HomeMy WebLinkAboutf2021-0141 - Permitso City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
@'dxLP9'rWga�
Job Address: 1801 PORT WHEELER PL NB
Inspector Area: 4
Owner: ROGERS HERBERT L
Address: 1801 PORT WHEELER PL
NEWPORT BEACH, CA 92660
Phone:
Applicant:
CASEY MONTY
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-B-SPR
R31U
0
0
II�FI0II�II�� 0IIII41 II
FIRE Permit: F2021-0141
Project No : 0812-2021
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (X2020-1665) 37 HEADS
Legal Description: N TR 7029 LOT 71
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:
08/31/2021
Worker's Compensation
Insurance
Carrier:
SECURITY NATIONAL INS
Policy No:
SWC1325710
Expire:
02/15/2022
2 Issued Date: 05111/2021
0 Setback- Front:
Rear:
Y Left:
Right:
s
Architect:
Address:
awo•
Phone:
State Lie:
Engineer:
•• ®`:
Address:
e
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lie:
CASEY MONTY
1101 KINGSTON DR
LA HABRA CA 90631
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FEES
Construction Valuation:
$3,700.00
Building PC Fee:
$217.00
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
$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 :
$263.00
TOTAL FEE :
$486.00
Plan Check Fee :
$217.00 Fee Due at Permit Issuance :
$269.00
PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
FIRE APPROVAL:
^
APPROVAL TO ISSUE: i
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
INER-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 check'mark(s) I have placed next to the applicable item(s)
action 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 t: '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
ifessions 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
ainess 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
fly 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:
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 lega%
a structure fharrhaye 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
ifessWns Coda,lS Available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
tIAtSj� of PrQpe tyOwner or Authorized Agent Date
:EASED CO
NWCTOR'S DECLARATION
!rebyaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comme Icing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
t effect. �
endh6Class ...... License No Dat Con*or Signature
)kkERS' CQMPFNSATION DECLARATION /
WING FAILURE*r5 F(:JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER 0 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
rPOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
! ebt affirm under penalty of perjury one of the following declarations:
�I have and"wWorr jntain 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 thl
fdlonce of the work for which this permit is issued. Policy No.
eve and w9l'maiptain 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
trance carrier and policy number are:
Policy Number
of Agent
Date
:ertify 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 sheu-116BLIKime subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
)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 represent this city or county to tt the above -identified property for inspection purposes.
nature of Property Ow uthorized Agent Print Property Owner's o(ALIMorized Agent's Name fl^ �.%... C",
ACDON
DATE
BY
DECLARATION OF COMPLIANCE MT1169DEOF
FOR OFFICEf
FEDERAL REGULATIONSPART 6f OFTITLE40AND
AQMD RULE 1403
PERMITEXPIRED
❑ T SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
[3 ASBESTOS
PROPOSED DEMOLI.TIID/VDONISNOTAPPLICABL€TO
PERA41TFINAL
20- ZZ
cS
CER77FICATEOF
SIGNATURE:
OCCUPANCyISSUED
w/•�� City of Newport Beach - Building Division
a� � 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 1801 PORT WHEELER PL NB
Inspector Area: 4
Owner:
ROGERS HERBERT L
Address:
1801 PORT WHEELER PL
NEWPORT BEACH, CA 92660
Phone:
Applicant:
CASEY MONTY
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476-5370
Code Edit: 2019
Type of Construction:
V-B-SPR
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
0
Flood Zone:
Bldg Sprinklers:
Y
IIIFII� III0I0�IIIIIII4III1 II
FIRE Permit: F2021-0141
Project No : 0812-2021
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (X2020-1665) 42 HEADS
Legal Description: N TR 7029 LOT 71
Contractor: FIREPROOF FIRE PROTECTION
Architect:
Address: 1101 KINGSTON DR
Address:
LA HABRA CA 90631
Phone: 714-476-5370
Phone:
State Lic:
Con State Lic: 876004
Engineer:
Lic Expire: 04130/2022
Address:
Bus Lic: BT30040107
Lic Exp Date: 08/3112021
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
CASEY MONTY
Carrier: SECURITY NATIONAL INS
Address:
1101 KINGSTON DR
Policy No: SWC1325710
LA HABRA CA 90631
Expire: 02115/2022
Phone:
Issued Date: 05/11/2021
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
Construction Valuation:
$3,700.00
Building PC Fee :
$217.00
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
$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 :
$263.00
TOTAL FEE :
$486.00
Plan Check Fee:
$486.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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)
(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 trN applieant 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).
❑ 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,
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
improved 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 my license 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 DOLLARS ($100,000), 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:
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
performance 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'
rance carrier and policy number are:
Policy Number
Date
ie of Agent rnone S
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 uace
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).
)der'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.
Inature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION
HATE
BY
DECLARATION OF COMPLIANCE t4ATH CODE OF
FOR OFFICE USE ONLY
FEDERAL RE6ULATIONSPART 61 OF TITLE 40AND
AQMD RULE 1403.
❑/SUBMtTTEDASBESTOSNOTIFICATIONTO:
❑ EPA
❑ AQMD
PERMIT EXPIRED
PERMIT CANCELLED
P€RMITEXT€HOED
❑ ASBESTOS N07IRCA77ON IS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
PERMIT FINAL
CER77FICATEOF
SIGNATURE:
OCCUPANCYISSUED
H �C2q)<g�a9W� PpNR�P S CmofeebortB Beach
II II I I II I II I II III I III I II COMB Permit : F2021-0141
100 Civic Center Drive, Newport Beach, CA 92660@nmuDevelopment partmnt-Building Divisionp0Permit Counter Phone: (949) 644-3288 Plan Check NO: 0812-2021
Inspection Requests Phone: (949) 644-3255 Issued Date : O0
21
newportbeachca.gov/inspections Inspection Area : 4
Combination Type -
Work Class - New
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1801 PORT WHEELER PL Legal Dese : N TR 7029 BLK LOT 71Descri
SFR FIRE (X2020-1665) 42 HEADS
:HERBERT
INSPEV�®q
OwnerPtion
ROGERSKLERS
Contractor_ ; FIREPROOF FIRE PROTECTION
Architect :
p^-
Address : 1801 PORT WHEELER PL NEWPORT BEACH, Address : 1101 KINGSTON DR LA HABRA, CA
Address
CA 90631'`
Phone: Phone : (714) 476-5370
Phone
.Con State tic : 876004
State Lie :
Applicant : FIREPROOF FIRE PROTECTION Lie Expire.: 04/30/2024
"
��������
Address : 1101 KINGSTON DR LA HABRA, CA 90631 > Bus Lie: BT30040107
Engineer
,
Phone: (714) 476-5370 Bus Lic. Expire: 07/31/2023
Address
Workers' Compensation Insurance
Phone:
Owner/Builder: " Carrier •' SECURITY NATIONAL INSURANCE
`COMPANY
Address :
" Policy No: SWC1373758
Designer
Phone: -:::
W. C. Expire: 2/15/2023
= Address
Phone
Code Edition :
Fire Sprinklers : NO
Construction Valuation
Type of Construction :
Fire Hazard Zone ;, No
Added/Newrrl sq. ft. Bldg
Occupancy Groups :
No of Units : . 1 11
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
Added/New sq. ft. Garage:
Building Setbacks : Front: 22, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone: PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
!by affirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe resson(s)-indicated below by the
7031:5, Business and Professions Code: Any city or county that requires a permit: to construct, alter. Improve, demolish, or repair an
It to fife a signed statement thane or she is licensed pursuant to the provisions of the Contractors` State License Law (Chapter 9 (CA
Ins Code) or that he or she is exempt from licensure and the basis tar the alleged exemption. Any violation of Section 7031,5 by any
to
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or f_,) portions of the work, and the structure is not intended or offered for sale (Section 7044,
ainess 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
movements are not Intended or offered for sale. If, however,: the building or improvement Issoldwithin one year of Completion,. the Owner -Budder will have the burden of proving that it was not builtor
moved for the purpose of sale)..
1, 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).
I am exempt from licensure under the Contractors'. Slate License Law loathe follmAng reason: _.
my signature below I acknowledge that, except for 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 lec
I 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 ofthe applicable law, Section 7044 of the Business and
4esslons Code, is available upon request when (his application is submitted or at the following Web site:http:llwww,leginto.ca.govlcalaw.html.
nah�re. of Pmrartv Ohv .r,nr hoihnrilM Anent. Date
to under penalty
License Class_
COMPEN5ATtQN DECLARATION
under provisions of Chapter 9'(commencing with Section 7000) of Division of the. Business and Professions Code, and my license is in full force
License No Date Contractor Signature
CRMNAL PENALTIES AND CIVIL FINES VP TO -ONE NONDREDTHODSAND DOLLARS t1,100,0001, 01 ADDnION TO THE
OF
raby affirm under ¢enetty �f perjury one of the following declarations.
I have andwilt meintain a certificate at consent to self=insure for workers' compensation,
formance of the work for which this permit is issued.. Polioy 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'
trance carrier and policy number are:
Tier. Policy Number Expiration Date
Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
ify that in the performance of the work for which this permit is issued, I shall not employ any parson in anymanner so. as. to become subject to the workers' compensation laws of California, and
should become: subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseprovisions.
under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,. Civil Code):.
I am the property owner or authorized to act on theproperty owner's behalf.
I have read this application and the, information: Ihave 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 orcounty to enterthe alcove -identified.: property forinspection purposes.
By
PERMIT PIVAL
OF
All required alarms, latches gates and fences which serve as part of a poo,llspa barrier, shall
be in place prior to approval to fillpool/spa &-shall remain in place & be maintained for the
APPLICABLE To life of the pool