HomeMy WebLinkAboutF2022-0248 - PermitsCity of Newport Beach - Building Division *F2022-0248* FIRE Permit: F2022-0248
.^- 100 Civic Center Drive, Newport Beach, CA 92660
p Project No : 1244-2022
Permit Counter Phone (949)644-3288
�'^rc tr,iuK' Inspection Requests Phone (949)644-3255
Job Address: 1530 ANITA LN NB Description: SFR FIRE SPRINKLER SYSTEM W/ (29) HEADS. (X2021-3044)
Inspector Area: 3
Owner: DECARRIERJOHN
Address: 1530 ANITA LN
NEWPORT BEACH, CA 92660
Phone:
Applicant: CASEY MONTY
Address: 1101 KINGSTON DR
LA HABARA, CA 90631
Phone: 714-476-5370
Code Edit : 2019
Type of Construction:
V-BSPR
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
Legal Description:
N TR 3800 LOT 28
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476-5370
Con State Lie:
876004
Lie Expire:
04/30/2024
Bus Lie:
BT30040107
Lie Exp Date:
07/31/2022
Worker's Compensation
Insurance
Carrier:
SECURITY NATIONAL INS
Policy No:
SWC1373758
Expire:
02/15/2023
Issued Date: 05/1012022
Setback- Front:
Rear:
Left:
Right:
°°°•
•
a
eao•
Architect:
• ° •
• •
Address:
°J °
i O
•
o 0 0
Phone:
State Lic:
• •
`" °
••o. oe
• a
Engineer.
•
• o a
•• i
Address:
•o••
o a
eccc•
aaaa
a
oaoo•
Phone:
State Lie:
°e •
o o m
Designer:
FIREPROOF FIRE PROTECTIOI1 °•�°
° °
Address:
1113 WEST STRUCK AVENUE
•••°•°
ORANGE, CA 92867
+'• `•
°•aaaE
Phone:
866457-3473
Special Conditions:
FEES
Construction Valuation:
$2,900.00
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 :
$0.00 Fee Due at Permit Issuance :
$495.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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).
U I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portion:
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throe
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of r
improved for the QljrBgse of sale).
❑ I, as owner %Wppfoperty, am exclusively contracting with licensed Contractors to construct the project (Section 7
ffy t.o9n owne l;gf property who builds or improves thereon, and who contracts for the projects with a licensed Contn
I aOexempj frE.Jitensure under the Contractors' State License Law for the following reason:
B)Pm ysrature below I acknowledge that, except for my personal residence in which I must have resided for at least c
sell a.structure thafl have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.
Prpfes;ions Code"&Oilable upon request when this application is submitted or at the following Web site:http://www.l
Sign%tUit of Property Owner or Authorized Agent
LICENSED C( Wfb%CTOR'S DECLARATION
I hereby.effirm undeopenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70(
License No
C UPENSATION DECLARATION
Date X J I 1 0
V NINF.yFAILURE To SFpWRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
OSv 9FCOMPENSATOM, 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:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire
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
Isurance carrier and policy number are:
:arrier Policy Number
lame of Agent
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any I
L if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
nature of Applicant '
CLARATION REGARDING CONSTRU N LENDING AGENCY
;reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work 1
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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
of the work, and the structure is not intended or offered for sale (Section 7044,
gh employees' or personal effort, builds or improves the property, provided that the
Impletion, the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).
e year prior to completion of the improvements covered by this permit, I cannot
understand that a copy of the applicable law, Section 7044 of the Business and
Date
of Division 3 of the Business and Professions Code, and my license is in full force
LA_ Contractor Signature 4� -
TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. My workers'
Date
so as to become subject to the workers' compensation laws of California, and agree
i comply with those provisions.
Date ?!C f / t "Ii 1
this permit is issued (Section 3097, Civil Code).
- �-.t 61,I Da et . f,
ACTION
DATE
BY
DECLARATION OFCOMPLIANCE KgIH CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 670E TITLE40AND
AQMD RULE 7403
PERMIT EMPIRED
❑ I SUBMITTED ASBESTOS NODFICATION TO-
❑ EPA
❑ AQMD,
❑ ASBESTOS NORFICATION IS NOT APPLICABLE TO
PROP OSEDDEMOLITION.
PERMIT CANCELLED
PERMITE%TENDED
PERMITFINAL
3.
CERTIFICATE OF
SIGNATURE.,
OCCUPANCY{SSUED