HomeMy WebLinkAboutF2022-0024 - Permitswrr City of Newport Beach - Building Division
�7% ! 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 6121RIS AVE NB
Inspector Area: 6
Owner:
IRCJ HOLDINGS LLC
Address:
2355 WESTWOOD BLVD #628
LA CA 90064
Phone:
Applicant:
DALE CRAIG
Address:
123 E CENTRAL AV
MONROVIA CA 91016
Phone:
626-712-8862
Code Edit : 2019
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
V-B-SPR
R3/U
0
0
*F2022--0024*
E INSPECTOR
FIRE Permit: F2022-0024
Project No: 0135-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (X2021-2174) 30 HEADS
Legal Description:
CORONA DEL MAR BLK 636 LOT 14
Contractor:
CRAIG FIRE PREVENTION INC
Address:
123 E CENTRAL AVE
MONROVIA CA 91016
Phone:
626-357-4045
Con State Lic:
1037827
Lic Expire:
04/30/2022
Bus Lic:
BT30048335
Lic Exp Date:
08/3012022
Worker's Compensation Insurance
Carrier:
AMERICAN FAMILY HOME
Policy No:
2EA5WC900091800
Expire:
02/11/2022
2 Issued Date: 01/2612022
0 Setback- Front:
X Rear:
Y Left:
Right:
Architect:
Address:
... •
•
•
Phone:
State Lic:
Engineer:
Address:
•
. .
DA °
G° 0
Phone:
State Lic:
6 �,°
• i
. • •
Designer:
DALE CRAIG
• . .
Address:
123 E CENTRAL AV
®®.°9
MONROVIA CA 91016
•
Phone:
°• +
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Special Conditions:
FEES
Construction Valuation:
$4,100.00
Building PC Fee,
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$2.00
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 :
$493.00
Plan Check Fee :
$222.00 Fee Due at Permit Issuance :
$271.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
INER-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)
fiction 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
Ifessions 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).
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,
;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
fly 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signatut€6olowr 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 legall
a structure ttl9t )•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
)(lions Cone, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi.
nature of Ptoperiy owner or Authorized Agent Date
E%SED COWTRACTOR'S DECLARATION j
:Faby affirm upder.Wnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)iof Division 3 of the Business and Professions Code, and my license is in full force
f effect. • • 1 1Ky
%%Class •• • License No Date tZu ZZ' Contractor Signatu
••••
dB'RERS' OOtU•P.ffNSATION DECLARATION
We FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
;T OF COMPENSAIION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES.
webybyrffirtn ugrldeFbdnalty of perjury one of the following declarations: ..
1yjwe and well 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 the
f�r,NyMce of the vt'trkfor 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' compensatior
Bra cce carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of the work forwhich 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
it, if I should become sybjActrto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant x! A J� Date ) t Zr-
�ZZ
CLARATION REGA IN STRUCTION LENDING AGENCY
:reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issu RP tion 3097, Civil Code).
Ider's Name Lender's Address
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(
ounty rdinances and state laws relating to building construction.
I authorize representatives of this city or'0unt�to jd,'�a/ r the aby-i ntified property for inspection purposes.
nature of Property Owner or Authorized Agent V `�A(AV Print Property Owners or Authorized Agent's Name (Pet 1/J a 1�
ACTION
DATE
V BY
DECLARATION OF COMPLIANCE WITH CODE OF
'- FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40AND
AQMO RULE 1407
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NONFICAAONISNOTAPPLICABLETO
PROPOSED DEMOLITION.
PERMITCANCELLED
PERMIT.EXTENDED
PERMITFINAL
4-20
IL-._
CERThRCATEOF
SIGNATURE
OCCUPANCYISSUED