The URL can be used to link to this page

Home My WebLink AboutF2019-0520 - Permits (2)vr, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 5 2 0 Permit Counter Phone (949)644-3288 Job Address: 1703 PLAZA DEL SUR NB Inspector Area: 1 Owner: DI TOLLE JODI Address: 1703 PLAZA DEL SUR NEWPORT BEACH CA 92660 Phone: Applicant: CRAIG FIREIZACK Address: 123 E CENTRAL AVE Con State Lic: MONROVIA CA 91016 Phone: 626-357.4045 Code Edit, 2016 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: VB R3/U 0 0 FIRE Permit: F2019-0520 Project No : 2046-2019 Inspection Requests Phone (949)644-3255 Description: SFR - FIRE SPRINKLERIRES ADD (X2018-3778}`34.HEADS 2046-2019 Legal Description: N TR 518 BLK K LOT 31 Contractor: CRAIG FIRE PREVENTION INC Architect: Address: 123 E CENTRAL AVE Address: 2 Issued Date: 09113/2019 0 Setback- Front: Rear: y Left: Right: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: CRAIG DALE Address: 123 E CENTRAL AVE MONROVIA CA 91016 Phone: 626.357-4045 Special Conditions (� .8/5/21 revise�,ai #9f heads ; SIP MONROVIA CA 91016 Phone: 626-3574045 Con State Lic: 1037827 Lic Expire: 04/30/2022 Bus Lic: BT30048335 Lic Exp Date: 0813012021 Worker's Compensation Insurance Carrier: AMERICAN FAMILY HOME Policy No: 2EA5WC000051802 Expire: 0211112022 2 Issued Date: 09113/2019 0 Setback- Front: Rear: y Left: Right: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: CRAIG DALE Address: 123 E CENTRAL AVE MONROVIA CA 91016 Phone: 626.357-4045 Special Conditions (� .8/5/21 revise�,ai #9f heads ; SIP "PROCESSED 'BY: _ FIRE APPROVAL: a a 0 0 c o < g oco OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $5,000.00 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 Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $240.00 TOTAL FEE : $446.00 Plan Check Fee: $446.00 Fee Due at Permit Issuance : $0.00 "PROCESSED 'BY: _ FIRE APPROVAL: a a 0 0 c o < g oco OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION IWNER-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) lection 7031.5, Business and Professions Cade: 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 IS 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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). 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 Iegallt 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.htmi. signature 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 Professions Code, and my license is in full force nd effect. icense Class License No Date Contractor Signature CORKERS' 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: 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 th erformance of the work for which this permit is issued. Policy No. ]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' compensatiol Isurance carrier and policy number are: Policy Number Date to of Agent rnone » 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. nature of Applicant 1eLO CLARATION REGARDING CONSTRUCTION LENDING AGENCY >reby affirm under penalty of perjury 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 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 ProDertv Owner or Authorized Aqent Print Property Owners or Authorized Agent's Name ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL OCCUPANCYISSUED BY ULLLAI I i VIV Ur bVIVIruFVvlc en ry l bvvl VA FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. ❑ i SUBMTTTEDASBESTOS NOOFICATION' TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N07IRCA770M IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE 9 •` •� o