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HomeMy WebLinkAboutF2019-0228 - Permitsawn Q� City of Newport Beach-- Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II ° 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 2 2 8 Permit Counter Phone (949)644-3288 Job Address: 2201 ALTA VISTA DR NB Inspector Area: 8 Owner: WEBB CHRIS & SYDNI Address: 2201 ALTA VISTA DR NEWPORT BEACH, CA 92660 Phone: Applicant: KELLY SEAN Address: 10141 THESEUS DR HUNTINGTON BEACH CA 92646 Phone: 714-907-7586 Code Edit : 2016 Type of Construction: VB 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 Issued Date: 04116/2019 Setback- Front: Rear: Left: Right: FIRE Permit: F2019-0228 Project No: 0856-2019 Inspection Requests Phone (949)644-3255 (X2018-3262) 'REVISED ''11 - Architect: . Description: SFR FIRE Address: 0856-2019 Legal Description: N TR 4705 LOT 79 Contractor: KELLY FIRE PROT INC Address: 10141 THESEUS DR Phone: HUNTINGTON BCH CA 92646 Phone: 714-907-7586 Con State Lie: 878823 Lie Expire: 0813112021 Bus Lie: BT30042226 Lie Exp Date: 01/31/2020 Worker's Compensation Insurance Carrier: AMERICAN FAM HOM INS Policy No: 2EA5WC000024603 Expire: 04/11/2020 Issued Date: 04116/2019 Setback- Front: Rear: Left: Right: FIRE Permit: F2019-0228 Project No: 0856-2019 Inspection Requests Phone (949)644-3255 (X2018-3262) 'REVISED ''11 - Architect: Address: Phone: State Lie: Engineer: Address: Phone: State Lie: Designer: GRISSON DAVE Address: 645 N ECKHOFF ST $0.00 ORANGE CA 92868 Phone: 714.933.0089 ® Special Conditions: $0.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: I" OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $3,800.00 Building PC Fee: $0.00 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: $289.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $322.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : $615.00 Plan Check Fee: $615.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: I" OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-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 ie 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 'rofessions 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 of 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, lusiness 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 nprovements 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 n 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 pply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions 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 .ICENSED 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 Professions Code, and my license is in full force nd effect. icense Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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: I 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 thf erformance of the work for which this permit is issued. Policy No. ]I have and will maintain 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 Isurance carrier and policy number are: Policy Number Date ie of Agent rnone s 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant uate CLARATION REGARDING CONSTRUCTION LENDING AGENCY rreby 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 above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NI ACTION DATE BY DECLARATION OFCOMPLtANCEW] CODEOF FEDERAL REGULATIONSPART61 OFTITLE40AND AQMORULE9403. PERMITEXPIRED El I SUBMITTED ASBESTOS NOTLFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS M017HCATIONIS NOTAPPLtCABLE TO PROPOS ED DEMOLITION. PERMITFINAL ©' CERT)RCATEOF SIGNATURE. OCCUPANCYISSUED