HomeMy WebLinkAboutf2020-0254 - PermitsCity of Newport Beach - Building Division II�IIIIIIIIIIII�IIIIIIII�II�IIIIIIII�III�IIII II
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 703 JASMINE AVE NB
Inspector Area: 5
Owner: 703 JASMINE LLC
Address: 703 JASMINE AVE
CORONA DEL MAR, CA 92625
Phone: 949-98"310
Applicant: FIREPROOF FIRE PROTECTION
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714476-5370
Code Edit, 2019 -
Type of Construction: V-BSPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 0
Flood Zone:
Bldg Sprinklers: Y
Construction Valuation: $4,100.00
Building PC Fee:
Building Overtime PC Fee:
Building Extention Fee:
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee:
Building Permit Fee:
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL: Iwo
FIRE APPROVAL:
FIRE Permit: F2020-0254
Project No: 1026-2020
Inspection Requests Phone (949)644-3255
Description: NEW DUPLEX FIRE SPRINKLERS (41 H IMMTRUC` ION NOISE
Legal Description: CORONA DEL MAR BLK 736 LOT 3
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-4765370
Con State Lic:
876004
Lic Expire:
04130/2022
Bus Lic:
BT30040107
Lic Exp Date:
0713112020
Worker's Compensation Insurance
Carrier:
NORGUARD INS CO
Policy No:
MOWC148394
Expire:
02/1512021
Issued Date: 06/30/2020
Setback- Front:
Rear:
Left:
Right:
FEES
$202.00
Fire Residential Alarm PC Fee:
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee
$0.00
$0.00
Public Works PC Fee:
$0.00
Public Works Traffic Plan Check Fee;
$240.00
$446.00 Plan Check Fee :
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
ON SATURDAYS
State Lic:
CASEY MONTY
1101 KINGSTON DR
LA HABRA CA 90631
WISP � a
Records Management
$202.00 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$4.00
$0.00
$0.00
$244.00
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 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).
11, 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,
lusiness and Professions Code: The Contractors' State License Law does not apply t0 an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered forsale. 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
mproved 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).
j I am exempt from ficensure under the Contractors' State License Law for the following reason:
ry 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-bufider ff 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
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:ftwww.leginfo.ca.gov/ca[aw.html.
lignatum 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.
.!cerise Class License No Date ����Contractor Signature
VORKERS' COMPENSATION DECLARATION
rARNING: PAI4URE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CMMMAL PENALTIES AND CML Mrs UP TO ONE HUNDRED THOUSAND DOLLARS (E100,0001, IN ADDITION TO THE'..
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNErS 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
Trance of the work for which this permit is issued. Policy No.
I
ave and will maintain workers' Compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compenss
nice carrier and policy number are:
Number
Date
is of Agent Phone #
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 agree
if 1 should become sub' orkers' compe sation p ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
rature of Appficantx a Date-s/
:I.ARATION REGARDING CIORSTRUCTION LEND1NJtZVCY
reby affirm under penalty of perjury that there is a con n lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
der's Name Lender's Address
Try signature below, 1 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 staterelating to building Construction.
I authorize representatives of this city or county tq-enter SaabpM,iderdified prop for inspection purposes.
Acnan
DATE
BY
COMPLIANCEDECLARA17ON OF
FOROFFICEU E LY
FEDERAL REGUL47IONSPART61 OF777LEWAND
AQMD Rf1LE 1401
PERMIT EXPJRED
❑ ISUBM/1TEI)ASBESTOSMODFICATIONTO:
❑ EPA
❑ AQhfD
-
PERMITCANCELLED
PERMITEUENDED
❑ ASBE4TOSNO77RCA710MISNOTAPPLfCABLETO
PROP40SEDDEMOUTTON.
PERMITANAL
CE477FIGATEOF
OCCUPAM ISSUED
SIGNATURE: