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HomeMy WebLinkAboutF2018-0600 - PermitsCity of Newport Beach -Building Division '. .100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1801 GALATEA TER NB Inspector Area: 5 Owner JOHNSON BRIAN & JULIE Address: 1424. SERENADE TER CORONA DEL MAR, CA 92625 Phone: Applicant: KELLY SEAN Address: 10141 THESEUS DR HB CA 92646 Phone: 714-907-7586 Code Edit: 2016 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:. 1 No of Units `. 0' Flood Zone: 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: $3,000.00 IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII II FIRE Permit: F2018-0600 F 2 0 1 8 0 6 0 0 Project No : 2630-2018 / Inspection Requests Phone (949)644-3255 $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 $240.00 $444.00 FEES Fire Residential Alarm PC Fee : Description: SFR -FIRE SPRINKLERS FOR NEW SFR (X2017.3326) 38 HEADS' y Planning Counter Review: $0.00 Planning Zoning PC Fee: $0.00 Public Works PC Fee: Y4 Public Works Traffic Plan Check Fee; $0.00 Legal Description: N TR 2813 LOT 145 Contractor: KELLY FIRE PROT INC Architect Address: - 10141 THESEUS DR - Address: HUNTINGTON BCH CA 92646 y, ' ,!,4" /* Phone: 714-907-7586 Phone: - State Lic Con State Lip: 878823 Engineer: m h°II . Lie Expire: 08/31/2019'- Address: Bus Lie: BT30042225 - ° ° ° •. o Lie Exp Date: 01/31/2019 Phone: State Lie: Worker's Compensation Insurance Designer: KELLY SEAN 'm ... m a°.° Carrier: AMERICAN FAM HOM INS Address: 10141 THESEUS DR .... o Policy No: 2EA5WC00002460+ HUNTINGTON BEACH CA 92646 Expire: 04/11/2019 Phone: Issued Date: 11/1412018 Special Conditions: Setback -Front: Rear. Left: Right $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 $240.00 $444.00 FEES Fire Residential Alarm PC Fee : $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee: $0.00 Public Works PC Fee: $0.00 Public Works Traffic Plan Check Fee; $0.00 Plan Check Fee : $202.00 11 S �1 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: Records Management`. $2.00 $0.00 $0.00 Fee Due at Permit Issuance : $242.00 PERMIT EXPIRES 160 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) 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builder will have the burden of proving that it was not built or im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' StateLicenseLaw). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature yelow # acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) sell a structure thatMe built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and erpWiiii$ns CodA. is a%ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. SignatuPa of PrOMty E:vner or Authorized Agent Date LICEN§ED CONTRACTOR'S DECLARATION rhe'reby 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 Code, and y license is in full force and effect. ,; ( C+ 7 i, C Z I ic2n gVass -• �r License No cY a 1 l Date G L Contractor Signature ARKERS' MMPENSATION DECLARATION u1p?FAILURE TClAttRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I:leieby iiffirm under penalty of perjury one of the following declarations: j 1 @3 and will ma;tain 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 ,-e rr mance of the wok for which this permit is issued. Policy No. have and wilimaintain 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I 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 agre that, if I should become subjec to t workers' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r Signature of Applicant 'L� Date DECLARATION REGAFOINGtPNSTRUCTVDN LENMNQ AGE I hereby affirm under penalty of perjury that there is a co Ion 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 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 a above-iden ' ' d property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name C4") Ct%L Dat I I- "L ACTION DATE BY L"ARATlON OF COMPLtANCEt49TRCOOEOF FOR OFFICE USE ONLY DERALREG ULA T/QNSPART fiTOFT/TLE40.ANB PFRMITE7CP{REO AOMQ RULE 7403. ❑ f SUBMITTED ASBESTOS N071FfCAFlON T0: PERMtTCANCEtLEO ❑ EPA P€Rh7{TEXTENOEd) ❑ AQARD ❑ ASBESTOS N077RCAAQNI5 NOF.APPL/CA&_.E FO PERMITFINAL PROPOSED DEMOLITION. CERTIFICATEOF OCCUPANCY{SSQE(J SIGNATURE: ZI ❑❑❑❑ ❑❑ ❑ ❑❑❑ ❑ N rol m V ❑❑ Y U c d vN .5 a N 0 > LU ID IDY 0 U a U EN O o12 N O N O E N N °c E a � C ` N N a c SSSL �' fi c E m c c O. 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