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HomeMy WebLinkAboutF2020-0502 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIINIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 5 0 2 Permit Counter Phone (949)644-3288 ii RP r'rx eyeixMt$ Job Address: 3404 QUIET COVE NB Inspector Area: 6 Owner: FLORIANI JORDAN Address: 1701 PORT MARGATE PL NEWPORT BEACH CA 92660 Phone: Applicant: CASEY DENISE Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/1-1 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 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: $4,300.00 FIRE Permit: F2020-0502 Project No : 2322-2020 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (47) HEADS (X2020-0947) Legal Description: N TR 6228 LOT 40 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Con State Lic: 876004 Lic Expire: 04130/2022 Bus Lic: BT30040107 Lic Exp Date: 08/31/2021 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC148394 Expire: 02/1512021 Issued Date: 1211512020 Setback- Front: Rear: Left: Right: FEES Architect Address: Phone: State Lic Engineer: Address: Phone: State Lic: Designer: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Special Conditions: $217.00 Fire Residential Alarm PC Fee : $0.00 Records Management $0.00 Planning Counter Review : $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 $0.00 Public Works PC Fee : $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $263.00 $486.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance 7 -t! (-1HER DEOAR rMENT: FLAN Ci IECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTEC I£SCANCE OR LAS` VALID INSPECTION EC) LfAj 4S $6.00 $0.00 $0.00 $486.00 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 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 legalh 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.govtcalaw.htmi. 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 coon 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _ License Class License No Da '1--- 2-L� Contractor Sign ur COMPENSATION DECLARATION /ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA , 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: 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 9Tmance of the work for which this permit is issued. Policy No. have and will m ain 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' rance carrier a d po y number are: 6"\ %Z­ P .'1 of Agent N Date JI certify that, in the performance of the work for which this permit is issued, I shall no employ any person in any manner so as to become subject to the workers' compensation laws of California, and iat, if I should become subject tq;the workers' copeensation provisions of Sectio 0 of the Labor Code, I shall forthwith comply with those provisions. 1 Iignature of Applicant IECLARATION REGA IN CONSTRUCTION LENDING AGC y hereby affirm under penalty of perjury that there is a constructs e g agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly 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 relatin uilding construction. I authorize representatives of this city or county t e r e a = de ' ied grope for inspection purposes. Iignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name .ACTION DAIF BY - CL ATIOMOFCOMPUANCEMTHCOOEOF f L�GULATIO`IS-ART 61OFTITLE40AND AQMD 14&% ISUEM1T:CDA38ES,O.SNJ77FICARON'TO: ❑ EPA.. ❑ AQMD' ❑ ASBESTOS NORRCARONIS NOT APPLICABLE TO r ROf OSED DEMOLITION. SIGNATURE. FOR OFRC€US€ONLY PERMITEXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL 7-1 CERTIRCATEOF OCCUPANCYISSUED