HomeMy WebLinkAboutF2022-0249 - Permitsgwtq,4, City of Newport Beach - Building Division *F2022-0249`
a 100 Civic Center Drive, Newport Beach, CA 92660
v Permit Counter Phone (949)644-3288
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Job Address: 1521 KATHLEEN LN NB
Inspector Area: 3
Owner: WEICHMAN BARRY
Address: 1048 IRVINEAVE #148
NEWPORT BEACH CA 92660
Phone:
Applicant: CASEY MONTY
Address: 1101 KINGSTON DR
LA HABARA, CA 90631
Phone: 714476-5370
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:
1
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
Construction Valuation
Building PC Fee :
Building Overtime PC Fee:
Building Extertion Fee:
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee
TOTALFEE
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$3,400.00
FIRE Permit: F2022-0249
Project No : 1243-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLER SYSTEM W/ (34) HEADS. (X2021-0200)
Legal Description:
N TR 1806 LOT 4
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476-5370
Can State Lie: 676004
Lie Expire: 04130/2024
Bus Lie:
BT30040107
Lie Exp Date:
07/31/2022
Worker's Compensation Insurance
Carrier:
SECURITY NATIONAL INS
Policy No:
SWC1373758
Expire:
02/15/2023
Issued Date:
0511012022
Setback- Front:
Rear:
Left:
Right:
$222.00
$0.00
$0.00
$0.00
$0.00
$0.00
$269.00
$495.00
FEES
Fire Residential Alarm PC Fee
Planning Counter Review:
Planning Zoning PC Fee :
Public Works PC Fee:
Public Works Traffic Plan Check Fee;
Plan Check Fee :
Architect:
-
Address:
Phone:
State Lie:
Engineer:
Address:
'..
Phone:
State Lie:
Designer:
FIREPROOF FIRE PROTECTION v a
Address:
1113 WEST STRUCK AVENUE
ORANGE, CA 92867
Phone:
866457-3473
Special Conditions:
$0.00 Records Management : $4.00
$0.00
$0.00
$0.00
$0.00 $0.00
$0.00
$0.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
Fee Due at Permit Issuance : $495.00
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, pdorto its issuance, also requires the applicant for
:he 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
Drofessions 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
-ot 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 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 : u. pc se of sale).
❑ I, as owner of ti,C property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Epp!y tc 3n owner cf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
U I am exemp. fror,I :icensure under the Contractors' State License Law for the following reason:
ey 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
Bell a suucture 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
Prufessions Code, ;s available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
S ignz:Lre of Property Owner or Authorized Agent Date
LI ,' 9'SED CONTRACTOR'S DECLARATION
Iaffirm 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 effect. Y �`
L.ce.lse Class License No Date Contractor Signature %C
WORKERS' C06iPEt4SATION DECLARATION
RARNING:' FAILURE 10 SEU6RE 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
COST OF COMPENSATION, 04MAGES 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:
❑ 1 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
performance of 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
of Agent
Date
71 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 ag
lat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant )!S - 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 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to nter the above -identified property for inspection purposes. _/ I
:ionaturs of Pronerty Owner or Authorized ADent ��� Print Property Owner's or Authorized Agent's Name 7� • .. `+ �. r a , Date (° 7t
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMD RULE 1401
PERMIT EXPI RED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERA4IT EXT€NDED
❑ ASBESTOS N077RCA77ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATECF
SIGNATURE:
OCCUPANCYISSUED