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HomeMy WebLinkAboutF2022-0065 - PermitsCity of Newport Beach - Building Division 11111111111111p1111111111p111111p111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 0 6 5 Permit Counter Phone (949)644-3288 'LLIF'f 144 Job Address: 211 IRIS AVE INS Inspector Area: 5 Owner: DUNCAN ROBERT Address: 211 IRIS AVE NEWPORT BEACH, CA 92660 Phone: Applicant: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 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: Bldg Sprinklers: N 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: $3,800.00 FIRE Permit: F2022-0065 Project No : 0333-2022 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLER SYSTEM 34 HEADS (X2021-1052) *REVISED Legal Description: RESUB OF CORONA DEL MAR BILK 35 LOT 13 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: 0413012022 Address: Bus Lic: BT30040107 Lic Exp Date: 07/31/2022 Phone: State Lic: Worker's Compensation Insurance Designer: CASEY MONTY Carrier: SECURITY NATIONAL INS Address: 1101 KINGSTON DR Policy No: SWC1325710 LA HABRA, CA 90631 Expire: 02/15/2023 Phone: Issued Date: 02/10/2022 Special Conditions: Setback- Front: Rear: Left: Right: FEES $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $6.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 $0.00 Public Works PC Fee: $0.00 $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $269.00 $497.00 Plan Check Fee : $497.00 .OTHER DEPARTMENT: °PL5A CHECKED DY:: Fee Due at Permit Issuance : $0.00 FIRE APPROVAL: �� APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AF: ER ;5SUANCE'OR Lv.ST V 4LID INSPECTIOA IWNER-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 'rofessions 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). 7 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, 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). 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 year prior to completion of the improvements covered by this permit, I cannot legally 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. lignature 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 (commenci g with Section 7000) of Division 3 of the Bus inn s rofessions Code, and my license is in full force is effect. �i 1 T L Contractor Si na nd effect. Class License No g to VORKERS' COMPENSATION DECLARATION IARNING: 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 '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: 7 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 the erformance of the work for which this permit is issued. Policy No. have and will aln workers' camn insurance, as required) Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier nd po cy number are: - _ ) #_ ( % A ie of Agent —S/ ��./ V Hnor certify that, in the performance of the wok which this permit i ued, I shall not employ any person in any manner so as to become , if I should beco LIN the workers' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply'Wit6 thD iature of Applicann��— `171, Date to the workers' compensation laws of California, and 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 this permit is issued (Section 3097 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 relating to building construction. I authorize representatives of this city or county t niter the above -identified property for inspection purposes. ,� Iianature of Prooertv Owner or Authorized Aced �'\ / Print Property Owner's or Authorized Agent's Nam A v' \ • I ACTION DATE I BY ,i 'rvi rw'a uuc yr FEDEn'A, REavurcr;SP.,=61 OF TITLE 40AND I AQMO nULE 1103, — PERMfTEXPfRED ❑ 1 3U9M[i TFD'ASBt ST05 NO77FICATIONTO: ❑` EPA ❑ AQMD PERM.JT CANCELLED c PERMfTEXTENDED ASBESTOS T OCARON 15 NOT APPLICABLE TO P OP05FD nc NOTIFICATION I PERMIT FINAL -Z (-L CERT7FfCATEOF j SIGNAT7IKE: OCCUPANCYISSUED /t4 Civil Code). FOR OFFICE USE ONLY