The URL can be used to link to this page

Home My WebLink AboutF2022-0054 - Permits�+•r,F City of Newport Beach - Building Division 'F2022-0054' 100 Civic Center Drive, Newport Beach, CA 92660 rr Permit Counter Phone (949)644-3288 _^ FIRE Permit: F2022-0054 Project No : 0270-2022 Inspection Requests Phone (949)644-3255 Job Address: 1436 NEWPORTER WAY NB Description: SFR FIRE SPRINKLER SYSTEM 26 HEADS (X2021-0643) Inspector Area: 4 Legal Description: N TR 15011 LOT 40 Owner: HOGAN LISA Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 1436 NEWPORTER WAY Address: 1101 KINGSTON DR Address: NEWPORT BEACH, CA 92660 LA HABRA CA 90631 Phone: Phone: 714-476-5370 Phone: State Lic: Applicant: FIREPROOF FIRE PROTECTION Con State Lic 876004 Engineer: Address: 1101 KINGSTON DR Lic Expire: 0413012022 Address: , LA HABRA CA 90631 Bus Lic: BT30040107 Phone: 714-476-5370 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: SWC1325710 LA HABRA, CA 90631 - Added /New sq.ft. Bldg: 0 Expire: 02/15/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 02/02/2022 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: N Left: Right: FEES Construction Valuation: $2,600.00 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 $0.00 Building Investigation Fee : Fire Plan Check Fee: $0.00 $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 : $0.00 Fee Due at Permit Issuance : $495.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: ^� PLAN CHECKED BY:: FIRE APPROVAL: / APPROVAL TO ISSUE: PERMIT EXPIRES 180 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 `) 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). I am axe, np� imm licensure under the Contractors' State License Law for the following reason: By my signati,a Lelow 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 legally Sell a structure thct 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 Cooe, s 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 affect. ,r / License Class _ _ License No Date 1 1 1 Contractor Signatuee WORKERS' COMPENSATION DECLARATION WARNING: 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 pOSr OP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm ender penalty of perjury one of the following declarations: :lave anc will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for "mance oC the work for which 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 Expiration Date of Agent I 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 agre that, if I should becomesubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of ApplicantIll DatA///V DECLARATION REG A DING CONSTRUCTION LENDING AGENCY I 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). Lender's Name Lender's Address By 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. `. ^ Signature of Property Owner or Authorized Agent lk% v Print Property Owner's or Authorized Agent's Name 1�+`•.�V • . D t l t �� ACTION DATE BY DECLARATION OF COMPLIANCE YYITN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TIRE 40AND AQMD RULE M03. PERP✓tIT EXPO RED ❑ I SUBMITTED ASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERPAIT CANCELED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSEDDEMOLITION, PERMIT FINAL 211-IFCt/ CERPRCATEOF OCCUPANCYISSUED SIGNATURE: