HomeMy WebLinkAboutF2020-0048 - Permitsw >r, City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
H 1, Permit Counter Phone (949)644-3288
r::re�rnv:ri'
Job Address: 2 RUE BIARRITZ NB
Inspector Area: 4
Owner:
MANCILLAS ERIC
Address:
2 RUE DU PARC
NEWPORT BEACH CA 92660
Phone:
Applicant:
CASEY DENISE
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
Code Edit : 2016
Type of Construction:
We
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
0
Flood Zone:
Bldg Sprinklers:
Y
FIRE Permit: F2O20-0048
Project No: 0206-2020
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (X2018-3679 37)iEADS
Legal Description: N TR 7809 LOT 14
Contractor: FIREPROOF FIRE PROTECTION
Architect:
Address: 1101 KINGSTON DR
Address:
LA HABRA CA 90631
Phone: 714-476-5370
Phone:
State Lic:
Con State Lic: 876004
Engineer:
Lic Expire: 04/30/2022
Address:
Bus Lic: ST30040107
Lic Exp Date: 08/31/2021
Phone:
State Lic:
Workers Compensation Insurance
Designer:
CASEY MONTY
Carrier: SECURITY NATIONAL INS
Address:
1101 KINGSTON DR
Policy No: SWC1325710
LA HABRA CA 90631
Expire: 02/15/2022
Phone:
Issued Date: 01/29/2020
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
Construction Valuation:
$3,600.00
Building PC Fee:
$202.00
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 :
$240.00
TOTAL FEE :
$446.00
Plan Check Fee :
$446.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
IWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indi(
iection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, deml
1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L
'rofessions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Secti(
of 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 tf
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp]
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, 1
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
1 am exempt from Iicensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yl
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unc
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginf
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
nd effect.
icense Class _ License No Date
ad below by the checkmark(s) I have placed next to the applicable item(s)
;h, or repair any structure, prior to its issuance, also requires the applicant for
r (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
work, and the structure is not intended or offered for sale (Section 7044,
ployees' or personal effort, builds or improves the property, provided that the
ion, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
Date
3 of the Business and Professions Code, and my license is in full force
Contractor Signature
PORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S 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 ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
J I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of
erformance of the work for which this permit is issued. Policy No.
3 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
Isurance carrier and policy number are:
tamer Policy Number
of Agent
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner s� 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 omply with those provisions.
'signature of Applicant Date
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which his 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 owner's behalf.
I have read this application and the informliptign 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.
lignature of Property Owner or Authorized Agent._ Print Property Owner's or Aut dzed Agent's Name Date
ACRON
DATE
BY
DECLARATION OFCOMPLIANCE MTh
CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF
AQMD RULE 1403.
77LE40AND
PERMIT EXPIRED
❑ ]SUBMITTED ASBESTOS N071FIC
❑ EPA
❑ AQMD
iTION TO:
PERMIT CANCELLED
PERMITEXTENDED
ASBESPERMIT
P❑ROPOSEDTDEMOLITOOS N017FICNA7ION lS NOT
PLlCABLE TO
FINAL
(G
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED
�rr4� City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 4 8
t Permit Counter Phone (949)644-3288
�.
Job Address: 2 RUE BIARRITZ NB
Inspector Area: 4
Owner:
MANCILLAS ERIC
Address:
2 RUE DU PARC
NEWPORT BEACH CA 92660
Phone:
Applicant:
CASEY DENISE
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
Code Edit: 2016
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Flood Zone:
Bldg Sprinklers: Y
FIRE Permit: F2020-0048
Project No: 0206-2020
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (X2018-3679) 36 HEADS
Legal Description: N TR 7809 LOT 14
Contractor: FIREPROOF FIRE PROTECTION
Architect:
Address: 1101 KINGSTON DR
Address:
LA HABRA CA 90631
Phone: 714-476.5370
Phone:
State Lic:
Con State Lic: 876004
Engineer:
Lic Expire: 04/30/2020
Address:
Bus Lic: BT30040107
Lic Exp Date: 07/3112020
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
CASEY MONTY
Carrier: NORGUARD INS CO
Address:
1101 KINGSTON DR
Policy No: MOWC002750
LA HABRA CA 90631
Expire: 02115/2020
Phone:
Issued Date: 01129/2020
Special Conditions:
Setback- Front:
Rear:
Left:
1 fw,,/`�
! �pNJTORI
I i J� rn E
Right:
FEES
Construction Valuation:
$3,600.00
Building PC Fee :
$202.00
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 as :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$240.00
TOTAL FEE :
$446.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$446.00
PROCESSED BY:
ZONING APPROVAL: c J
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ;
LDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) inch
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, deml
ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L
Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sectil
of 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 tt
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp)
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, 1
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yl
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un(
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginf
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
nd effect. \
icense Class License No Date
COMPENSATION DECLARATION
ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
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:
have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of I
rmance of the work for which this permit is issued. Policy No.
lave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the per
rance carrier and policy number are:
ier Policy Number
to of Agent
certify that, in the performance of the work forwhi-cffb-is-prarnmt Is Issued, I shall not employ any person in any manners(
if I should become su}} ttDD__((��iie\\workers' compensation provisl ns of Section 3700 of the Labor Code, I shall forthwith I
lature of Applicant Z C-.__
ad below by the checkmark(s) I have placed next to the applicable item(s)
Ih, or repair any structure, prior to its issuance, also requires the applicant for
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
work, and the structure is not intended or offered for sale (Section 7044,
Jloyees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
prior to completion of the improvements covered by this permit, I cannot
tend that a copy of the applicable law, Section 7044 of the Business and
Date
(ision 3 of the Business and Professions Codeya[td3lyr license is in full force
Contractor Signature o�-
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 00), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
to become subject to the workers' compensation laws of California, and
Dly with those provisions.
:reby affirm under penalty of perjury that there is co truction lending agency for the performance of the work for which tI is permit is
Ides 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 ter above-iden ifie arty for inspection purposes.
nature of Property Owner or Authorized Ag"t x.. `°� Print Property Owner's or Authorized Agenl
(Section 3097, Civil Code).
ACT70N I OATF
BY
DECLARATION OF COMPLIANCE WITH
CODE OF
FOROFFIC€USEO ftY
FEDERAL REGULATIONS PART 61 OF TITLE40AND
PERMIT EXPIRED -�
AOMDRULE 1403.
❑ I SUBMITTED ASBESTOS N017FI
❑ EPA
❑ AOMD
ION TO:
-
PERMITCANCELLEO
PERMIT EXTENDED
❑ ASBESTOS 11707IFIC47IONTS NOT
PROPOSED DEMOLITION.
LICABL.E TO
PERMITFINAL if(1 /
CERTlFICATEOF —T
OCCUPANCYISSUED
SIGNATURE: