HomeMy WebLinkAboutF2022-0286 - Permits�wnnk City of Newport Beach - Building Division "F2022-0286'
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
} 1O-N n r-
FIRE Permit: F2022-0286
Project No : 1445-2022
Inspection Requests Phone (949)644-3255
Job Address: 921 ALDER PL NB
Description: SFR FIRE SPRINKLER
SYSTEM W/ (38) HEADS. (X2021-0898) -
Inspector Area: 4
Legal Description:
N TR 4705 LOT 6
Owner: JONES STACEY & PAUL
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
Address: 921 ALDER PL
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:
04130/2024
Address:
-
LA HABRA CA 90631
Bus Lie:
BT30040107
Phone: 714-476-5370
Lie Exp Date:
07/31/2022
Phone:
State Lie:
Code Edit: 2019
Worker's Compensation
Insurance
Designer:
FIREPROOF FIRE PROTECTION
Type of Construction: V-B-SPR
Carrier:
SECURITY NATIONAL INS
Address:
1101 KINGSTON DR
Occupancy Group: R3/U
Policy No:
SWC1373758
LA HABRA CA 90631
Added /New sq.ft. Bldg: 0
Expire:
02/15/2023
Phone:
714-476-5370
Added /New sq. ft. Garage: 0
No of Stories: 2
Issued Date: 06106/2022
Special Conditions:
No of Units : 0
Setback- Front:
6
Flood Zone: X
Rear:
6
Bldg Sprinklers: Y
Left:
6
Right:
6
FEES
Construction Valuation:
$3,800.00
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: 3 OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)WNER-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
ie 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
'rofessions 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
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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements ale not-hAended 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
nproveL: for the purpose of sale).
J I, as owner of tie o;operty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply tJ 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 a, rt exempt from licensure under the Contractors' State License Law for the following reason:
I) my signature below' 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 legal)
ell a structure that 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
'rofessions Code, �s available upon request when this application is submitted or at the following Web site:http:// n .leginfo.ca.gov/calaw.htmi.
lignaturs of Prcpert; Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm urder 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
nd effect.
iuenso Class License No Date b O 2 1 Contractor Signature
i
VORKERS' COMPENSATION DECLARATION
IARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FORM 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
erformance 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'
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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
CLARATION REGAf2DING CONSTRUCTION LENDING AGENCY /
Ireby 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:
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. nature of Property Owner or Authorized AgentV�. /���� Print Property Owner's or Authorized Agent's Name , .A • Date 1{ / 1i
ACTION
DATE
BY
DECLARATION OF COMPLIANCE VIRTN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMD RULE 1403,
PERMIT EXPIRED
❑ !SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
DEMOLITION.
PERMIT FINAL
$4n.PROPOSED
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED
a . rr fr City of Newport Beach - Building Division 111111 11111111111111111111111111111111111111111111111 p
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 2 B 6
r.'... n. Permit Counter Phone (949)644-3288
r'c rrnpN��
Job Address: 921 ALDER PL NB
Inspector Area: 4
Owner:
JONES STACEY & PAUL
Address:
921 ALDER PL
NEWPORT BEACH, CA 92660
Phone:
Applicant:
CASEY MONTY
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476-5370
Code Edit: 2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New 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
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 FY:
ZONING APPROVAL:
I91N4e199Y4YL1N
$3,800.00
Description: SFR FIRE SPRINKLER
FIRE Permit: F2022-0286
Project No : 1445-2022
Inspection Requests Phone (949)644-3255
(X2021-0898)
Legal Description: NR 4705 LOT 6
Contractor: FIREPROOF FIRE PROTECTION
Architect
d
Address: 1101 KINGSTON DR
Address:
LA HABRA CA 90631
.
Phone: 714-476-5370
Phone:
_. State Lic:
Con State Lic: 876004
Engineer:
Lic Expire: 04/30/2024
Address:
Bus Lic: BT30040107
Lic Exp Date: 07/31/2022
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
FIREPROOF FIRE PROTECTION
Carrier: SECURITY NATIONAL INS
Address:
1101 KINGSTON DR
Policy No: SWC1373758
LA HABRA CA 90631
Expire: 02/1512023
Phone:
714-476-5370
Issued Date: 0610612022
Special Conditions:
revised # of heads
Setback- Front: 6
617122
Rear: 6
Left: 6
Right: 6
FEES 1i
N
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management :
$6.00
$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
$497.00
Plan Check Fee :
$497.00 Fee Due at Permit Issuance :
$0.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
ILDER 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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of of U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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
nprovements 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
nproved 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
pply 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 Iicensure under the Contractors' State License Law for the following reason:
ly 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 lega11,
ell a structure that 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
;ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
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
nd effect.
icense Class License No Date Contractor Signature
PKERS' COMPENSATION DECLARATION
ING: 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
OF COMPENSATION, 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:
7 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 Code, for
erfonnance of the work for which this permit is issued. Policy No.
11 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' compensa'
Isurance 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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).
Ender's Name Lender's Address
y 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.
ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date
ACDON
DATE
BY
DECLARATION OF COMPLIANCE lTN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART tit OF TITLE 40AND
AQMD RULE 1403.
-
PERMIT EXPIRED
❑ L SUBMITTED ASBESTOS N077F1CATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIFICARON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CE,RTIRCATEOF
SIGNATURE:
OCCUPANCYISSUED