HomeMy WebLinkAboutF2022-0143 - Permits,fig �hr,4, City of Newport Beach - Building Division 11111 11111111111111111111111111111p1111111111p111111
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 1 4 3
Permit Counter Phone (949)644-3288
Job Address: 133 46TH ST NB
Inspector Area: 3
STRIP IN SEC
Owner: STANFORD RON & MEI
Address: 156 PEPPERTREE
WALNUT CA 91789
Phone:
Applicant: MOLT/SUPERIOR FIRE
Address: 18120 ROWLAND ST
CITY OF INDUSTRY CA 91748
Phone: 626-965-6900
Code Edit: 2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
3
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
Construction Valuation: $11,250.00
Building PC Fee:
Building Overtime PC Fee:
Building Extention Fee :
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee
TOTALFEE:
FIRE Permit: F2022-0143
Project No : 0693-2022
Inspection Requests Phone (949)644-3255
Description: MFR FIRE SPRINKLERS (29) HEADS (X2021-0439)
Legal Description: RIVER SECTION LOT 10 BILK 46 NELY TRIANG 27 FT -INC30 FT
Contractor:
SUPERIOR FIRE PROTECTION INC
Architect:
Address:
18120 ROWLAND STREET
Address:
CITY OF INDUSTRY CA 91748
Phone:
626-965-6900
Phone:
State Lic:
Con State Lic:
664427
Engineer:
Lic Expire:
02/28/2023
Address:
Bus Lic:
BT30061056
Lic Exp Date:
12131/2022
Phone:
State Lic:
Worker's Compensation
Insurance
Designer:
HONG LEE
Carrier:
NORGUARD INS CO
Address:
18120 ROWLAND ST
Policy No:
SUWC237512
CITY INDUSTRY CA 91748
Expire:
11/01/2022
Phone:
626-965-6900
Issued Date:
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
$222.00
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
$269.00
$491.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance
PROCESSED BY: `J - _ bTHo-R`QEPNR1MENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: - APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$491.00
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PERMIT EXPIRES 180 DAYS AFTER:SSUANCE OR LG�T VALID INSPECTION
)WNER-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
ie 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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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
nprovements 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
nproved 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
pply 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).
7 I am exempt from Hcensure 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 year prior to completion of the improvements covered by this permit, I cannot legall)
ell 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
'rofessions 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
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingXwithaction 7000) of Division 3 of the Business and Professions C� and my license is in full force
nd effect.icense Class �License No"C / DatContractor SignatureVORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I5 UNLAWFUL, AND SHALL SUBJECT AN EMPLOCRIMINAL PENALTIES AND CIVIL FINES UP TO 0 E HUNDRED THOUSAND DOLLARS )$100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 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 th
Vance of the work for which this permit is issued. Policy No.
have and I intain workers' ompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit_ is issued. My workers' compensatiol
Isurance carrie and olicy num ar :
arrier Acy tuber Expiration Date
ame of Agent Phone #
]I certify that, in the performance of the for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workefs' compensation laws of California, and agre
lat, if I should become su act to the compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with th pr ' Ions. ✓� J�f
ignature of Applicant �!t' Dat `� / /'
DECLARATION REGArDING CONSTRf�CMN LENDING AGENCY t
hereby affirm under. natty 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).
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 information I have provided is correct.
I agree to comply with all applicable city and county ordinanc a d state laws relating to building construction.
I authorize representatives of this city or county nter t o -ide d property for inspection purposes. �/�
ignature of Property Owner or Authorized Aqent _ Print Property Owner's or Authorized Agent's Nam>i� V °I
ACTION
DATE
Y
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
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