HomeMy WebLinkAboutF2019-0651 - Permits,�y,N'rPr>4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 6 5 1
Permit Counter Phone (949)644-3288
Job Address: 38 LINDA ISLE NB
Inspector Area: 2
Owner:
SUTHERLIN
Address:
4680 95TH AVE NE
Occupancy Group:
YARROW POINTWA 98004
Phone:
0
Applicant:
MIKE BILKA
Address:
114 LAS FLORES
No of Units :
ALISO VIEJO CA 92656
Phone:
949-305-8670
Code Edit : 2016
Description: SFR - FIRE SPRINKLERS/ RES ADD 54 HEADS (X2018-3793)
Type of Construction:
VB
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:
114 LAS FLORES
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:
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$6,400.00
FIRE Permit: F2019-0651
Project No : 2752-2019
Inspection Requests Phone (949)644-3255
FEES
$0.00 Fire Residential Alarm PC Fee: $0.00 Records Management
$0.00 Planning Counter Review: $0.00
$0.00 Planning Zoning PC Fee: $0.00
$0.00
$349.00 Public Works PC Fee: $0.00
$382.00 Public Works Traffic Plan Check Fee; $0.00
$0.00
$735.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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$4.00
$0.00
$0.00
$735.00
Description: SFR - FIRE SPRINKLERS/ RES ADD 54 HEADS (X2018-3793)
2752.2019
EC -r® F
Legal Description:
N TR 4003 LOT 38
B N
Contractor:
MIKE BILKA FIRE PROTECTION
Architect:
Address:
114 LAS FLORES
Address:
ALISO VIEJO CA 92656
Phone:
949-305-8670
Phone:
State Lie:
Con State Lie:
958115
Engineer:
Lie Expire:
Bus Lie:
BT30052052024
BT30
Address:
NO CONSTRUCTION NOISE.
Lie Exp Date:
0813112020
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
Carrier:
WESCO INS CO
Address:
Policy No:
WWC3190160
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ON
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Expire:
03/05/2020
Phone:
• „" •°�
pV c
Issued Date: 1
2/1 312 01 9
Special Conditions:
NOISE REDUCTION ZONE °
Setback- Front:
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Rear:
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Left:
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Right:
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FEES
$0.00 Fire Residential Alarm PC Fee: $0.00 Records Management
$0.00 Planning Counter Review: $0.00
$0.00 Planning Zoning PC Fee: $0.00
$0.00
$349.00 Public Works PC Fee: $0.00
$382.00 Public Works Traffic Plan Check Fee; $0.00
$0.00
$735.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
G
POp Cp(`
p. p
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0000
$4.00
$0.00
$0.00
$735.00
)WNER-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
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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
n 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
pply 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 I 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 legall,
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:http://www.leginfo.ca.gov/calaw.htmi.
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 Professions Code, and my license is in full force
nd effect.
icense Class License No 12/ 3119 Contractor Signature
i
IIORKERS' CC WAgSATION DECLARATION
IyRNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
QSTM,pbMPENSATjON, QVAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ifereby dffirm uftj ]eolty 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 th
?PfMi• ante of thsworkior which this permit is issued. Policy No.
......
�ITgv •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' compensatio
Duran: carrier -end policy number are:
iLr • /*^^ " vSf Policy Number CJCC 3(9101v0 Expiration Date 31S / 20
arpe9jegent • Phone#
11 certify that, ir*i* 6rmance 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 agre
wa jfd Rbould become sgubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseprovisions.
IigfiatLPeofApp Acrj Date/— r�/fes
IECLARATION REG DING 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
ender's Name Lender's Address
iy my signature below, I certify to each of the following:
I am the property owner or authorized to act an 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. _
ACTION I DATE I I BY
fA:ININ�if�AN7Yi]
OCCLIPANCYISSOED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AOMD
❑ ASBESTOS M077FICA770MIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
/9
Civil Code).
Date —7°IZ/rs'
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