HomeMy WebLinkAboutF2018-0036 - Permitsyvc1D4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII II FIRE Permit: F2018-0036
'. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 0 3 6
Project No: 0134-2018
� � Permit Counter Phone (949)644-3288
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't°,{y�x��y}b 0 Inspection Requests Phone (949)644-3255 Ame
Job Address: 542 S BAY FRONT NB
Description: SFR FIRE SPRINKLERS (32) HEADS (X2017-1409).
Inspector Area: 2
Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 15 LOT 3
Owner: SHAW KENNETH & CATHERINE
Contractor:
R F P INC Architect:„
Address: PO BOX 7696
Address:
7351 HEIL AVE #C Address:
NEWPORT BEACH CA 92658
HUNTINGTON BEACH CA 92647
1
Phone:
Phone:
714-842-5630 Phone:
State Lie:a..r"
Applicant: BALA DAVE
Con State Lie:
911531 Engineer:
Address: 7351 HEIL AVE
Lie Expire:
02/28/2016 Address:
HUNTINGTON CA 92647
Bus Lie:
BT30049933
Phone: 714-842-5630
Lie Exp Date:
02/28/2018 Phone:
State Lie:
Code Edit : 2016
Worker's Compensation Insurance Designer:
BALA DAVE
Type of Construction: V -B -SPR
Carrier:
WESCO INS Address:
7351 HEIL AVE
Occupancy Group: R3/U
Policy No:
WWC3284602
HUNTINGTON BEACH CA 92647
Added /New sq.ft. Bldg: 0
Expire:
0 7101 /2 01 8 Phone:
714.842-5630
Added /New sq. ft. Garage: 0
No of Stories: 3
Issued Date: 0111
812 01 8 Special Conditions:
No of Units : 0
Setback- Front:
Flood Zone: AE
Rear:
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation: $8,200.00
Building PC Fee :
$190.00
Fire Residential Alarm PC Fee : $0.00
Records Management:
$4.00
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 :
$419.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance :
$419.00
PROCESSED 8Y:
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`a" <`" `:` •`" OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
FIRE APPROVAL:
OatJ
APPROVAL TO ISSUE:
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PERMIT EXPIRES%80,FAY&;A€d'TkA, ISS UAACE OR LAST VALID INSPECTION
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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) 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 U 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 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 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 Division 3 of the Business and Professions Cod an my license is in full force
and effect. rr t l ,� I
License Class C Ib License No Date c Contractor Signature
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 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.
hereby affirm under penalty of perjury one of the following declarations:
1 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,
)erfgrfiiance of the work for which this permit is issued. Policy No.
have and will ipatntain 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'
rance carrier an policy number
ier I n:
r 1 C�Rol!&Number Expiration Date
of Agent
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
if I should become subject to the workers' c sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iature of Applicant )YF w'i
baby affirm under penalty of perjury that there is a construction 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.
I authorize representatives of this city or county to enter the aboveIden I d property for inspection purposes.
AC77ON DATE BY
DECLARATION OF COMPLIANCEtMTH CODEOF
FOR OFFICE USE ONLY
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