HomeMy WebLinkAboutF2021-0403 - PermitsCity of Newport Beach - Building Division *F2021--0403"
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)64444-3288
INSOPEDTO
Inspector Area: 1
Owner:
WELLS JOHN
Address:
1140 W BAY AVE
NEWPORT BEACH, CA 92661
Phone:
Applicant:
VO JOHN
Address:
526 N SHADYVALE
WEST COVINA, CA 91790
Phone:
714-310-0194
Code Edit: 2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3111
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
3
No of Units:
0
Flood Zone:
Bldg Sprinklers:
N
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:
TOTAL FEE :
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$8,000.00
FIRE Permit: F2021-0403
Project No : 2125-2021
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLER SYSTEM 45 HEADS (X2020-1140)
Legal Description:
N TR 626 BLK 4 LOT 1
-
Contractor:
FIREGUARD SPRINKLER SYS INC
Architect:
Address:
7907 LEEDS ST
Address: -
DOWNEY CA 90242'
Phone:
714-310-0194
Phone: State Lie:
Con State Lie:
992002
Engineer:
Lie Expire:
04/30/2022
Address:
Bus Lic:
BT30046886
Lie Exp Date:
0413012022
Phone: State Lie -
Worker'sCompensationInsurance
Designer: VOJOHN
Carrier:
FALLS LAKE FIRE & CASUALTY
Address: 526 SHADYVALE -
Policy No:
FLA0080008
WEST COVINA, CA 91790
Expire:
12/29/2021
Phone:
Issued Date: 0
9/1512021
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$4.00
$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
$495.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$495.00
>t1 / \ OTHER DEPARTMENT
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
UILDER 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 far
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 Iicensure 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).
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 proffered 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
improved for thL jwpose of sale).
1, Ls owner of the oroperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, 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).
I an exempt .rom Iicensure under the Contractors' State License Law for the following reason:
By my signature belov. 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 trial 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
PrdaJsions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
PiOrature of Proporty Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereb,, affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi Section 7000) of Division 3 of the Business nd Pr fessi ns Code, and my license is in full force
and effect.
License Class License No Dat Contractor Signatur
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SEOURE 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 0706 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Cade, for th(
performance of the work forwhich this permit is issued. Policy No.
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'
c fs Tier a p Icy number are: [ /] p n
6115 R Policy Number r LF r MOO b Expiration Date I Z Z I
me of Agent _
I certify that, in the
It, if I should bacon
of
for which this permit is issued, I shall not employ any person in any manner so as to become su ct to the workers' compensation laws of California, and
c)}7r pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those oviSiops. '
A Ii , ,
CLARATION REGAIYDIN'81� TRUCTION LENDING AGENCY
;reby affirm under penalty of jury that there is a construction lending agency for the performance of the work for which this permit is
Idler'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 or,
I have read this application and the information I have
I agree to comply with all applicable city and county of
I authorize representatives of this city or county Kpknt
of Property Owner
is behalf.
correct.
Id state laws relating to building construction.
identified property for inspection purposes.
Print Property Owner's or Authorized A
(Section 3097, Civil Code).
ill, � V
17 /Z
ACTION
DATE
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF T1TLE40 AND
AQMD RULE 1403,
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
PERMITCANCELLED
❑ AQMD
PERMIT EXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FLNAL
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED