HomeMy WebLinkAboutF2021-0277 - Permitset: City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIBIIIIIIIIIIIIIII II
.�.$ 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone(949)644-3288
�''{1YPrR'f`c
Job Address: 200 ORCHID AVE NB
Inspector Area: 5
FT(AND NLY 61
Owner: A TINY SPECK LLC
Address: 832 EUCALYPTUS AVE
HILLSBOROUGH CA 94010
Phone
Applicant:
NATHAN/RESIDENTIAL FIRE SYS
Address:
8085 ECRYSTAL DR
ANAHEIM CA 92807
Phone:
714-666-8450
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:
2
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
Construction Valuation
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:
FIRE APPROVAL:
$9,165.00
FIRE Permit: F2021-0277
Project No: 1494-2021
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (X2020-0568) 53 HEADS
REVISED 11/1512021
Legal Description: RESUB OF CORONA DEL MAR LOT 6 BLK 142 NLY 61 FT NWLY 5
Contractor: RESIDENTIAL FIRE SYSTEMS INC
Address:
8085 E CRYSTAL DR
ANAHEIM CA 92807
Phone:
714-666-8450
Con State Lic:
786965
Lic Expire:
11/30/2022
Bus Lic:
BT30003809
Lic Exp Date:
04/30/2022
Worker's Compensation
Insurance
Carrier:
PACIFIC COMP. INS
Policy No:
REWC019434
Expire:
09/01/2022
Issued Date: 07/0112021
Setback- Front:
Rear:
Left:
Right:
FEES
Architect:
Address:
Phone: State Lic
Engineer:
Address:
Phone:
State Lic:
Designer:
GUTIERREZ RUBI
Address:
8085 E CRYSTAL DR
ANAHEIM CA 92807
Phone:
Special Conditions: REV21-1793
F q 6
0
D3
$222.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$10.00
$0.00
Planning Counter Review:
$0.00
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
$0.00
$0.00
Public Works PC Fee :
$0.00
$0.00
$0.00
Public Works Traffic Plan Check Fee;
$0.00
$269.00
$501.00
Plan Check Fee:
$501.00 Fee Due at Permit Issuance:
$0.00
•o• • ®a`OTNEF&EPARTMENT:
eo 00 0 0 oa
0 0 0 o•e e
PLAN CHECKED BY::
e APPR@WAL oO ISSUE:
�o� a a•
o�0 o o� a a
PERMIT EXPIRES 180 DAYS AFTE:ZISSOANC&OPILAS�PVALID 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, priorto its issuance, also requires the applicant for
to 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).
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,
lusiness 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
nprovements 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
nproved 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
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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 -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
'rofessions 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
.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.
icense Class License No Date 11 l5f n Contractor Signatu
VORKERS' COMPENSATION DECLARATION
IARNING: 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
OST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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 thi
erfotmance of the work for which this permit is issued. Policy No.
'have and wil aintain workers' compensation insur nce, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio
rance cam ind,,policy numb a
-ier i Was
Expiration Date
ie of Agent Phone #
certify that, in the perfonmance of 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 agre
if I should become su6ject
,ttoo the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those {ilxovls—ions.
lature of AODIICanf J ''1�'v'rU _ _ DaC� \ ll 151L 1
DECLARATION REG,{(RDTNG CONSTRUCTION LENDING AGENCY
I hereby affirm unde 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).
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 county a er the ovaidefied property for inspection purposes.
Signature of Property Owner or Authorized Agent _ Print Property Owner's or Authorized Agent's Name � 11j (�`J("t2f('>•Z Da U (S�rz)
ACTION
CAT€
BY
DECLARATION OF COMPLIANCE MTH CODE OF
FOR OFFICE USE ONLY
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PERMITEXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
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PERMIT FINAL
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OCCUPANCYLSSDED
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