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HomeMy WebLinkAboutF2022-0243 - PermitsCity of Newport Beach - Building Division `F2022-0243* o 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 r'3 t v�1tiH�� FIRE Permit: F2022-0243 Project No: 1182-2022 Inspection Requests Phone (949)644-3255 Job Address: 430 TUSTIN AVE NB Description: SFR FIRE SPRINKLERS (X2021-2102) 44 HEADS (REVISED 5118122) Inspector Area: 3 Legal Description: FIRST ADD TO NEWPORT HEIGHTS ELK 26 LOT 8 Owner: 430 TUSTIN LLC Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 790 NEWTON WY Address: 1101 KINGSTON DR Address: COSTA MESA CA 92627 LA HABRA CA 90631 Phone: Phone: 714-476-5370 Phone: State Lic: Applicant: CASEY MONTY Con State Lic: 876004 Engineer: Address: 1101 KINGSTON DR Lic Expire: 04/30/2024 Address: LA HABRA CA 90631 Bus Lic: BT30040107 Phone: Lic Exp Date: 07/31/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: CASEY MONTY 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: 0211512023 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 05/04/2022 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: X Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $4,100.00 Building PC Fee: $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $4.00 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 : $495.00 Plan Check Fee : $495.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -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 U 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). U 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.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 Contractor Signature VORKERS' COMPENSATION DECLARATION FARMING: 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 DST 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 IN erformance of the work for which this permit is issued. Policy No. 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' -ance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency far the performance of the work far 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. Date ACTION DATE BY DECLARATION OFCOMPLIANCE IMTHCODEOF FOR OFFICE USEONLY FEDERAL REGULATIONS PART 51 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS N077FICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED P❑ROPOSED DEMOLITION. ASBESTOS nONIS NOTAPPLICABLE TO PERMIT FINAL 0 .Z •Z3 CE,4TIRCATE OF SIGNATURE: OCCUPANCYGSUED