HomeMy WebLinkAboutF2020-0465 - Permits011!171"PMI r .City of Newport Bea`,: - ouilding Division 111p111111111p11111111p1111111p111111111111111111
a't + 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 4 6 5
x
Permit Counter Phone (949)644-3288
st �
s
r'�xrraµti+�
Job Address: 200 RUBY AVE NB
Inspector Area: 2
Owner: DRAKE
Address: 200 RUBY AVE
NEWPORT BEACH, CA 92662
Phone:
Applicant: VO JOHN
Address: 526 N SHADYDALE
WEST COVINA CA
Phone:
Code Edit: 2019
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units:
Flood Zone:
Bldg Sprinklers:
Construction Valuation:
FIRE Permit: F2020-0465
Project No 2155-2020
Description: MFR FIRL05 RINKLERS (X2040UWY,u3-
41) 33 HEf:CI�$
Legal Description: ISLAND SE -LOf 17 BLK 10 W112(AND W1/2 LQT J%Ba
0
_V
Contractor: GUARD SPRINK S INC V `�Architect:
Addre 954 IC ORIA Mr
O CA 90280..�� �A t(-�G
on %% 0-0194 a��G �'� Phone:
C n VLi : 9912 2 � E„ w''Engineer:
Expire `04/3 Q21 � 3 Address:
B Lic T3 04 !� "7t
�" 3
412 "^ �� � Phone, ;
ia��<
Wor sation Insurances Designer: r'
V-B-SPR C FALLS LAKE FIRE & CASUALTY Address:
R3/U Policy No 80 FLA00008' > T",;3
0 Expire: 12129/2020
0 F
n
2 d D L.411 2 cia`L[: VC a 1[Hto
A01 a ck- R xt. `.+ G LNG: `te
Y _ Left:
Right: _ nX'(:X� i
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:
PC Fee : �"- $0.00
Fe + "e' , $0.00
i�c Plan Check Fee; $0.00
Plan Check Fee : $484.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
Phone(949)644-3255
3_tate Lic:
AV
Records Management
4
Fee Due at Permit Issuance
PERMIT ._X�IRES� 1 PO DAYS AFTER IS.iUANCE OR LAST VALID INSPECTION
$4.00
$0.00
$0.00
$0.00
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 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
im roved for the purpose of sale). ", A
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Profes ions 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 ContrraaegglppYrr`suant to the Cont ctors' Stale 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 real at least one year prior to completi n the improvements covered by this permit, I cannot legal
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety, df used contra�ct�7s��{ understand that f t applicable lad✓, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the- Ing Web site: p tL/rXX eginfo.ca pgrbc:r ml. -
Signature of Property Owner or Authorized Agent w.,r+ 20 11 _ Date
LICENSED CONTRACTOR'S DECLARATION (� �!
I hereby affirm under penalty of perjury that I am licensed and Isions of Chapter 9 mmencingche � 7000) of Division 3 of easiness d professions Code, and my license is in full force
and effect.
License Class �_,lliise o I F,a Date 0A, Contractor Signature
FAILURE TO
hereby affirm urr—penalty of
J I have and mo
erformance'df th- wor
:1I have and Will it
isurance cameran
lame of Agent 'P '
:1I certify that, inrthe p
hat, if I should become
Signature of Applicant
hereby affirm under penalt f p1
ender's Name
iy my signature below, I cart! to
I am the property owner or u
I have read this application
I agree to comply with d(t ap
I authorize representatives of
ACRON
PERPAIT FINAL
CERTIFfCATEOF
OCCUPANCYISSUED
this
each of
IM
ponce,. as
LENDING AGENCY
is a construction lent
county to
'rO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
FEES.
.issued by the Director of Industrial Relations as provided
Led,, I shall not employ any
of Section 3700 of the, 4be
and state
Labor Code, for the performance of
a ,
Pthe performance of the
Lender's Address
for
'for whiL'h
Owner's or Authorized
those
FEDERAL REGULAUONS PART 617E TIT[ E 40 AND
AQMD RULE 1403.
❑ I SUBW `Tt-.0 4iBESTOS „IO:IFICI.TION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICARON IS NOT APPLICABLE TO
PROPOSED DE166LITION.
SIGNATURE:
DOLLARS ($100,000), IN ADDITION TO
Section 3700 of the Labor Code, for
is issued. My workers'
laws of California, and
Date