HomeMy WebLinkAboutF2021-0060 - Permitsw City of Newport Beach - Building Division II�IIIIIIIIIIII�IIIIIIIIBIIIpIIIUIIIIIIIIIIII II FIRE Permit: F2021-0060
100 Civic Center Drive, Newport Beach, CA 92660
Project No: 0341-2021
EW ', Permit Counter Phone (949)644-3288
9r" Inspection Requests Phone (949)644-3255
Job Address: 417 EDGEWATER PL NB Description: SFR FIRE SPRINKLERS (28) HEADS (X2019-3493)
Inspector Area: 1
Owner:
HOME SWEET HOME LLC
Address:
21731 VENTURA BLVD #205
WOODLAND HILLS CA 91364
Phone:
Applicant:
VO JOHN
Address:
526 N SHADYDALE AVE
WEST COVINA CA 91790
Phone:
714-310-0194
Code Edit : 2019
Type of Construction:
V-BSPR
Occupancy Group:
R3I1)
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
3
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
Construction Valuation: $6,000.00
Building PC Fee,
Building Overtime PC Fee:
Building Extention Fee :
Building Investigation Fee:
Fire Plan Check Fee:
Fire Permit Fee:
Building Permit Fee:
Legal Description:
Contractor:
FIREGUARD SPRINKLER SYS INC
Address:
7907 LEEDS ST
DOWNEY CA 90242
Phone:
714-310-0194
Con State Lie:
992002
Lie Expire:
04/30/2022
Bus Lie:
BT30046886
_ Lie Exp Date:
04/3012021
Workers Compensation Insurance
Carder:
FALLS LAKE FIRE & CASUALTY
Policy No:
FLA0080008
Expire:
12/29/2021
Issued Date: 02/16/2021
Setback- Front:
Rear:
Left:
Right
FEES
$217.00
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;
$263.00
cc
Architect:
Address:
Phone:
State Lie:
Engineer:
Address:
LU
Phone:
State Lie:
Designer:
VOJOHN
Address:
7907 LEEDS ST
z
DOWNEY CA 90242 -
Phone:
714-310-0194
Special Conditions:
$0.00 Records Management : $4.00
$0.00
$0.00
$0.00
$0.00 $0.00
$0.00
TOTAL FEE : $484.00 Plan Check Fee: $0.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: a o ° o ® PL4N CHECKED BY::
o• o 0 o u o
FIRE APPROVAL : o • o • ° AfPP•ROVWTd istUE:
Fee Due at Permit Issuance : $484.00
PERMIT EXPIRES 180 DAYS W---TERISS&ANL OR CAST-WALID INSPECTION
o e o o e e
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DECLARATION
1 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)
ction 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
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
fessions 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).
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,
iness 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
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).
J I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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 in
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 app
professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business and
nd effect. ff I
ioense Class License No Dat - / b Z ( Contractor Signature
law, Section
and
and my license is in full force
V11
IfORKERS' COMPENSATION DECLARATION C I IN V
ARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTERESr, 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 thl
erformance of the work for which this permit is issued. Policy No.
and will pTafgain 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'
ne of Agent
certify that, in the performance
. if I should become subject to
Date
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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I , I
nature of Applicant I L / 1
CLARATION REGAVDING CONSTPUCTION LENDING AGENCY
Ireby affirm under pelinalty, 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, 1 certify to each of the following:
I am the property owner or authorized to act on the pri
I have read this application and the information I have
I agree to comply with all applicable city and county oI
I authorize representatives of this city or county4Q elpt
nets behalf.
is correct.
and state laws relating to building construction.
we -identified property for inspection purposes.
k11 UJ
ACTION
DATE
By
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 61 OF TITLE40 AND
AQMO RULE 1403
PERMITE74PIRED
:U ISWIVOWAS&STLKNOAFICATIONT0:
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PROPOSED DEMOLITION.
CpG.��I �r�s- a e e e e e
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PERMIT CANCELLED
•
PE'RMfTEXTENOED
•'
PERMIT FINAL
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CERTIFICATE OF
OCCUPANCYlSSUED
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