HomeMy WebLinkAboutF2020-0012 - PermitsCity of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660
t, & Permit Counter Phone (949)644-3288
n'�craviu�"�
Job Address: 2501 BUNYA ST NB
Inspector Area: 8
Owner: TARKESHIAN KOMRON
Address: 2501 BUNYA ST
NEWPORT BEACH, CA 92660
Phone:
Applicant:
VO JOHN
Address:
526 N SHADYDALE AV
Address:
WEST COVINA CA 91790
Phone:
714-310-0194
Code Edit: 2019
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 -B -SPR
R3/U
0
0
FIRE Permit: F2020-0012
Project No: 0064-2020
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS ADDIREM 27 HEADS (X2018-2985)
Legal Description:
N TR 4893 LOT 69
Contractor:
FIREGUARD SPRINKLER SYS INC
Address:
9543 VICTORIA AVE
$6,000.00
SOUTH GATE CA 90280
Phone:
714.310.0194
Con State Lic:
992002
Lic Expire:
0413012020
Bus Lic:
BT30046886
Lic Exp Date:
05/31/2020
Worker's Compensation
Insurance
Carrier:
FALLS LAKE FIRE & CASUALTY
Policy No:
FLA0080008
Expire:
1212912020
1 Issued Date: 01109/2020
0 Setback- Front:
X Rear:
Y Left:
Right:
Architect:
Address:
Phone: State Lic:
Engineer:
Address:
Phone: _ State Lic
Designer: VO JOHN
Address: 526 N SHADYDALE AV
WEST COVINA CA 91790
Phone: 714.310-0194
Special Conditions:
p c"T0
PROCESSED BY: J
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY:
APPROVAL TO ISSUE:
3oe .co 4 coe
_tis o o �m
A t GYD 0 O GO 4 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
ec coo 4 ® c oea
c s
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a94 400 � C 6G GO 90M
FEES
Construction Valuation:
$6,000.00
-
Building PC Fee:
$202.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$4.00
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 as :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$240.00
TOTAL FEE :
$446.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance:
$446.00
PROCESSED BY: J
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY:
APPROVAL TO ISSUE:
3oe .co 4 coe
_tis o o �m
A t GYD 0 O GO 4 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
ec coo 4 ® c oea
c s
c v
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a94 400 � C 6G GO 90M
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) indicated below by the checkmark(s) I have placed next to the applicable item(s)
iection 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).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
'usiness 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
nproved 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).
1 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.
ignature 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 Pro essi s Code, and my license is in full force
nd effect. /7
icense Class License No Date V Contractor Signatur
YORKERS' COMPENSATION DECLARATION
ARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
Drmance 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' compensa
rance carrier and policy number are: _
ne of Agent
certify that, in the pf
. if I should become
re of
Policy Number
Date
the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
worrgr;' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision. )
CLARATION REGARDING�0 STRUCfION LENDING AGENCY '
:reby affirm under penalty o Jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 pro(eabso
e s correct.
I agree to comply with all applicable city and county ordinend state laws relating to building construction.
I authorize representatives of this city or county to enter t e -identified property for inspection purposes.
nature of Pronertv Owner or Authorized ADent / / __ Print Property Owner's or Authorized Agent's Name Y JIM
A[71OA(o•
DATE•.
6
DECLARATION OF COMPLIANCEtMTH CODEOF
FOR OFFICE USE ONLY
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