HomeMy WebLinkAboutF2018-0433 - Permits1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FIRE Permit: F2018-0433
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8. 0 4 3 3 Project No: 1856-2018
Permit Counter Phone (949)644-3288
;d''irxnwxa - Inspection Requests Phone (949)644-3255
Job Address: 2854 CAROB ST NB Description: SFR FIRE SPRINKLERS V HEADS (X2017-3319)
Inspector Area: 8
Owner:
ACOSTAJONATHAN
Address:
2854 CAROB ST
Address:
NEWPORT BEACH, CA 92660
Phone:
949-677-7786
Applicant:
HANLEY SEAN
Address:
1908 S. EL CAMINO REAL
Fire Residential Alarm PC Fee:
SAN CLEMENTE, CA 92672
Phone:
949.493.4604
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:
V -B -SPR
R31U
0
0
Legal Description:
N TR 5018 LOT 117
Contractor:
SOUTH COAST FIRE PROTECTION INC
Address:
1908 S EL CAMINO REAL
EVEREST NTNL INS CO
SAN CLEMENTE CA 92672
Phone:
949-493-4604
Con State Lie: 746130
Lie Expire: 0 212 812 01 9
Bus Lie:
BT20011043
Lie Exp Date:
1213112018
Worker's Compensation Insurance
Carrier:
EVEREST NTNL INS CO
Policy No:
5300003782
Expire:
0 510112 01 9
2 Issued Date: 0810612018
0 Setback- Front:
Rear:
N Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lic:
State Lie
HANLEY SEAN
1908 S. EL CAMINO REAL
SAN CLEMENTE, CA 92672
949-493-4604
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PROCESSED BY: - OTHER DEPARTMENT:
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ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$0.00
Building PC Fee:
$190.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$6.00
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 :
$225.00
TOTAL FEE :
$421.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$421.00
PROCESSED BY: - OTHER DEPARTMENT:
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ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
DWNER-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
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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, 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
im roved for the purpose of sale).
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 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 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.html.
Signature of PASArOwner or Authorized Agent 14 D to
610ENSED CONTRACTOR'S DECLARATION
hereby affiraLendei penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business $nd P fession or , and y license is Ian full force
and P.ffect. -9..* (a
Libggse Class _ License No Date ®'gym' 1 Contractor Signat e
NO[WERS' GIDNIPENSATION DECLARATION
AFVIIIIG: FAILUR,5.TPACURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPO ONE HUNDRED THO SAND 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.
e
ileTaby affirm•uMndo apenalty of perjury one of the following declarations:
ave 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 thI
fe mance..if the work for which this permit is issued. Policy No.
...
e and will 14aintain 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
%u/ance carne; and policy number are:
:arrier �. �..' Policy Number Expiration Date
'ame of Agent Phone #
]I certify that, in the perf rmanc the work € ch thye�mit is issued, I hall not employ any person in any manner so as to become subject to try�/workers' compensation laws of California, and
Iat, if I should become s bject t he wor ' co p �n°'provisions ofaS coon 3700 of the Labor Code, I shall forthwith comply with those provisi fls.
ignature of Applicant Date 7L9 -If., -ie
DECLARATION REG I CONST N LENDING AGENCY
hereby affirm under enalty of perjury here is a construction lending agency for the performance of the work for which this permit is issu d (Section 3097, Civil Code).
Ender's Name Lender's Address
y my signature bel w, I certify to each of the following:
I am the property owner or authorized to act on the pr perty 99wner's behalf.
I have read this application and the information I hap provifled is c rrect. `
I agree to comply with all applicable city and count ordin .1, letting to building construction. /
I authorize representatives of this city or county t ante a ab a -id tified�pe y for inspection purposes. , Z
ACTION DATE
71
DECLARATION OF COMPLIANCEWITN CODE OF
FOR OfFICEUS NLY
FEDERAL REGULATIONS PART 01 OF IT17 E40AND
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PERMITEXPIRED
❑ISUBMITTEDASBESTOSNOTIFICATIONTO:
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PERMITEXTENDED
❑ ASBESTOS M017FICA770MIS NOT APPLICABLE TO
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