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HomeMy WebLinkAboutF2017-0196 - Permits,N City of Newport Beach - Building Division. e.. # 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 e� y> Job Address: 306 RIALTO NB Inspector Area: 1 Owner: LAYTON STEVEN Address: 136 VIA HAVRE NEWPORT BEACH CA 92663 Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone:. 714-476-5370 $0.00 Code Edit: 2016 Phone: Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 2344 Added /New sq. ft. Garage: 452 No of Stories: 3 No of Units : 0 Flood Zone:. 0.2 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: TOTAL FEE: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $3,000.00 FIRE Permit: F2017-0196 IIIIIIIIIIIIIII�IIIIII��IIIIIIIIIIIIII II Project No : 0788-2017 Inspection Requests Phone (949)644-3255 Description: RES FIRE SPRINKLERS (28) HEADS (X2015-1875) NEW SFR Legal Description: CANAL SECTION LOT 4 BILK 236 ALL -EX ALLEY - Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 1101 KINGSTON DR $0.00 LA HABRA CA 90631 Phone: 714-476-5370 Con State Lic: 876004. Lic Expire: 04/30/2020 Bus Lic: BT30040107 Lic Exp Date: 0 713112 01 9 Worker's Compensation Insurance Carrier:. NORGUARD INS CO Policy No: MOWC002750 Expire: 02115/2020 Issued Date: 04/1112017 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 CASEY MONTY $0.00 Public Works PC Fee: $0.00 - Public Works Traffic Plan Check Fee; $225.00 714-476-5370 $419.00 Plan Check Fee Address Phone: State Lic Engineer: Address: Phone: State Lic: Designer: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Special Conditions: $0.00 $0.00 $0.00 $0.00 $0.00 Records Management: $419.00 Fee Due at Permit Issuance OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPE $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 (_) 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 �im roved for the purpose of sale). 1. as owner of the property, am exclusively contractingwith 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.htmi. Signature of property Owner or Authorized Agent Date LICENSES CONTRACTOR'S DECLARATION hergby affirm wade penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license isin full force an effect. ; •„ Licrynse Class License No Date?zG?_y Contractor Signature INQAKERS' );.ONVENSATION DECLARATION NARKING: FAILSff;�7O &CURE 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 COST SF COMPEI7SATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirrrj i15derQenalty of perjury one of the following declarations: 1,116ve and VII 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 the Z*rpance of the work for which this permit is issued. Policy No. ace and Wir liiawtain 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 nce carried 9nd golicy number are: r • _: ' Policy 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p^rovisions. _ latureofApplicant-2,�.C_--, Qs\Jzl 1.1.s\ \R �reby 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 owners 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 a th ve-identified pro y -for inspection purposes. nature of ProDertv Owner or Authorized ADent Print Prooertv Owner's or Authorized Aoent's Name ACT70N DATE BY LCLA1U111UN Uh{:UMNDAN(:t YY1 I H CODE UI- FOROFRCEUSEONLY / FEDERAL REGULA71ONS PART 67 OF TITLE40AND AQMDRULE1403. 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