HomeMy WebLinkAboutF2018-0479 - Permits (2)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II FIRE Permit: F2018-0479
04V4,
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 4 7 9 Project No: 2113-2018
� Permit Counter Phone (949)644-3288. ) 0*0Y �' Inspection Requests Phone (949)644-3255
Job Address: 61 LINDA ISLE NB Description: SFR FIRE SPRINKLERS (66) HEADS (REV18-1960)
Inspector Area: 2
Owner: CADIGAN FAMILY TRUST
Address: 61 LINDA ISLE
NEWPORT BEACH, CA 92660
Phone
Applicant: HAWLEY SEAN
Address: 1908 S EL CAMINO REAL
SAN CLEMENTE CA 92672
Phone: 949-493-4606
Legal Description: N TR 4003 LOT 61
Contractor: SOUTH COAST FIRE PROTECTION INC
Address: 1908 S EL CAMINO REAL
SAN CLEMENTE CA 92672
Phone: 949-493-4604
Con State Lic:
746130
Lie Expire:
0212812019
Bus Lie:
BT20011043
Lie Exp Date:
12131/2018
Code Edit: 2016
Worker's Compensation Insurance
Type of Construction: V-BSPR
Carrier:
EVEREST NTNL INS CO
Occupancy Group: R3/U
Policy No:
5300003782
Added /New sq.ft. Bldg: 0
Expire:
05/01/2019
Added /New sq. ft. Garage: 0
No of Stories: 2
Issued Date:
No of Units : 0
Setback- Front:
Flood Zone: 0.2
Rear:
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation:
$6,000.00
Building PC Fee :
$190.00
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 :
$225.00
TOTAL FEE :
W9:06�
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
State Lie:
State Lie
HAWLEY SEAN
14908 S EL CAMINO REAL
SAN CLEMENTE CA 92622
949-493.1604
LIQUEFACTION AREA
Records Management
$419.00 Fee Due at Permit Issuance :
PROCESSED BY: " ° • • OTHER DEPARTMENT:
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ZONING APPROVAL: E `•° °m .• PLAI�CHtCi<ED BY::
FIRE APPROVAL : APPROVAL TO ISSUE:
oom a ••• ••
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•
PERMIT EXPIRES 180 DAYS AFTER 49SU>&"NCE VR L4S't VALID INSPECTION
ecm mo n. � c m°° um
$4.00
$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 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 L) 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).
❑ 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 legal
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 Division 3 of the Business and Profess' force
and effect. rr��
License Class License No Date f(1" "'`yI� % L Contractor Signature
COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUBRED OUSAND DOLLARS ($100,00D), IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 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
'mance of the work for which this permit is issued. Policy No.
have and will rpainta[n 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 a d oolic number are: t n. I
Date
1e of Agent V L �,__ Phone #
certify that, in the Performa a 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,
if I should become subje a workers' ompensatio ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant Q_sNr %U- L •`t / i
areby affirm under penalty(Dif perjury that is a construction lending
Ider's Name
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the prope owner'
I have read this application and the information I have pr ed is 1
I agree to comply with all applicable city and county Ord' ces a
I authorize representatives of this city or county to
o ide
ACTION I DATE
I PERN41TEXP/R€D I I r_ I
PERMITCANCELLED
PERMIT EXTENDED
�dy;IiriltlY/rrleT� `r/`"Lf/Lim%!7//�\��
OCCOPANCYISSOED
for the performance of the work for which this permit is issued
Lender's Address
T tv-IS<dfing construction.
for inspecSon purposes.
Prooertv Owner's or Authorized
7ITLE40AND
❑ AQMD
ASBESTOS NOIfACATIONIS NOT APPLICABLE TO
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3097, Civil Code).
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