HomeMy WebLinkAboutF2018-0116 - PermitsOE .,.QU6.,_
City of Newport Beach - Building Division 111p111111111p111111111111111111p111111111111lilJill
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 a 0 t 1 s
Permit Counter Phone (949)644-3288
FIRE Permit: F2018-0116
Project No : 0447-2018
Inspection Requests Phone (949)644-3255
Job Address: 6 TIMOR SEA NB Description: SFR - FIRE SPRINKLERSIADDITION 7 HEADS (X2017-1944)
Inspector Area: 6 Legal Description:
Owner: SUMA PROPERTY LIMITED Contractor: FIREGUARD SPRINKLER SYS INC Architect:
Address: Address: 9543 VICTORIA AVE Address:
SOUTH GATE CA 90280
Phone: Phone: 714-310-0194 Phone: State Lic:
Applicant: VO JOHN Con State Lic: 992002 Engineer: '
Address: 526 N SHADEDALE AVE Lic Expire: 04130/2018 Address:
WEST COVINA CA 91790 Bus Lic: BT30046886
Phone: 714-310-0194 Lic Exp Date: 04/30/2018 Phone: State Lic: ;
Code Edit : 2016 Worker's Compensation Insurance Designer:
Type of Construction: VB Carrier: FALLS LAKE FIRE & CASUALTY Address:
Occupancy Group: R3/U Policy No: FLA0080008.00 ,
Added /New sq.ft. Bldg: 0 Expire: 1212912018 Phone:
Added /New sq. ft. Garage: 0 '
No of Stories: 1 Issued Date: 0212312018 Special Conditions:
No of Units : 0 Setback- Front:
Flood Zone: Rear:
Bldg Sprinklers: Y Left: '
Right:
FEES
Construction Valuation: $1,000.00
Building PC Fee : $190.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $6.00
Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00
Building Extention Fee : $0.00 Planning Zoning PC Fee : $0.00 $0.00
L
g Investigation F $0.00 $0.00
an Check Fe $0.00 Public Works PC Fee : $0.00
rmit Fee $0.00 Public Works Traffic Plan Check Fee; $0.00
g Perm' Fee : $225.00
TOTAL FEE : $421.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $421.00
PROCESSED BY: OTHER DEPARTMENT
ZONING APPROVAL: � / PLAN CHECKED BY :
FIRE APPROVAL: "'' APPROVAL TO ISSU .
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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
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
lrofessions 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
lot 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,
3usiness 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
mprovements 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
mproved for the purpose of sale).
1, 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
Ipply 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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;
Zell a structure teat I ha,e 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
?•ofessicns Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
ilgnawrr of Pronerty Owner or Authorized Agent Date
-IrENSED CON RACTOR'S DECLARATION
;ielabv affirm undur penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof ssio o license is in full force
Ind effect. 2 �,
license r:lass _ License No Date 3 Contractor Signature
'PORKERS' COMPENSATION DECLARATION
DARNING: FAILURE T9 asr:URE 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
:JJ: Ur COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES.
affirm under penalty of perjury one of the following declarations:
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
e of the work for which this permit is issued. Policy No.
and will mni-Itain 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:
ne of Agent
certify that, in the performan a of
, if I should become subject o the
of
Policy Number
Date
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
crsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proviss,o/nS/�-7
CLARATION REG/IRDING gONSJRUCTION LENDING AGENCY
areby affirm under penalty of Mr ^ that there is a construction lending agency for the performance of the work for which this permit is issued
tder'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 pro any owner's behalf.
I have read this application and the information I have or ided is correct.
I agree to comply with all applicable city and county o dine cesnd state laws relating to building construction.
I authorize representatives of this city or county to ent r the v entified property for inspection purposes.
mature of Property Owner or Authorized Agen ✓ Print Property Owner's or Authorized Agent's Nara
Civil Code).
0
AC77ON
DATE 1
BY
DECLARATION OF COMPLIANCEWITN CODEOF
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMO RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
j] EPA
❑ AQMD
❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
FOR OFFICE USE ONLY
PERMITEXPIRED
PERMITCANCELLED
PERNRTEXTENDED
PERMITFINA.L
-+ —
CERTIFICATE OF
OCCUPANCYISSUEO