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HomeMy WebLinkAboutF2018-0359 - Permits1r # City of Newport Beach - Building Division 111p111111111 Jill 11p1111111111111111111111111ill 100 Civic Center Drive, Newport Beach, CA 92660 F 2 ti 1 Permit Counter Phone (949)644-3288 Job Address: 14 BEACON BAY NB Inspector Area: 2 Owner: HELFRICH JIM Address: 14 BEACON BAY NEWPORT BEACH, CA 92660 Phone: Applicant: CASEY DENISE Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: Code Edit: 2016 R BK 9 PG 42 PAR 14 Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: Plan Check Fee 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: $3,800.00 FIRE Permit: F2018-0359 Project No: 1474-2018 Inspection Description: FIRE SPRINKLERS FOR NEW SFR (X2017.2210) 38 HEADS Legal Description: R BK 9 PG 42 PAR 14 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR NORGUARD INS CO LA HABRA CA 90631 Phone: 714.476-5370 Con State Lie: 876004 Lie Expire: 04/3012020 Bus Lic: BT30040107 Lie Exp Date: 08131/2018 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC901180 Expire: 02/1512019 Issued Date: 06120/2018 Setback- Front: Rear: Left: Right: FEES $190.00 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; $225.00 °. $419.00 Plan Check Fee Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: State Lie: State Lie: $0.00 Records Management $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $4.00 omo• °°•°•$0.00 - ••mo$0.00 n000c 00 0 eo � :-.$4%9.00 • u PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION m000 m OTHER DEPARTMENT: o®moo oo•ouo °. a ° PLAN CHECKED BY:: ° • • ° °- 000000 TO ISSUE: °O ° °•o•m° APPROVAL oe e PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -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) 1 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 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). ❑ 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 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 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://V w .leginfo.ca.gov/calaw.html. 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 Sectio 7000) of Division 3 of the Business and Professions Code, and m i ense is in full force and effect. License Class License No Date L Contractor Signa ure' NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DO ($700,000), IN ADDITION TO THE :OST 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: 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 rmance 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 Expiration Date of Agent Phone #_ certify that, in the performance of the work , if I should become subject to the workers' of 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 I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DECLARATION REGARDING -CONSTRUCTION LE DING AGENCY L/ L X N I hereby affirm under penalty of perjury that there is a nstruction 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 bLhlt*-I certify to each of the following: rarA $he pro®6rMner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. fagrBe to comply with all applicable city and county ordinances and state laws relating to building Construction. I aythodze representatives of this city or county tqTnrertified property for inspection purposes. Sjgd91LII8 of Property Owner or Authorized AgerC \�.>\ Print Property Owner's or Authorized Agent's Name C ws­c- -\ Date' Za ACYjQly(, DATE BY DECLARATION OF COMPLIANCEMTN CODEOF FOR OFR EUSEONLY • • • FEDERAL REGULATIONS PART 61 OF TIRE40AND AQMO.RULE 1403. PRN•71TEXP)R� D I SUBMITTED ASBESTOS NOTIFICATION TO: E3EPA ❑ AQMD ::RMtTCA !'ELZ: efiWITEXT NlDEfi• 0 ASBESTOS ItONlSNDTAPPLfCRBLETO PERMITF1NAt " 2 PROPOSED DEMOLITION. CERTIFtCATE OF OCCUPANCYISSUED SIGNATURE: