HomeMy WebLinkAboutF2020-0126 - PermitsI City of Newport Beach - Building Division100 IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII�II II
0 Counter Pc Center hone (949)644-3288rive, Newport h, CA 92660 IIII F 2 0 2 0 0 2 6
Permit
Job Address: 706 POINSETTIA AVE NB
Inspector Area: 5
BLK 743
FIRE Permit: F2020-0126
Project No: 0548-2020
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (41) HEADS (X2018-3029)
Legal Description: CORONA DEL MAR LOT 8 BILK 743 NELY 25 FT(AND SWLY112 LOT 10 (,ONS B UC,-f10µpg Noise
Owner: 706 POINSETTIA LLC
Contractor:
MIKE BILKA FIRE PROTECTION
Architect:
Address: 2000 BRUSH ST #440
Address:
114 LAS FLORES
Address:
DETROIT MI 48226
ALISO VIEJO CA 92656
Phone:
Phone:
949.305-8670
Phone:
e —fUK
Applicant: BILKA MIKE
Con State Lic:
958115
Engineer:
Address: 114 LAS FLORES
Lic Expire:
0212812021
Address:
ALISO VIEJO CA 92656
Bus Lic:
BT30052024
Phone: 949-228-1192
Lic Exp Date:
08/31/2020 -
Phone:
State Lic:
Code Edit: 2016
Worker's Compensation Insurance
Designer:
BILKA MIKE
Type of Construction: V -B -SPR
Carrier:
WESCO INS CO
Address:
114 LAS FLORES
Occupancy Group: R31U
Policy No:
WWC3190160
ALISO VIEJO
CA 92656
Added /New sq.ft: Bldg: 0
Expire:
03/05/2020
Phone:
949-228-1192
Added /New sq. ft. Garage: 0
No of Stories: 3
Issued
Date:
Special Conditions:
HIGH DENSITY AREA
No of Units : 0
Setback-
Front:
Flood Zone: X
Rear:
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation:
$4,000.00
Building PC Fee:
$202.00
Fire Residential Alarm PC Fee :
$0.08
Records Manent :
$4.00
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 : -
$240.00
TOTAL FEE :
$446.00
Plan Check Fee:
$446.00
Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL
4T
° OTHER DEPARTMENT:
c
PLAN CHECKED BY:: .
�L.: ti ✓ - APPROVAL TO ISSUE: -
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
oc ���
1WNER-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)
lection 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).
7 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 1 am exempt from licensure under the Contractors' State License Law for the following reason:
'y 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:http://www.leginfc.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 Professions Code, and my license is in full farce
effect
is•--� ,/ ��
icense Class License No Date 3 2s/Z� Contractor Signal ur�
IIORKERS' 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penally 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 IN
r�{{ mance of the work for which this permit is Issued. Policy No.
yt 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
Isu nca carrier and policy number are:
Fernerr WLSGd Policy Number WCQ- 319 O 1 Expiration Date
'.ame of Agent Phone #
]I 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 agrel
Iat, if I should become supject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i
mature of Applicant/X DaID �/P ZU
CLARATION REGAAMG CONSTRUCTION LENDING AGENCY
sreby 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, 1 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 !+o enter the above -identified property for inspection purposes. / /_ _
nature of Prooertv Owner or Authorized AoenlK _%�- Print Proneriv Owner's or Authorized Acent's Name(\/
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ACTION
PERMITEXPIRED
PERMITCANC€LLED
PERMITEXTENDED
PERMIT FINAL
CERRHCATEOF
OCCUPANCYISSDED
DATE —1 - BY
AQMD RULE 1403. .
❑ I SUBMITTED ASBESTOS NOTIFICATION 70.• . • • ,'
❑ EPA ,' ; •'
❑ AQMD • • • • i • �•
❑ ASBESTOS NOTIFICATIONS NOT APPLICABLE TO
PROPOSEODEMOLITION.
SIGNATURE: ... .•• •�' :�� '•'
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