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Home My WebLink AboutF2022-0063 - PermitsCity of Newport Beach - Building Division r 3 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 t� na{LrasA•�+�r. �. Job Address: 1115 ESSEX LN NB Inspector Area: 3 Owner: LAUER MATT R ANDREA Address: 1115 ESSEX LN 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: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y 111111111111111111111111 111111111111111111111111 JillFIRE Permit: 0i ,_20 022-0063 Inspection Requests Phone (949)644-3255 Description: FIRE SPRINKLERS (X2021-0112) 30 HEADS *REVISED,02/23/2022 Legal Description: N TR 3000 LOT 43 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Con State Lic: 876004 Lic Expire: 0413012022 Bus Lic: BT30040107 Lic Exp Date: 0713112022 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1325710 Expire: 02/16/2023 Issued Date: 0210912022 Setback- Front: Rear: Left: Right: Architect Address: Phone: State Lic Engineer: Address: Phone: State Lic: Designer: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: Special Conditions: FEES Construction Valuation: $2,600.00 Building PC Fee : $222.00 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 : $269.00 TOTAL FEE : $495.00 Plan Check Fee : $495.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: I ... •.. a• •oo a a • OTWER DERAFaThiENT: • • • a a 00 •e, • • • a ® c o •,® °.. 06ANCH"E%by:: APPROVAL TO ISSUE: ov eca e a a oco 0 0 0 0 0 0 o c 0 0 0 PERMIT EXPIRES 180 DAYS Ae TERJSSUANC%OR t,4STWALID INSPECTION .o ow a . .. oc eo. LDER DECLARATION I hereby affirm under penalty of perjury that 1 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). ❑ 1, 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, 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-Builderwill 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 legally 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.html. 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 (commencin with Section 7000) of Division 3 of the Busined Professions Code, and my license is in full force and effect. Isc / License Class License No Da 1 ; p L Contractor Signa 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: 111 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 thi pert, rmance of the work for which this permit is issued. Policy No. have and will m �tainyorkers' compensa' insurance, as re ired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior Karrlier anca carrier anumber are: lic Numbe Expiration Date Name of Agent ♦ Phone # ❑I 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 a workers' compensation laws of California, and agrei that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision of Applicant V � 13 /1 t DECLARATION REGAIPMGrCONSTRUCTION LENDING AGENCY I hereby affirm under pohalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue ection 3097, Civil Code). Lender's Name Lender's Address By 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 co my to an kre above -identified property for inspection purposes. Signature of Property Owner or Authorized Age ntt -'l'�� Print Property Owner's or Authorized Agent's Nam -� ACTION DATE BY DECLARATION OF£OMPCTANCE MTH CODE OF FOR OFFICE USE ONLY •' :7LtDERDt REP""I T1gfflSP4"6t OFTTTLE40AND AQMD R19LE 1403, PERMIT.EKPMED • • d i SVBUIT1160 AS&ES'17Q6 4017F1CATRINTO:. • ❑ • EPA• • • e ❑ AQMD PERMIT CANCELLED - • PERMIT EYTENDED ASBESTOS NO77FICATfON IS NOT APPLICABLE TO i PR�PfJSER1DFe�gLfJT(1N: s • a • • • i i �i i %IGNoTURI:'eo PERMIT FINAL ♦ CERTIRCATEOF OCCUPANCYISSUED 'o a o00 oa•