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Home My WebLink AboutF2021-0461 - Permits4�,�e'rr�yTJ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II _ 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 4 6 1 F Permit Counter Phone (949)644-3288 � � T r'�4YaxN`x Job Address: 16 CAPE FRIO NB Inspector Area: 5 Owner: MAROUF GHANIM Address: 16 CAPE FRIO NEWPORT COAST CA 92657 Phone: Applicant: HANLEY SEAN Address: 1908 S EL CAMINO REAL SAN CLEMENTE CA 92672 Phone: 949-493-4604 Code Edit : 2019 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: V-B-SPR R3/U 0 0 Legal Description FIRE Permit: F2021-0461 Project No : 2309-2021 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS f3 HEADS (X2020-2703) Contractor: SOUTH COAST FIRE PROTECTION INC Architect: Address: 1908 S EL CAMINO REAL Address: SAN CLEMENTE CA 92672 Phone: 949-493-4604 Phone: Con State Lic: 746130 Engineer: Lic Expire: 02/28/2022 Address: Bus Lic: BT20011043 Lic Exp Date: 12/31/2021 Phone: Worker's Compensation Insurance Designer: Carrier: AMERICAN FAM HOME INS CO Address: Policy No: 2EA5WC000082001 Expire: 05/01/2022 Phone: 2 Issued Date: 0913012021 0 Setback- Front: Rear: Y Left: Right: Construction Valuation: $1,200.00 Building PC Fee : Building Overtime PC Fee: Building Extention Fee: Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee FEES $0.00 Fire Residential Alarm PC Fee $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee $0.00 $0.00 Public Works PC Fee $0.00 Public Works Traffic Plan Check Fee; $269.00 TOTAL FEE : $271.00 Plan Check Fee PROCESSED BY: OA ZONING APPROVAL: FIRE APPROVAL: Old-, C ol< W s[)5(0 Special Conditions: State Lic: State Lic: HANLEY SEAN 1908 S EL CAMINO REAL SAN CLEMENTE CA 92672 INSPEC EC I $0.00 Records Management : $2.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $271.00 OTHER DEPARTMENT: Pi.AN CHECKED dY: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE FOR".LAST V 4LL;D rNSPECTION 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 items) (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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 improved 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 apply 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). ❑ 1 am exempt from Iicensure 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 legal) 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.html. Signature of Property Owner or Authorized Agent Dat 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 the Business and Prof Sion , an license is in full force and effect. License Class License No Date �1 ' jy Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 th rmance of the work for which this permit is issued. Policy No. I have 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' compensa s tioo rance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the performa e of the work for which this 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 that, if I should become subjec o the com provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proviisssiions. Signature of Applicant D ' ?jb_ Z i DECLARATION REGAR NSTRUCTI LENDING AGENCY I hereby affirm under pen ty of erjury th ere 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 each of the following: I am the property owner or authorized to act on the pr party owner' shelf. I have read this application and the information I hav provided is rect. i I agree to comply with all applicable city and county dinances a e laws relati to building construction. I authorize representatives of this city or county t e ter the a-i entified or rty for inspection purposes. ed Siqnature of Property Owner or AuthorizAgen Print Property Owner's or Authorized Agent's Name �.%£A"v eTar'Jt `% Date ACTION DATE I ey DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY _ FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQL13 P"-'LE 1403. PERPAIT EXPIRED ❑ -I SUHM11TED ASBESTOS NOTIFICATION TO: - '-] EPA PERPAIT CANCELLED ❑ AQMD PERMIT EXTENDED ❑ ASBESTOS N077FICA TION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIRCAT E OF ` IGNA CUn?E: OCCUPANCYISSUED