HomeMy WebLinkAboutF2020-0035 - Permits (2)0waD City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2020-0035
Off' r 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 3 5 Project NO : 0146-2020
H `s.. Permit Counter Phone (949)644-3288
�'�iyen¢��^ Inspection Requests Phone (949)644-3255
Job Address: 10B PEARL AVE NB
Description: SFR - FIRE SPRINKLERSINEW SFR 33 HEADS (X2019-3202)
0146.2020
$3,300.00
PROCESSED BY:
Inspector Area: 2
Legal Description:
BALBOA ISLAND RESUB SEC 1 BLK 7 LOT 30
CONSTRUCTION
Owner: LISSOY SCOTT
Contractor:
ACT FIRST FIRE PROTECTION INC
Architect:
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STRUCTION NOISE
V
Address: 108 PEARL AVE
Address:
1325 N RED GUM STREET #10
Address:
Building Extention Fee :
NEWPORT BEACH, CA 92662
Planning Zoning PC Fee :
ANAHEIM CA 92806
Building Investigation Fee:
Phone: 949-224-1970
Phone:
714-630-3916
Phone:
State Lic:
Applicant: SCHROEDER ANTON
Con State Lic:
830883
Engineer:
py
4,,,ON SATURDAYS
Address: 1325 N RED GUM ST #10
Lic Expire:
03/31/2020
Address:
ANAHEIM CA 92806
Bus Lic:
BT30014493
fY 4
TOTAL FEE :
Phone: 714-630.3916
Lic Exp Date:
11/30/2020
Phone:
State Lic:
Code Edit: 2016
Worker's Compensation Insurance
Designer:
SCHROEDER ANTON
Type of Construction: V -B -SPR
Carrier:
SECURITY NATIONAL
Address:
1325 N RED GUM ST STE 10
Occupancy Group: R31U
Policy No:
SWC1231724
ANAHEIM CA 92806
Added /New sq.ft. Bldg: 0
Expire:
0311212020
Phone:
714.630-3916 r
Added/New sq. ft. Garage: 0
No of Stories: 2
Issued Date: 01/23/2020
Special Conditions:
No of Units : 0
Setback- Front:
Flood Zone:
Rear:
INSpEC-
Bldg Sprinklers: Y
Left:
9
Right:
®—
FEES
Construction Valuation:
$3,300.00
PROCESSED BY:
OTHER DEPARTMENT:
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
m 4$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
fY 4
TOTAL FEE :
$448.00
Plan Check Fee :
$202.00 Fee Due at Permit Issuance :
y 4 4
$246.00
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PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL:
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PLAN CHECKED BY::
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FIRE APPROVAL:
APPROVAL TO ISSUE:
4.44
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTiUtn
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INER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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)
ction 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
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
fessions 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
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,
iness 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
rovements 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
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
ly 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).
LJ I 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
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
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 1-7
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 Profess[ a Cod and r
and effect.
License Class License No Date l /� I/Z 3/� Contractor SignatLy /
WORKERS' COMPENSATION DECLARATION
rmit, I cannot
Business and
is in full force
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TFfdUSAND 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:
I 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
prmance 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: j
lame of Agent
3I certify that, in the pert rmanc,a of the
tat, if I should become s bject,tb e a
',ignature of Applica�
IECLARATION RE ING CONSTW
hereby affirm under pea Ity of perjury ill
Policy Number
Date
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
, mnansation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,
TION LENDING AGENCY v I I `
there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
• I aro the property ovfner or authorized to act on the propert Yt1owner) behalf.
1`4gv2 read this -application and the information I have prey//fded is,' rrect.
, I agree to cortp1twith all applicable city and county ordi Snces an state la
T gythorize representatives of this city or county)to e[n!p(f"bore-I entifiec
to building construction.
)(inspection purposes.
F=LLre Ot Fro arty owner or Authorized Age / F'rint Froperty owners or Autnonzea Agem a Nr
AC77QrV DATE BY DECLARATION OF COMPLIANCE149TN CODE OF
+••• . •.• •.. • , FEDERAL REGULATIONSPART61OFT17LE40AND
�-J•AQMD RULE 1403.
PERM TEXPN. • • • •+ [3 ]SUBMITTED ASBESTOS NOTIFICATION TO:
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PERMITEXTENSEBP ❑ AQMD
❑ ASBESTOS U077RCAIIONIS NOT APPLICABLE TO
PERMITFINAL ... + PROPOSED DEMOLITION.
CERPRCATEOP • •• : ,� SIGNATURE:
OCCtPANCYISSUED • • • • i
Date
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