HomeMy WebLinkAboutF2021-0113 - Permits�1 City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
'. Permit Counter Phone (949)644-3288
11 e7SPECT9
Job Address: 110 36TH ST NB
Inspector Area:1
Owner:
FROST STUART & CHRISTINA
Address:
2354 E MINTON ST
MESA CA 85213
Phone:
480.577-7611
Applicant:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476-5370
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-BSPR
R3/U
0
0
IIM�FIII II I0 II�� II 0�I�I I�III�I3III II
FIRE Permit: F2021-0113
Project No : 0639-2021
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLER SYSTEM 31 HEADS (X2019-4127)
Legal Description:
N TR 3813 LOT 17
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714.476-5370
Con State Lie: 876004
Lie Expire: 04/30/2022
.Bus Lie:
BT30040107
Lie Exp Date:
0813112021
Worker's Compensation Insurance
Carrier:
SECURITY NATIONAL INS
Policy No:
SWC1325710
Expire:
02/15/2022
3 Issued Date: 03/2412021
0 Setback- Front:
Rear:
N Left:
Right:
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Architect:
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Address:
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Phone:
State Lie:
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Engineer:
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Address:
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Phone:
State Lie:
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Designer:
CASEY MONTY
Address:
1101 KINGSTON DR
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LA HABRA, CA 90631
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Phone:
714-476-5370
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Special Conditions:
FEES
Construction Valuation:
$3,100.00
Building PC Fee :
$217.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$8.00
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:
$263.00
TOTAL FEE :
$488.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$488.00
PROCESSED BY:OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: 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)
3ection 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
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).
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,
lusiness 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
n roved for the p9Lpp.se of sale).
I, as owner o411yegrEperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
iplyto �n 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).
J 1 am exemptfidrp jiCensure under the Contractors' State License Law for the following reason:
ly my �Sipnature b flow 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
!Iblessions Code, is Stailable upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.htmi.
lignsture of PropWy Owner or Authorized Agent Date
1Gfi01SED CO#IRACTOR'S DECLARATION
bggIl;I f affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
DSI p7ect.
ioense, Class _ License No Date a I Ut Contractor Signatu
ffli jERS' U)NIPENSATION DECLARATION
AJ2NINO: FAILURr*TO SEL',URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DRIED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
O§T DF COMPERSWIDNoDAMAGES 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 III
e ormance 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' compensatior
Is nce carrier and policy number are:
Policy Number
Date
is of Agent vnone P
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
e suuy' lect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pprovisions.
iature of Applicant) l( G�� _ Datg)Y 3111 1 7 1
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued XSection 3097, Civil Code)
ender's Name Lender's Address
y my signature below, I certify to each of the following:
1 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 coun ordinances and state laws relating to building construction.
I authorize representatives of this city or cou t enter th^e above -identified property for inspection purposes. 1,
ionature of Propertv Owner or Authorized Agent v Print Property Owner's or Authorized Agent's Name F 1.,V r r c•
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TiTLE40 AND
AQMD RULE 9403.
PERMIT EXPIRED
0 I SUBUTTEDASBESTOS M1YJRFICATION TO:.
0 EPA
0 AQMD
PERMIT CANCELLED
PERMITEXTENDED
0 ASBESTOS NORFICATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSU€D