HomeMy WebLinkAboutF2022-0253 - Permitsµrr, City of Newport Beach - Building Division *F2022-0253`
a
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
c;
Job Address: 1807 PORT CHARLES PL NB
Inspector Area: 4
Owner:
RUCKER LLOYD
Address:
260 NEWPORT CENTER DR
NEWPORT BEACH CA 92660
Phone:
Applicant:
VO JOHN
Address:
7907 LEEDS ST
DOWNEY CA 90242
Phone:
714-310-0194
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: 3
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 BY:
ZONING APPROVAL:
FIRE APPROVAL:
$8,000.00
FIRE Permit: F2022-0253
Project No : 1286-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (45) HEADS (X2021-0225)
Legal Description: N TR 6622 LOT 27
Contractor: FIREGUARD SPRINKLER SYS INC
Architect:
Address: 7907 LEEDS ST
Address:
DOWNEY CA 90242
Phone: 714-310-0194
Phone:
State Lic:
Con State Lic: 992002
Engineer:
Lic Expire: 04130/2024
Address:
Bus Lic: 78648
Lic Exp Date: 04/30/2023
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
VO JOHN
Carrier: FALLS LAKE FIRE & CASUALTY
Address:
7907 LEEDS ST
Policy No: FLA0080008
DOWNEY CA 90242
Expire: 12/29/2022
Phone:
714-310-0194
Issued Date: 05/16/2022
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
OTHER DEPAPTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER :SSUANCE 04 LA�:T VALID INSPECTION
DWNER-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 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 (_) all of or U portions of 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
improved 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
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 legal]
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent ate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secion 7 00) of Division 3 of the Business and Profes ions C e, and my license is in full force
and effect. e
License Class License No Dater ✓ Contractor Signature
NORKERS' COMPENSATION DECLARATION
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
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
e of the work for which this permit is issued. Policy No.
have and will maintain workers'
ie of Agent
certify that, in erformancr
, if I should becometsuVect to
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Date
for which 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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those grovi§�igns^ J - y _ _
ignature of Applicant Dates L v
IECLARATION REG DIN CONS RU TION LENDING AGENCY
hereby affirm under enalty of perju at 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 o ner behalf.
I have read this application and the information I have provid d is co rect.
I agree to comply with all applicable city and county ordpancts and 4ate laws relating to building construction.
I authorize representatives of this city or county to aqKe a ov ifi d property for inspection purposes.
lature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION
DATE
BY
DECLARATION OFCOMPLIANCE KITH CODE OF
FOR OFFICE USE ONLY
FEIJERAL REGULATIONS PART 61 OF TITLE40AND
AQMD RULE 1401,
PERMIT EXPIRED
❑ - I SUBMI TTEJ ASBESTOS NOTIFICATION TO:
u I] EdA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO
FPOPOSEDDEMOUTION.
.. -
PERMIT FINAL
(f.Z 2.3
CERTIFICATEOF
SIa'NAT'JRE: -
OCCUPANCYISSUED