HomeMy WebLinkAboutF2020-0036 - PermitsME 1Y I•fl�T City of Newport Beach - Building Division 11111 111111111p11111111p11111111p111111p1111111111
oz 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 3 6
N ' + Permit Counter Phone (949)644-3288
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Job Address: 1119 DOLPHIN TER NB
Inspector Area: 2
Owner: GUPTA NARENRA
Address: 1119 DOLPHIN TER
CORONA DEL MAR, CA 92625
Phone
Applicant: HANLEY SEAN
Address: 1908 S EL CAMINO REAL
SAN CLEMENTE CA 92672
Phone: 949-495-4604
Code Edit: 2016
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
Construction Valuation
V-B-SPR
R3/U
0
0
FIRE Permit: F2020-0036
Project No : 0147-2020
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (88) HEADS (X2019-1576)
Legal Description:
N TR 1700 LOT 1
Contractor:
SOUTH COAST FIRE PROTECTION INC
Address:
1908 S EL CAMINO REAL
SAN CLEMENTE CA 92672
Phone:
949.493.4604
Con State Lic: 746130
Lic Expire: 02129/2020
Bus Lic:
BT20011043
Lic Exp Date:
12/31/2020
Worker's Compensation
Insurance
Carrier:
EVEREST NTNL INS CO
Policy No:
5300003782181
Expire:
05/0112020
1 Issued Date: 01/2412020
0 Setback- Front:
Rear:
Y Left:
Right:
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:
$6,000.00
FEES
Architect
Address:
Phone: State Lic
Engineer:
Address:
Phone: State Lic
Designer: HANLEY SEAN
Address: 1908 S EL CAMINO REAL
SAN CLEMENTE CA 92672
Phone: 949-495-4604
Special Conditions: LANDSLIDE AREA
t,
1t S
$202.00
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
$240.00
$448.00
Plan Check Fee:
$202.00 Fee Due at Permit Issuance :
$246.00
O7oHFbR DEPARTMENT.
PLAWCAFdKED EY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE 03 LAST VALID INSPECTION
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)
iection 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
IS 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 Iicensure 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).
1 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
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 Iicensure 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 legal
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 A ate
.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 Pr a 'on ode, a d m f sa-isJ full force
nd effect.
icense Class License No Dat I' Z -7. Contractor Signature
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 DdrLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES 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:
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
'grmance of the work for which this permit is issuerj!)PDlicy No.
and will maintain workers' compensatio Inrrance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are: /
to of Agent
certify that, in the pl
, if I should become
Policy Number
Date
permit is issued all not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
r provisi ection 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Dat I - 4--1- LL V
DECLARATION REGARD NSTRUCT DING AGENCY
I hereby affirm under pens perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender'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 pro erty owns'a b a
I have read this application and the information I have rovided is or e
I agree to comply with all applicable city and county o nances nd t laws relating to building construction.
I authorize representatives of this city or county e r the ab v ope r inspection purposes.
Signature of Property Owner or Authorized Agent
Print Property Owner's or Authorized Agent's Name _ . /J d �L Date
ACT70N
DATE
y
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
— —
FLDEFZPL REOULATIJNS PART 61 OF TITLE40 AND
,+QMJ PULE 1433.
PERMIT EXPIRED
C : SUBMITTEDASE`STOS NOTIFICATION TO:
f 0 EPA
❑ AQMD
PERMIT CANCELLED
r
PERMIT EXTENDED
❑ ASBESTOS U077FICATIONIS NOT APPLICABLE TO
PR7P'755.O DEMOLITION.
PERMIT FINAL
CERUFICATE OF
SISNATURE:
OCCUPANCYlSSUED