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Home My WebLink AboutF2019-0065 - Permits$1y�9 City of Newport Beach - Building Division��IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII it FIRE -Permit: F2019-0065 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 0 6. 5 Project No : 0270-2019 = Permit Counter Phone (949)644-3288 eNawfr� _ Inspection Requests Phone (949)644-3255 Job Address: 2800 BAYVIEW DR NB Description: SFR FIRE SPRINKLERS (4) HEADS (X2018-2943) Construction Valuation:. $1,000.00 Inspector Area: 5 Legal Description: P BK 83 PG 45 PAR 1 Fire Residential Alarm PC Fee: Building Overtime PC Fee: • • • ° o Planning Counter Review: Owner: BOGNER CHARLES Contractor:. FIREPROOF FIRE PROTECTION Architect: $0.00 • Fire Plan Check Fee:. Address: 2800 BAYVIEW DR.. Address: 1101 KINGSTON DR Address: Public Works Traffic Plan Check Fee; o°® oti ®oom•fi CORONA DEL MAR CA 92625 TOTAL FEE : LA HABRA CA 90631 Plan Check Fee 0 0 o e e Phone: Phone: 714-476-5370 Phone: State Lie: •e ° Applicant: CASEY MONTY Con State Lic: 876004 Engineer. ° o ° ° ° ° • ° , ° ° Address: 1101 KINGSTON OR Lie Expire: 04/30/2020 Address: LA HABRA CA 90631 Bus LIc: BT30040107 o a s • x 0 0 0 Phone: 714.476-5370 Lie Exp Date: 08/31/2019 Phone: - State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: CASEY. MONTY o ° o. 0000®oma Type of Construction: V -8 -SPR Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR Occupancy Group: R3/U Policy No: MOWC901180 LA HABRA CA 90631 Added /New sq.ft. Bldg:. 0 Expire: 02/15/2019 Phone: 714-476-5370 oo°o .Added /New sq. ft: Garage: 0 No of Stories: 1 Issued Date: 02104/2019 Special Conditions: - No of Units : 0 Setback- Front Flood Zone: X - Rear Bldg Sprinklers: Y Left: Right: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $0.00 $0.00 $0.00 $0.00 $0.00 Records Management: $0.00 Fee Due at Permit Issuance $2.00 $0.00 $0.00 $444.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: ' a u W ? •. PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation:. $1,000.00 Building PC Fee : - $202.00 Fire Residential Alarm PC Fee: Building Overtime PC Fee: $0.00 Planning Counter Review: Building Extention Fee `. $0.00. Planning Zoning PC Fee Building Investigation Fee: $0.00 Fire Plan Check Fee:. $0.00 Public Works PC Fee: Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; Building Permit Fee : $240.00 TOTAL FEE : $444.00 Plan Check Fee PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $0.00 $0.00 $0.00 $0.00 $0.00 Records Management: $0.00 Fee Due at Permit Issuance $2.00 $0.00 $0.00 $444.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: ' a u W ? •. PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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' 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ 1, as owner ofthaproperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an own&AI pWterty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). M LamRxempt from licensure under the Contractors' State License Law for the following reason: By my si0nature1Vj* I.'acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalq spit a s?rVcture that have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and FYofesslons Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signatgle of Propglt Otyner or Authorized Agent Date LICEN$ED CONTRACTOR'S DECLARATION I Pl;7PY affirm urtlgr pMpalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codend-FPrytiee a is in full force and effect. . .. - ...ense.. LicClass License No Date�Contractor Signature &61JV&RS' COMPENSATION DECLARATION NARNING: FAILURE TO SECNRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA S't 0), IN ADDITION TO THE CPS 'fersCOMPENSATIO N, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herby affirm and *r2), natty 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 3erformance 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: is of Agent certify that, in the performance of the work , if I should beco act toc �th.e workers' lature of Applican _ _ `� Policy Number Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. =_reby affirm under penalty of perjury that ther a c struction 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, I 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. 1 authorize representatives of this city or coun er the above -identified pro erty for inspection purposes. mature of Property Owner or Authorized Agenf�) C Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OFCOMPLIANCEINITH CODEOF FOR OFFICE OSE ONLY FEDERAL REGULATIONS PART 61 OFTITL€40AIVD AQMDRULE1403. - PERMITEXPIRED I SUBMITT€DASSESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERR41TTEXTENDED ASBESTOS M017FTCA170MIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL CERTIFICATEOF OCCUPANCYISSIIED SIGNATURE: