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HomeMy WebLinkAboutF2018-0126 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 1 2 W Permit Counter Phone (949)644-3288 ed k 6 FIRE Permit: F2018-0126 Project No: 0501-2018 Inspection Requests Phone (949)644-3255 FEES Job Address: 2024 NAUTILUS LN NB Description: SFR FIRE SPRINKLER SYSTEM 42 HEADS (X2017-1111) *REVISED 9/17/10* $190.00 Fire Residential Alarm PC Fee: Inspector Area: 3 Legal Description: N TR 3763 LOT 75 Building Overtime PC Fee: � iV` II AT Planning Counter Review: Owner: BRILES RICHARD & KEANNA Contractor: MARTINEZ FIRE PROT SYS Architect: ni IIj__,- ' Address: 2024 NAUTILUS LN Address: 888 N. H ST Address: - NEWPORT BEACH, CA 92660 SAN BERNARDINO, CA 92410 Fire Plan Check Fee: $0.00 -— Phone: Phone: 909-562-8637. Phone: State Lie: Public Works Traffic Plan Check Fee; Applicant: MARTINEZ FIRE PROT SYS Con State Lie: 955955 Engineer: $225.00 Address: 888 N. HST Lie Expire: 12131/2018 Address: °°O°°° Plan Check Fee: SAN BERNARDINO, CA 92410 Bus Lie: BT30049343 Phone: 909-562-8637 Lie Exp Date: 08131/2018 Phone: State Lic: Code Edit : 2016 Worker's Compensation Insurance Designer: MARTINEZ ARMANDO Type of Construction V-B-SPR Carrier: SECURITY NATIONAL INS- Address: 888 N. H ST Occupancy Group: R31U Policy No: SWC1157661 SAN BERNARDINO, CA 92410 Added /New sq.ft. Bldg: 0 Expire: 0811212018 Phone: 909-562-8637. Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 03102/2018 Special Conditions: No of Units : 0 Setback- Front: ° Flood Zone: Rear: ° ° Bldg Sprinklers: N Left: ° Right: ° °c oo°°°. PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $6,000.00 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 Building Investigation Fee: $0.00 $0.00 Fire Plan Check Fee: $0.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $225.00 TOTAL FEE : $421.00 Plan Check Fee: $421.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION YNER-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) iction 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 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 Ifessions 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 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, siness 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 Irovements 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 )roved 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 Ay 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 ezeriipt from'licehsure under the Contractors' State License Law for the following reason: 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 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 ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date SENSED COATRACTOR'S DECLARATION neby affirm %cieryenalty 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 snse.Class . • • License No Date Contractor Signature ?RKERS' COV1;ENSATION DECLARATION rMMG: 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 IT qp COMPENjJTJ J%QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. k&I'affirm under penalty of perjury one of the following declarations: drtr'ave 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 tht IglinLnce oMMe work for which this permit is issued. Policy No. N31 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' compensalior Trance carrier and4licy number are: Tler • Policy Number Expiration Date neof Agent- • : Phone # 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 agree :, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY =reby 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). ider'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 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 enter the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCEYYITHCODEOF FOROFFICE USE ONLY FEDERAL REGULATIONS PART Hf OF TITLE40AND AOMORULE1403. PERMiTEXPfR€D — I SUBMITTED ASBESTOS M071FICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIRCA710MIS NOT APPLICABLE TO PROPOSED DEMOLITION. 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