HomeMy WebLinkAboutF2019-0031 - PermitsW7+ City of Newport Beach - Building Division
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Permit Coih0nter Obone(044)6444188
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Code Edit: 2016
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Type of Construction:
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Occupancy Group:
• • • e
Job Address: 660 HARBVISILD DRim ee
Inspector Area: 2
Owner:
HALCOVICH FRANK & WENDY
Address:
81161 INDIO BLVD
No of Units :
INDIO, CA 92201
Phone:
FULLERTON CA 92833
Applicant:
HUNT BRUCE
Address:
1048 IRVINE BLVD STE 795
Con State Lic:
NEWPORT BEACH, CA 92660
Phone:
714-915-2074
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:
FULLERTON CA 92833
Bldg Sprinklers:
Y
III�FIII�2 0�IIIIITIII�II0 0 II[IIIIII
FIRE Permit: F2019-0031
Project No : 0142-2019
Inspection Requests Phone (949)644-3255
0 0
FEES
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Description: SFR FIRE SPRINKLERS 52 HEADS (X2018-0186)
Legal Description:
N TR 3867 LOT 20
Contractor:
HUNT'S FIRE PROTECTION
Architect:
Address:
2271 W MALVERN AVE #415
Address:
$0.00
FULLERTON CA 92833
$0.00
Phone:
714-915-2074
Phone:
Con State Lic:
553703
Engineer:
Lic Expire:
01/31/2021
Address:
Bus Lic:
BT30060708
Lic Exp Date:
0113112020
Phone:
State Lic:
State Lic:
Worker's Compensation Insurance Designer: HUNT BRUCE
Carrier: STATE FUND Address: 1048 IRVINE BLVD STE 795
Policy No: 9040324 NEWPORT BEACH, CA 92660
Expire: 01101/2020 Phone: 714-915-2074
Issued Date: 01/1712019 Special Conditions:
Setback- Front: @ &tee `
CT alRehr �':;
Right: r
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: rs APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$12,500.00
Building PC Fee:
$202.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$0.00
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 as :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$240.00
TOTAL FEE :
$442.00
Plan Check Fee:
$202.00 Fee Due at Permit Issuance:
$240.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: rs APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
IWNER-BUILDER DECLARATION •• ••• • • •• •• •••
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the sheeknungk(A I tave.placed-nexi to the applicable item(s)
lection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any 4tru ;ture,�m& 0 i$ irsu'Dnre, aQo requires the applicant for
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (comr&FhcI1t%vith-Sectidn 7000) oP®ibision 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 ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do( )all of or L) portions of the work, and the skuMure-19 not intended:mr offereilfor Ae a (Section 7044,
;usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or perstsal eff$rt, 6uild9pr i4roV&s to prap*ty, 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-8yiWel; JW have the bijiCgj n of pPoyiril it was not built or
nproved for the purpose of sale).
7 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).
7 1 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 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall)
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.htmi.
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 Profess'and my license isin full force
y'�
nd effect.
icense Class License No Dae — f J W1 Contractor Signatur
VORKERS' COMPENSATION DECLARATION —�
'ARNING: 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 lh
eNormance of the work for which this permit is issued. Policy No.
ve 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' compensatioi
i&vr*ce carrier and policy number are:
Policy Number
Date
is of Agent rnone �
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 th i w9rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
?X)l
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
: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 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 n e above- nti d roperty for inspection pu oses. g
nature of Prooertv Owner or Authorized ADent / �— Print Property Owner's or Authorized Agent's Name
AC77ON DATE BY
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