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HomeMy WebLinkAboutF2018-0383 - Permitswa' City of Newport Beach - Building Division `. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �"�xtP�iil4i�g Job Address: 88 LINDA ISLE NB Inspector Area: 2 Owner: DAVIS - - Address: 88 LINDA ISLE NEWPORT BEACH, CA 92660 ..Phone. Applicant: ALECICRAIG FIRE PROTECTION Address: 123 E CENTRAL AV - MONROVIA CA 91016 Phone: 626-327.4045 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group; - R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 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: II ii i ilii ilii Iii ii ii ii i iiii II FIRE Permit: F2018-0383 Project No: 1576-2018 Inspection Requests Phone (949)644-3255 $12,000.00 $190.00 $0.00 $0.00 $0.00 $0.00 $0.00 $225.00 $419.00 FEES Fire Residential Alarm PC Fee : Description: SFR- FIRE SPRINKLERS - 65 HEADS (X2017.1807) Planning Counter Review: ^, "REVISED 10/1.7/2019 Legal Description:. N TR 4003 LOT 86 Public Works PC Fee : Contractor: CRAIG FIRE PROTECTION CO Architect: Address: 123 E CENTRAL AVE Address: MONROVIA CA 91016 - Phone: 626-712-8862 Phone: Con State Lic: 692823 Engineer: Lic Expire: 03131/2019 Address: Bus Lic: BT30048335 Lic Exp Date: 0813112019 Phone: Worker's Compensation Insurance - Designer: Carrier: AMERICAN FAMILY Address: Policy: No: 2EA5WC000051801 Expire: 02/11/2020 Phone: Issued Date: 07/0312018 Special Conditions: Setback- Front: Read Left: Right: $12,000.00 $190.00 $0.00 $0.00 $0.00 $0.00 $0.00 $225.00 $419.00 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 State Lic: State Lic: Records Management Plan Check Fee : $419.00 Fee Due at Permit Issuance : .: • �,� • • • • OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: P1ER14?1' EX?IftE$ `BO t)AYS AFTER ISSUANCE OR LAST VALID INSPECTION ocm no mm • oec oc $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 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 Im roved for the purpose of sale). I, as owner of the property, amexclusively 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 ofthe 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 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 Projesscigs Code is in full force i and effect` ^ License Class License No Date VIP -111 Contractor Signatu �`— NORKERS' COMPENSATION DECLARATION YARNING: 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: reJhave 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 IN ormance of the work for which this permit is issued. Policy No. have and will knaNtain 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 ft p licy number an c-� n Date lame of Agent v ' — f Phone 9 5 certify that, in the performance of the work for which this ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and iat, if I should become ssu/b�ect to the orker ' pensati provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant.V �=- Qat tall )ECLARATION REGAFICINd CONSTRUCTION LENDING AGENCY hereby affirm under pehalty 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). ender's Name Lenders Address iy 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�lo a/F,ta cwe-I entifiaA properly for. inspection purposes. T / y� (� signature of Property Owner or Authorized Agentyl" e d�.�(.Y Print Property Owner's or Authorized Agent's NamJ1T6X i°r Ty20/7 -fege ACTION DATE .. BY DEC EARL DATIONS FART fOR 4FFtCE USE ONLY -01@1 TTLE40 fEDERAE REGULATIONS PARFIl1®� $TITEE4DFfflo • REG AQMORULE1403. % • • 0 • • • � • i i PERMITOWIRED • ❑ ISUBMfTTEDASBESTOSYMFli,.,pTIDN,10r ;. ❑ EPA • • ' • " ❑ AQMD .. PERMIT CANCELLED PERMIT EXTENDED El ASBESTOS M017HCAHONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. • • 90: • • • •' PERMIT FINAL CERTIFICATEOF • • • • • ' SIGNATURE: ' " -' LG• " • OCCOPANCYISSOED