HomeMy WebLinkAboutF2018-0021 - PermitsCity of Newport Beach - Building Division II�III�IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
ei 100 Civic Center Drive, Newport Beach, CA 92660.
.'. v. Permit Counter Phone (949)644-3288
Job Address: 708 MARGUERITE AVE NB
Inspector Area:.5
Owner: JOHNS GEORGE
Address: 21621 BAHAMA
HUNTINGTON BEACH CA 92646
Phone:
Applicant: ANCHETA DANNY
Address: 26542 CORTINA DR
MISSION VIEJO CA 92691
Phone: 949.433-3473
Code Edit : 2016
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: Y
FIRE Permit: F2018-0021
Project No: 0069-2018
Inspection Requests Phone (949)644-3255
State Lie:
State Lie:
Worker's Compensation Insurance
Description: SFR FIRE SPRINKLERS (42) HEADS (X2016-3687)
Legal Description:
CORONA DEL MAR BLK 739 LOT 10
Address:
Contractor:
SO CALIF FIRE PROTECTION INC
Architect:
Address:
26542 CORTINA DR
Address:
$0.00 Records Management:
MISSION VIEJO CA 92691
Phone:
Phone:
949-433-3473
Phone:
Con State Lie:
784928
Engineer:
Lie Expire:
02128/2019
Address:
Bus Lie:
BT30048263
$0.00
Lie Exp Date:
08131/2018
Phone:
State Lie:
State Lie:
Worker's Compensation Insurance
Designer:
ANCHETA DANNY
Carrier: EVEREST NATIONAL
Address:
26542 CORTINA DR
Policy No: 5300002361
Building PC Fee:
MISSION VIEJO CA 92691
Fire Residential Alarm PC Fee:
$0.00 Records Management:
Expire: 0 8/2 01201 8
Phone:
949-4333473
Issued Date: 01/2312018
Special Conditions:
$0.00
Setback- Front:
$0.00
Building Investigation Fee:
Rear:
Left:
$0.00
Public Works PC Fee :
Riaht:
Fire Permit Fee :
$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
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FEES
Construction Valuation:
$5,000.00
Building PC Fee:
$190.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
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
Fire Plan Check Fee:
$0.00
Public Works PC Fee :
$0.00
Fire Permit Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$225.00
TOTAL FEE :
$419.00
Plan Check Fee :
$190.00 Fee Due at Permit Issuance
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:/
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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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, prior to its issuance, also requires the applicant for
the 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
Professions 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
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do `) all of or (_) 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
im roved 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
apply4o 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:
By 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
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of t siness and Professions Cod /a e'�my Iic rfs�a Is full force
and effect. / _ 3 _ 18
License Class .... License No `6,�f\e Contrac r Signature / --
iNORKERVIG'(' APENSATION DECLARATION
JI 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSMICRIDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
'.hereby affirm under penalty of perjury one of the following declarations:
T have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
5rfoq:nce oT JV9wctk for which this permit is issued. Policy No.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
iwe cam$ arA policy number are:
Policy Number
Date
in the derformance of the work for which tjsis 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
drflg subject to the workers�oompeP ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr visions.
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is
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 al d stat 'taws acing to building construction.
I authorize representatives of fhjsrcity or county to esttefge -id� if ro arty for inspection purposes. .,
nature of Prooertv Owner or Ami homed Aaent /Y-�r/ Print Prooertv Owner's or Authbri� Agan
(Section 3097, Civil Code).
ACTION DATE BY
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