HomeMy WebLinkAboutF2022-0291 - Permits,.� City of Newport Beach - Building Division 111p111111111p111111111111111111111111111111111111 JillFIRE Permit: F2022-0291
100. Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 2 9 1
p Project No : 1468-2022
"° -'• v. Permit Counter Phone (949)644-3288
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Y��r•aY.* Inspection Requests Phone (949)644-3255
Job Address: 2401 WINDWARD LN NB
Description: SFR FIRE SPRINKLERS (X2022-0011) 33 HEADS
Inspector Area: 3
Legal
Description:
N TR 5178 LOT 9
Owner: VISTA PARK PROPERTIES LLC
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
Address: 2401 WINDWARD LN
Address:
1101 KINGSTON DR
Address:
NEWPORT BEACH, CA 92660
LA HABRA CA 90631
Phone:
Phone:
714-476-5370
Phone:
State Lie:
Applicant: CASEY MONTY
Con State Lie:
876004
Engineer:
Address: 1101 KINGSTON DR
Lie Expire:
04/30/2024
Address:
LA HABRA CA 90631
Bus Lie:
ST30040107
Phone:
Lie Exp Date:
0713112022
Phone:
State Lie:
Code Edit : 2019
Worker's
Compensation
Insurance
Designer:
CASEY MONTY
Type of Construction: V-B
Carrier:
SECURITY NATIONAL INS
Address:
1101 KINGSTON DR
Occupancy Group: R3IU
Policy No:
SWC1373758
LA HABRA CA 90631
Added /New sq.ft. Bldg: 0
Expire:
02/15/2023
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Issued Date: 06/07/2022
Special Conditions:
No of Units : 0
Setback- Front:
Flood Zone: X
Rear:
Bldg Sprinklers: Y
Left:
Right:
r•^�
FEES
Construction Valuation: $3,300.00
Building PC Fee :
$222.00
Fire Residential Alarm PC Fee :
$0.00
Records Management :
$6.00
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 :
$497.00
Plan Check Fee :
$0.00
Fee Due at Permit Issuance : $497.00
PROCESSED BY:
ZONING APPROVAL:
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FIRE APPROVAL: VF APPROVAL TO ISSUE: _
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PERMIT EXPIRES 180 ®Ao S AFTER i SU:4NCL gR DftST VALID INSPECTION
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JWNER-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)
(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 civV--penafty'of
not 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 (_) portions Pf the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
mproved for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70144, Business and Professions Code: The Contractors' State License Law does not
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. lit understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.lelginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I 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
and effect.
License Class License No Date (>411 1 Contractor Signa l�
INORKERS' COMPENSATION DECLARATION
NARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES.
)rbreby affirm,imder penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers compensation,
`ormance of the work for which this permit is issued. Policy No.
issued by the Directol of Industrial Relations as provided for by Section 3700 of the Labor Code, for
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for thel performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number
of Agent
Date
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
, if I should become / '7
subject
�to�the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Appiicantn/// ✓�—� Dat9V / 7 t
)reby affirm under 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).
Ider's Name Lender's Address
my signature below, I certify to each of the following:
1 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 coj my to enter the above -identified property for inspection purposes.
nature of Property Owner or Authorized Ag 1 .- Print Property Owner's or Authorized Agent's Name IV 1 \•
Date
ACT70N
DATE
By
DECLARATION OF COMPLIANCE kWTH CODE OF
FOR OFFICE USE ONLY
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