASEY MONTY
1101 KINGSTON DR
LA HABRA CA 90631
714-476.5370
Records Management
$448.00 Fee Due at Permit Issuance
OTHER DBPAeRNWNT: v°m ®°• m°° _°c
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PLAN CHEt�kEDLiY::
APPROVAL TO ISSUE:
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PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECCIOt.
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$6.00
$0.00
$0.00
$0.00
FEES
Construction Valuation:
$3,000.00
Building PC Fee :
$202.00
Fire Residential Alarm PC Fee
Building Overtime PC Fee:
$0.00
Planning Counter Review:
Building Extention Fee :
$0.00
Planning Zoning PC Fee
Building Investigation Fee :
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee:
Fire Permit Fee:
$0.00
Public Works Traffic Plan Check Fee;
Building Permit Fee :
$240.00
TOTAL FEE :
$448.00
Plan Check Fee
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
State Lic:
State Lic
CASEY MONTY
1101 KINGSTON DR
LA HABRA CA 90631
714-476.5370
Records Management
$448.00 Fee Due at Permit Issuance
OTHER DBPAeRNWNT: v°m ®°• m°° _°c
0 0 • m m o o ° n
o m o c c mm o m m m
PLAN CHEt�kEDLiY::
APPROVAL TO ISSUE:
mmm . • o•• em -
° • o ••° o 0 o c e
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECCIOt.
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••• o• om o o °°° oo°
$6.00
$0.00
$0.00
$0.00
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).
❑ 1, 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
im 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, I cannot legall)
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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I 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 m Ife nse is in full force
and effect.
License Class License No Date)�`Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL S 100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 th
performance of the work far which this permit is issued. Policy No.
I have and will rjffMKn 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' compensatioi
insurance carrier apolic number are: (�
--.__ A //1Exoiration Date _
is of Agent
certify that, in the'p,
if I should become
iature of Applicant _
of the work for which thts 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
heers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi 'ons.
--..__ n�fe Z�
hereby affirm under penalty of perjury that there is a constructs n nding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
enders Name Lender's Address
y 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 yfTar theidentified property for inspection purposes.
..f o.,.. 4e , n,.—, Prooertv Owners or Authorized Agent's Name
ACT70N DATE
KPiRED • ' '
nnrrFirFn
PERMIT FINAL ($ • • e
CERTIFICATE OF
OCCUUPANCVt55UED •_:
BY �-
• • ••; ''FL REGULATIONS PART 61 OFTITLE40AND
• -AQMD RULE 1403.
• " x] I SUBMITTED ASBESTOS NOTIFICATION TOr
••• • • ❑ EPA
❑ AQMD
❑ ASBESTOS M017FICA71ONIS NOT APPLICABLE TO
• '; PROPOSED DEMOLITION.
'• '. : SIGNATURE.
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