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HomeMy WebLinkAboutF2018-0331 - Permits (2)wn City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIillillillillillillilliillillillilljllI a' a1 100 Civic Center Drive, Newport Beach, CA 92660 F 2 9 1 8 9 3 3 1 ` Permit Counter Phone (949)644-3288 �'14renY`��b Job Address: 245 HELIOTROPE AVE NB Inspector Area: 5 Owner: SMITH DAVE Address: 245 HELIOTROPE AVE CORONA DEL MAR CA 92625 Phone: V -B -SPR Applicant: MONTY DENISE Address: 1101 KINGSTON DR Added /New sq. ft. Garage: LA HABRA CA 90631 Phone: Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: R31U 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 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: $3,100.00 FIRE Permit: F2018-0331 Project No: 1327-2018 Inspection Requests Phone (949)644-3255 INSIF"ECTOR State Lic: State Lic: Issued Date: 06105/2018 Special Conditions: PERMIT REVISED 08-02-18j Setback- Front Rear: Left: Right: $190.00 $0.00 $0.00 $0.00 $0.00 $0.00 $225.00 $415.00 FEES Fire Residential Alarm PC Fee: Planning Counter Review: Planning Zoning PC Fee Public Works PC Fee: Public Works Traffic Plan Check Fee; Plan Check Fee: $0.00 $0.00 $0.00 $0.00 $0.00 Records Management $415.00 Fee Due at Permit Issuance OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 $0.00 $0.00 Description: FIRE SPRINKLERS FOR NEW SFR (X2017-3593) 33 HEADS Legal Description: RESUB OF CORONA DEL MAR BILK 134 LOT 19 Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 1101 KINGSTON DR Address: LA HABRA CA 90631 Phone: 714.476-5370 Phone: Con State Lic: 876004 Engineer: Lic Expire: 04130/2020 Address: Bus Lic: BT30040107 Lic Exp Date: 08/31/2018 Phone: Worker's Compensation Insurance Designer: Carrier: NORGUARD INS CO Address: Policy No: MOWC901180 Expire: 0211512019 Phone: INSIF"ECTOR State Lic: State Lic: Issued Date: 06105/2018 Special Conditions: PERMIT REVISED 08-02-18j Setback- Front Rear: Left: Right: $190.00 $0.00 $0.00 $0.00 $0.00 $0.00 $225.00 $415.00 FEES Fire Residential Alarm PC Fee: Planning Counter Review: Planning Zoning PC Fee Public Works PC Fee: Public Works Traffic Plan Check Fee; Plan Check Fee: $0.00 $0.00 $0.00 $0.00 $0.00 Records Management $415.00 Fee Due at Permit Issuance OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 $0.00 $0.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law far 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). i❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iBusiness 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 ofsale)., s ❑ 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 ap ly 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). I am exempt from licensure under tha 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 Divisions iness and Professions Code, and my license is in full force and effect. License Class License No C tr for 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 ONE HUNDRED THOUSAND DOLLARS (EeOOO01, I ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. T I hereby affirm under penalty of perjury one of the following declarations: l}-�l I1�ve 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 thf perfq(mance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date 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 su get to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wit if I should become �se provisions. 1 / iature of Apphce� _I�F Da Ireby affirm dRder penally of perjury that ere is a conructictn lending agency for the performance of the work for which this permit is ider's Name Lender's Address T my signature below, I certify to each of the following: J I am the property owner or authorized to act on the property owner's behalf. 1 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 I authorize representatives of this city or counteu.the above -identified p nature of Prooertv Owner -or Authorized ADent 'r��°� 7 UT_'Mt��;39 CERTIFICATEOF OCCUPANCVISSOED g to building construction. for inspection purposes. Print Prooertv Owner's or Authorized (Section 3097, Civil Code). Name FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD.RULE9403. ❑ /SUBMfTTEDASBESTOSNOTIFICAT/ONTO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIRCATTONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE.