HomeMy WebLinkAboutF2022-0036 - PermitsCity of Newport Beach - Building Division *F2022- 0036*
100 Civic Center Drive, Newport Beach, CA 92660
�. Permit Counter Phone (949)644-3288
Job Address: 621 MICHAEL PL NB
Inspector Area: 3
Owner: 11 MARBELLA LLC
Address: 31 NEEDLE GRASS
IRVINE CA 92603
Phone:
Applicant: BISHIP JAMIE
Address: 705 E HARRISON 5T #200
CORONA CA 92879
Phone: 951-272-2522
Code Edit: 2019
Type of Construction: V-B-SPR
Occupancy Group: R3/1.1
Added /New sci t. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Flood Zone:
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:
$14,175.00
Description: SFR FIRE SPRINKLERS
Legal Description:
N TR 4106 LOT 4
Contractor:
FIRE SPRINKLER SYSTEMS INC
Address:
705 E HARRISON #200
CORONA CA 92879
Phone:
800-915-3473
$501
Con State Lic:
684600
Lic Expire:
02/2812024
Bus Lic:
BT30027990
Lic Exp Date:
05/31/2022
Worker's Compensation Insurance
Carrier:
INS CO OFT HP
Policy No:
WSD50313 6
Expire:
10/01/2
Issued Date:
Setback- Front:
Rear:.
PERMIT EXPIRES
FIRE Permit: F2022-0036
Project No : 0182-2022
Inspection Request€ Phonpe (949)644-3255
41
-61
Architect:
b 3 Address: -Qz
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sneer:
ddress'.
010 Phon State
O,`Vbslgner: BISHIP JAMIE
Address:
Phone:
cial Conditions:
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:a
c ea $0.00
c Plan Checlsree $0.00
g,
Fee : t'g ;.1 $222.
NIL-JOTHER D ARTM T:,_,es"
i e CHEC
APPR Al. ISSUE:
ISSUA EE LAST VALID INSPECTION
705 E HARRISON ST #2,$0
CORONA CA 9287
951-272.2522
Permit Issuance
$10.00
$0.00
$0.00
$279.00
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 items)
(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 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 wo{k1-4ha 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 empGiees' 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-Builderwill Oave the burden of proving that it was not built or
improved for the purpose of sale). - oltx,�r
El I, as owner of the property, am exclusively contracting with licensed Contractors to construct thegztuj€ct (Section 7044; Business and-P.t. sftns Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projectswiih a licensed Contractor pursuant;(di91e Contractors' State License Law).
❑ I am exempt from Iicensure under the Contractors' State License Law for the fold. g'ieason:
By my signature below I acknowledge that, except for my personal residence i ch I must have resi
sell a structur,=. that I 'lave built as an owner -builder if it has not been c cted in its entirety by-licer
Professions Cade, is available upon request when this applicat�o, ' ubmitte I or at f ing Web
13: iiiure of Fropeny, Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am'licensed under pro " ns of Chapte^' Ing
and effect.
License Class License No :'xti,, ivk F3at6
;ARN.NG: FAILURE TQSECURE Wf j
'DST OF COMPENSATION, DAMAGE1
hereby affirm under penalty o
J 1 have and will maintain a
ejDiinzance of the work for wh
'� Iiave and will. maintain wo
Isurance carrier and policy nui
iS` COMPENSATION COVERAGE Is UNLAWFUI
PROVIDED FOR IN SECTION 3706 OF THE LAD
rjury, one - Following declarations:
rtificate )sent to self -insure for
this pel -sued. Policy No.
ne of Agent
certify that, in the performance of
, if I should become subjec the
iature of Applicant
hereby affirm under penalty of perjury that ljen
ender's Name
ly my signature below, I certify to each of the'io
I am the property owner or authorized to adi
I have read this application and the informat
I agree to comply with all applicable city and
I authorize representatives of this city or cou
ienature of Prooertv Owner or Authorizer) Anen
4-1-1 E ,
PERMITEXTENDED
DATE I
AN
INTEREST,
at least one year prior to completiyn-df the improvements covered by this permit, I cannot
)tractors. I understand that any of the applicable law, Section 7044 of the Business and
p://www.leg nfo.ca.gov/cAGw.htm1.
Date
Section 7 00) of Division 3 of the Business and P fe/ss/ions�yedE, and my license is in full force
/ Contractor Signature /
{
MINAENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl
insurance, as required by Se'ption 3700 of the Labor Co ,1r tft� performance of the work for which this permit is issued. My workers' compensatiol
Policy Numbed Expiration Date. _ \ l> V y
� �����1 Phone # '
h7Lh this permit is issued, I shall,n8;' %1 ny person in any manner so as to become subject to the workers' compensation laws of California, and agree
motion provisions of Section 3t(JQ0 T the Labor Code, I shall forthwith c with those provision
14,
lendingagency for the
work for h'IeF thi it is issued (Section 3097, Civil Code).
the property owner's behalf.
i
I have provided is correct.
,max
unty Ord Ances a.d state laws relating to-t3ullding
construction.
to eove-i Ified property for inspection
purposes.
Print Prooertv Owner's or
61 OF TITLE40AND
❑ 1 SUBMITTED ASBESTOS NOTIFICATION' TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NO nnCARON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
OCCUPANCYiSSUED I 6f I I SIGNATURE: