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HomeMy WebLinkAboutF2019-0278 - PermitsCity of Newport Beach - Building Division a 100 Civic Center Drive, Newport Beach, CA 92660 h .t Permit Counter Phone (949)644-3288 Job Address: 3912 CHANNEL PL NS Inspector Area: 1 LINE - Owner: BARTON DEBRA ELIZABETH Address: 3912 CHANNEL PL Occupancy Group: NEWPORT BEACH CA 92663 Phone: 949-631-9883 Applicant: MONTY/FIREPROOF Address: 9071 RANDALL AVE No of Units : LA HABRA CA 90631 Phone: 714-476-5370 Code Edit : 2010 1558-2012 X2008-2481 Type of Construction: V -B -SPR Occupancy Group: R3 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: X1AE Bldg Sprinklers:. Y FIRE Permit: F2019-0278 F 2 0 1 9 0 2 7 8�� II Project No: 1558-2012 Inspection Requests Phone (949)644-3255 Description: FIRE SPRINKLERS (35) HEADS/NEW SFR "REPLACE EXPIRED PROCESSED BY: m • . • • • • o •OjWFR DEPKRIWFNT: y O 06 ZONING APPROVAL: �` `• .: PW CAECKFD>BV:: O OOtl • P 4 • FIRE APPROVAL: APPROVAL TO ISSUE: av• tl� ••• r`a PERMIT EXPIRES 180 DAYS AFT&R /SOANCL dR I.ALir VklL INSPECTION 1558-2012 X2008-2481 FEES Legal Description: CANAL SECTION LOT 7 BLK 539 ALL -INC BET SAME & HIGH TIDE $4,000.00 Building PC Fee : Contractor: OWNERIBLDR Architect: $0.00 Records Management: T r, Address: AUTH AGENT: .Address: Planning Counter Review: $0.00 ALEX BAXTERg*c---. Building Extention Fee: $0.00 Planning Zoning PC Fee: Phone: Phone: State Lic: r Con State Lic: O/B Engineer: $0.00 Fire Plan Check Fee: Lic Expire: Address: $0.00 F--,..,�',._.` Bus Lic: $0.00 Public Works Traffic Plan Check Fee; <. Lic Exp Date: Phone: State Lic: TOTAL FEE `. $241.00 Worker's Compensation Insurance Designer: FIREPROOF Carrier: Address: 9071 RANDALL AVE._; Policy No: LA HABRA CA 90631 ,....,—..-s Expire: Phone: .714-476-5370 Issued Date: 05110/2019 Special Conditions: LIQUEFACTION AREA Setback- Front: Rear: Left: Right: PROCESSED BY: m • . • • • • o •OjWFR DEPKRIWFNT: y O 06 ZONING APPROVAL: �` `• .: PW CAECKFD>BV:: O OOtl • P 4 • FIRE APPROVAL: APPROVAL TO ISSUE: av• tl� ••• r`a PERMIT EXPIRES 180 DAYS AFT&R /SOANCL dR I.ALir VklL INSPECTION FEES Construction Valuation: $4,000.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $1.00 _ 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: $0.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $240.00 TOTAL FEE `. $241.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $241.00 PROCESSED BY: m • . • • • • o •OjWFR DEPKRIWFNT: y O 06 ZONING APPROVAL: �` `• .: PW CAECKFD>BV:: O OOtl • P 4 • FIRE APPROVAL: APPROVAL TO ISSUE: av• tl� ••• r`a PERMIT EXPIRES 180 DAYS AFT&R /SOANCL dR I.ALir VklL INSPECTION 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 vements 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 impro ed for the purpose of sale). ❑ ,�V 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 a�p1y 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 whe�p tpfS p 'catio 'syy submitted or at th owing Web site:http:[/v�.leginfo.ca.gov/calaw.htmi. .leginfo.ca.gov/calaw.html. D � (n Signature of Property Owner or Authorized Agen Y f�✓C�-F) ^ `E 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 Professions Code, and my license is in full force and effect. 4%1.? (' V _ 1 License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 the performance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: ler Policy Number Expiration Date a of Agent r'none s ertify 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'c2opensgjtfon provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho'�sLe/pJovisioons. 3ture of Applicant \/,-)N�A A f /� Darby hereby affirm under p8nalty 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 Lender's Address y 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 counto n,,t� a above -den -i ' d,prop y for inspection purposes. ,,.., fe ..f13­rl,. ar nr Ai Hhnrlvarl Anan1 V L AUL Print Prooertv Owner's or Authorized Aqent's Nam\/{ - ACTION I DATE I I BY PERMIT FINAL CERDRCATE O€ OCCUPANCYISSUEO FEDERAL REGULATIONS PART H1 OF TITLE40AND ❑ t2UPMfTEDA98FS-OgN07/FTCATION TO. • • • • • -EPA • •• • i ••• �• •AD ••i ••• © ASBESTOS NORACARON/S NOT APPLICABLE TO PROPOSED DEMOLITION. 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