HomeMy WebLinkAboutF2022-0275 - Permits^i'rkT City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 2 7 5
Permit Counter Phone (949)644-3288
Job Address: 6 PINNACLE POINT NB
Inspector Area: 6
Owner:
SONG
Address:
6 PINNACLE POINT
NEWPORT COAST, CA 92657
Phone:
Applicant:
TERI/IE FIRE PROTECTION
Address:
18050 SEQUOIA ST
HESPERIA CA 92345
Phone:
909-205-9821
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:
2
No of Units :
0
Flood Zone:
Bldg Sprinklers:
Y
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
TOTAL FEE
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$4,067.00
FIRE Permit: F2022-0275
Project No : 1401-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS 27 HEADS (X2020-1039)
Legal Description:
TRACT NO 14038 LOT 57 FOR OF LOT
Contractor:
I E FIRE PROTECTION INC
Architect:
Address:
18050 SEQUOIA AV
Address:
HESPERIA CA 92345
Phone:
909-205-9821
Phone:
State Lic:
Con State Lic:
1030049
Engineer:
Lic Expire:
0813112023
Address:
Bus Lic:
BT30078857
Lic Exp Date:
0513112023
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
JACOBO RAUL
Carrier:
EXEMPT
Address:
18050 SEQUOIA ST
Policy No:
NO EMPLOYEES
HESPERIA CA 92345
Expire: Phone:
Issued Date: Special Conditions: I NIS �CTO R
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 :
$0.00 Fee Due at Permit Issuance :
$497.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
'PERN.'IT P kP/RES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
LDER 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).
I, 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,
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).
D 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
poly 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 1 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://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 (commencing with Section 7000) of Division 3 of the Business and Professions8 de, my licens is in f II force
nd effect.
icense Class License No Date Z�-. Contractor Sig natur
VORKERS' COMPENSATION DECLARATION
'ARNING: 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:
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 thl
erformance of the work for which this permit is issued. Policy No.
have 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
rance carrier and policy number are:
Policy Number
of Agent
Date
ertify that, in the performance of the work forwhich this permit(! s issue I shall not employ any person in any manner so as to become subject to the workers' compen
if I should become subject torfthe
�//wo pensation ttppr�ovi 'ons of . ection 370C of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant LL1l��C �d� Date)(f
CLARATION REGARIJMG CONSTRUCTION LENDING AGENCY
:reby affirm under penalty of perjury that there is a constructio ng agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
By 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 I ws relatin to b ilding construction.
I authorize representatives of this city or county to ant the abo an d prope y f 1 pection purposes.
Signature of PrD erty er Ownor Authorized Agent V\%1 {,&, M Print Property Owner's or Authorized Agent's Name i���F'/ .lif�/,/ Date
laws of California, and
ACTION
DATE
8Y
DECLAGA TION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 1403,
PERMIT FXPi`RFD
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA -
❑ AQMD
PERAAITCANCELLED
PERM'7TEXTENDED
❑ ASBESTOS N077FICA77ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMIT FINAL
CE,RTIFICATEGF
L�
OCCUPANCYvSSUED