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HomeMy WebLinkAboutF2019-0501 - Permitsno City of Newport Beach- Building Division 100 Civic Center Drive, Newport Beech, CA 92660 [d Permit Counter Phone (949)644-3288 Job Address: 2404 CLIFF DR NB Inspector Area: 2 Owner: TRIMAR PROPERTIES Address: 2015 SHIPWAY DR NEWPORT BEACH, CA 92660 Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone Code Edit: 2016 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units: Flood Zone: Bldg Sprinklers: V -B -SPR R3/U 0 0 VIII/IIIILIIVIIIVIII/III1111110IIII6I 0III1 II FIRE Permit: F2019-0501 Project No: 1960-2019 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (X2019-0732) 50 HEADS Legal Description: N TR 919 BILK LOT 5 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR $5,000.00 LA HABRA CA 90631 Phone: 714-476-5370 Con State Lic: 876004 Lic Expire: 04130/2020 Bus Lic: BT30040107 Lic Exp Date: 07131/2020 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC002760 Expire: 02115/2020 2 Issued Date: 0 910 512 01 9 0 Setback- Front: Rear: Y Left: Right: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: State Lic: State Lic: CASEY MONTY 1101 KINGSTON DR LA HABRA CA 90631 0 0 PROCESSED BY: C C, C. C_ ZONING APPRDVAE. OTHER DEPARTMENT: PLAN CHECKED BY:: FIRE APPROVAL: 0A APPROVAL TO ISSUE: o< ocr 00 00 a o 0 o c PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 00 o0e v c 00 00 000 FEES Construction Valuation: $5,000.00 Building PC Fee: $202.00 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: $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 : $446.00 Plan Check Pee : $0.00 Fee Due at Permit Issuance : $446.00 0 0 PROCESSED BY: C C, C. C_ ZONING APPRDVAE. OTHER DEPARTMENT: PLAN CHECKED BY:: FIRE APPROVAL: 0A APPROVAL TO ISSUE: o< ocr 00 00 a o 0 o c PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 00 o0e v c 00 00 000 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 t0 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 L) 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 improved 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' 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 legall) 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 when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm], Signature of Property Owner or Authorized Agent Date 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, d my license is in full force and effect. License Class License No Date -s 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 thl peffaIrmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: - Policy Number Date ie of Agent Phone # certify that, in the performance of the work for which this permit is issued, 1 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 �\\ee,,w\\orkers__' compensatio...provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IatureofApplicant /t2 Date, Ireby affirm under penalty of perjury that there is a—coltstruction 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 t0 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 enterrtheTabOvB-Identified property for inspection purposes. 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