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HomeMy WebLinkAboutF2022-0321 - Permitshtr City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 +t;rg�su Job Address: 476 MORNING CANYON RD NB Inspector Area: fifft Owner: CHARLES CORY Address: 476 MORNING CANYON RD NEWPORT BEACH, CA 92625 Phone: Applicant: MOSS NICHOLAS Address: 1590 S LEWIS ST ANAHEIM, CA 92805 Phone: 714-300-8639 Code Edit: 2019 Type of Construction:. V-BSPR Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 3 Flood Zone: X Bldg Sprinklers: Y *F2022-0321* FIRE Permit: F2022-0321 Project No : 1613-2022 Inspection Requests Phone (949)644-3255 Description: MFR FIRE ALARM: (N)'FS MONITORING SYSTEM (3) DEVICES. Legal Description: N TR 2758 LOT 14 Contractor: BAY ALARM CO Address: 5130 COMMERICAL CIRCLE CONCORD CA 94520 Phone: 925-808-4305 Con State Lic: 880138 Lic Expire: 06/3012024 Bus Lic: BT02120456 Lic Exp Date:. 10/31/2022 Worker's Compensation Insurance Carrier: NATL UNION INS Policy No: 012016091 Expire: 03/01/2023 Issued Date: 06/27/2022 Setback- Front: 5' SEAWARD Rear: 6 Left: 6 Right: 12' MORNING CANY • ° Architect: •aoo ° Address: oaoo ® • • �cocae Phone: State Lic: a o , ° • ° v Engineer: Address: «, • Phone: State Lic: as"a• Designer: BAY ALARM COMPANY aaa .a Address: 1590 S. LEWIS ST ° ANAHEIM, CA 92805 ° . a v ° ° ° -'• Phone: 714-300-8639 a `.,,° "°'• Special Conditions: UNIT 476;478; & 480 FEES Construction Valuation: $3,000.00 Building PC Fee : $222.00 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 Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $269.00 TOTAL FEE : $499.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $499.00 PROCESSED BY: I:J ZONING APPROVAL: •''� % FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION DWNER-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) (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 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 L) 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 ownec®fiproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 N 9ttfexempt iremNicensure under the Contractors' State License Law for the following reason: By my srgnaturs, below T 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 legal W11,a Auucture thaLI 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 Prof25gions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property CLner or Authorized Agent Date btim§ED CoVrRACTOR'S DECLARATION I,he:eby affirm SncW? 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 __1 .... License No Date Contractor Signature VClRVfRS' QONIFPfISATION DECLARATION 'ARAV FAILURE TC SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CST OFvOMPEN%TION, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Mre6y affirm drldgP 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. 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' ranee carrier and policy number are: Policy Number of Agent Date .1I 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 iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date IECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 (Section 3097, Civil Code). Ender's Name Lender's Address sy 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 t enter the above -identified property for inspection purposes. �( signature of Property Owner or Authorized Agent,\ Print Property Owner's or Authorized Agent's Name 1 � Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMD RULE 9403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO.' El EPA El AQMD PERMIT CAPICELLED PERMITEXTENDED ASBESTOS P❑ROPOSEDDEMOIITION.DON JS NOT APPLJCABd_E TO PERMIT FINAL .r a CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED