HomeMy WebLinkAboutF2022-0014 - Permitscity of Newport Beach - Building Division
L't 1 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 6 POINT LOMA DR NB
Inspector Area: 6
Owner: PACIFIC ART DESIGN LLC
Address: 902 C RK926OD LN
IRVI
Phone:
Applicant: ALCAZAR CUSTOM POOLS
Address: HAWAIIAN GARDENS. CA 90716
Phone' 562-833-5883
Code Edit: 2019
V-B-SPR
V-B-
Type of Construction:
Occupancy Group:
R31U
Added INew 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: $6,500.00
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:
'F2022r 014"
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oR
FIRE Permit :T2022-0014
Project No: 0070-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (51) HEADS (X2020-0428, X2021-2307)
Legal Description:
N TR 7432 LOT 32
AAA FIRE PROTECTION CO
Contractor:
Address:
SAN DIMAS CA 9174 73
Phone:
310-569-4122
Con State Lie:
807294
Lie Expire:
0413012022
Bus Lie:
BT30077372
Lie Exp Date:
12/30/2022
Worker's compensation
Carrier.
CLEAR SPRING
Policy No:
CWC00374100
Expire:
Issued Date:
01/18/2022
Setback- Front:
Rear:
Left:
Right:
$222.00
$0.00
$0.00
$0.00
$0.00
$0.00
$269.00
$497.00
FEES
Fire Residential Alarm PC Fee:
Planning Counter Review:
Planning Zoning PC Fee:
Public Works PC Fee:
Public Works Traffic Plan Check Fee;
Plan Check Fee :
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
State Lie:
State Lie:
ADDO ALI
142 E BONITA AVE #54
SAN DIMAS CA 91733
310-569.4122
Records Management
Fee Due at Permit Issuance :
FIRE APPROVAL:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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$6.00
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$0.00
$497.00
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y affirm under penally of perjury that 1 am exempt fmm the Contraetors' State License 'etion 7031.5, Business and of
Code: Any chy or county that requires a
permR to 81e a signal statement that he or She is licensed Lew for the reasons) indecah
fessions Cadel or that he or she is exempt from s licensed
re and the basis for the alleged
to construct, alter, tale Ve, demog
Pursuant to the plavlsiane of the COMractvnt' State License Lev
more Bran five hundred dollars ($g0p)• eged exempt�n. Any violation of SecL v
I. as Owner of the property, Or my employees with wages as their sole compensation, rsusineas and Professforls Cade: The Contractors'
improvements are not intended a State LICeMa Lawdxs nmPensatlon, will do („) all of or { portions o
Im roved for the Purpose of sate), offered for sale. if, however, the buE oe o apply to an owner of Property who. througl
9 rnprovemank is sold within one year of con
I, to owner of the property, am exeiesively contracting with licensed Contractors to construct the
r."n
3y to an owner of Property who builds or improves thereon, and why contrarxsforFhe mi'inexempt from licensure anderthe Contractors' State A lects with warmed Con 704aY signature below I acknowled License law for the fogowi reason:Contractsa stnratura that l have built as one that, except for my personal residence 3n which t m 'Professions code, is available u ervbuilder if it has not been constructed in its mostt by resided for of leash one
Signature of Property Owner or Auth npzeed Agentwhethis application is submitted or at the follonv n ' used contractors. I ul
IJCENSED CONTRACTOR'S DEC 9 Web s3te;htlp:/lwww.legir
I hereby affirm under penalty
ry LARATION
P y 2Ctaeriu that 1 am licensed under provisions
andeffect- License Class l0�
NORKERS' COMPENSATION DECLARATION License No $1��.1er 9 (commencing with Sectiosrtt7�g�
VARNNa: FALLUNETn eeENSA-____ pates
hereby ailum.0 89CrTwNZr96 OF THe LLAABaOR Coo. MEREST, AND
.PM AAL%
Y under penal of aWwRw ><ER TOC
penalty Perjury One of the follOINIn a TeREST, ANa ATTORNEWa fEae. �
3 have and will maintain a oermcate of consent to sell declarations:
for workers, compensation, issued b
erfonnance of the work for which this Parmg is issued, policy self-Insure,
No_
QI have and Will maintain workers' compensation insurance, as required by Section Y the pirector of
aaardet cs carder and poi€ mmtber are: 3700 of the Labor Code, for the per
enter Clear Sprfrz Pfnnef A,affd Ca 7
of Agent
f.. W 10blicy Number
r oemry that, In the performence of the work for which this e r
hat, g I should becom s b'ec�ta the workers' Doing is issued, f shall not em
Signature of Appfttanf��,�nsatioa provisions of Section 3700 of�hayla� person in any manner:
t bar Cade, I shoo forthwith
DECLARATION IiEG , t CONSTRUCTIaN LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction landing agency Lenders Name g g trey for the
BY my signature below, 1 cattily to each of the following: Performance Of the work far which
Lender's Address
1 am the Property owner or authorked to act an the property owner's behatf
I have read this application and thto in;mation 1 have Provided Is correct
1 agree comply with all applicable city and county ordinances and state laws relating to bugdit3g construction.I authorize representatives of this city or
i34heture of Pm..e.... n._.--- _ _ P eater the abova.tne. ,r , _---- -_ . .
61. OF TITLE 40 AND AQ1ND RULE
FRTIPP
CCh-1i p�-� l A,SBE5Tp5 ICATIONISNOTAPPUCABLE TO
UPANCY3SANLY&SUED F� �yO�POSEO DE ON
SIGNATURE.��
below by the checkmark(s) i have Placed next to the applicable item(s) _
, or repair arty structure, priarto fts issuance, also regafres the app11Wne for
hapter 9 (commencing With Section 7000) of Oi dsi9n 3 of the Business and
131.5 by any applicant for a permit subjects the applicant to a rav33 penalty of
rice and the sin ctureal elf Jr.t not intended or offered for sale (Section 7044,
Vees or Personal effort, builds or or
the Property. Provided that the
the Owner -Builder wig have the burden of proving that it was not built or
Business and PrafeSgians Code: The Contrac(ors' State License Law does not
Pursuant to the Contractors' State License Law).
to camPietian of the fmprovements covered by phis permit, t cannot
that a ropy of tho aPplioable taw, Section 7044 of the Business and
'calaw.html,
Date
3 of the Business anal pm SCode,y license is in fait force
�. Contractor Signature
CIVIL FIRM UP TO OrtE HUNaaFa THOUSAND pah p iii5ad,91q], IN Aaal7raN 30 THE
Relations as provided for by Section 3700 Of the Labor Cade, for
Of the work for which this permit is issued, My workers,
compensal
Expiration pate j�12212022
s to become sublact to the workers' compensation laws of California, and ogre
nP1Y with those provisions.
pate 01118122
Permit is issued (Section L 3097, Civil Code)_
ONLY
Ali Addo
8122