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Home My WebLink AboutF2019-0340 - Permitsnor , City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 :,:cr FVi9�Sg Job Address: 37 BURNING TREE RD NB Inspector Area: 4 Owner: CANNERY SAILHOUSE LP Address: 37 BURNING TREE RD ,NEWPORT BEACH, CA 92660 Phone: Applicant: CASEY DENISE Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone: 714476-5370 Code Edit: 2016 BT30040107 Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: Designer: Bldg Sprinklers: Y Construction Valuation: $2,900.00 Building PC Fee : Building Overtime PC Fee Building Extention Fee: Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee: TOTALFEE: 1 ii�i 0190340 II FIRE Permit: F2019-0340 Project No: 1055-2019 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS *ADD'L SCOPE` 29 HEADS (X2017-4042) Legal Description: N TR 7638 LOT 56 Contractor: FIREPROOF FIRE PROTECTION Architect: 1 ;� ' s h ` ;1 Address: 1101. KINGSTON DR Address:. LA HABRA CA 90631+ - Phone: 714-476.5370 Phone: State Lie: Con State Lie: 876004 Lie Expire: 04130/2020 Bus Lie: BT30040107 Lie Exp Date: 0 713112 01 9 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC002760 Expire: 0211512020 Issued Date: 06106/2019 Setback- Front: Rear: Left: Right: $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 $240.00 $446.00 FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee : Public Works PC Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Plan Check Fee : $202.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL : APPROVAL TO ISSUE: $0.00 $0.00 Fee Due at Permit Issuance: $244.00 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION c oemooc m c comcoo 0 c u momeoo 0 emmm .mmm m e Engineer. • Address: m e m e m m o me m Phone: State Lia m Designer: CASEY MONTY ...... Address: 1101 KINGSTON DR 0000 LA HABRA, CA 90631 oa m e Phone: 714476-5370 Special Conditions: DELTA 1 c000cc 0 0 oc o c m occc $0.00 Records Management: $4.00 $0.00 $0.00 Public Works PC Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Plan Check Fee : $202.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL : APPROVAL TO ISSUE: $0.00 $0.00 Fee Due at Permit Issuance: $244.00 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION c oemooc m c comcoo 0 c u momeoo 0 emmm 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 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, 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' Stale License Law). IJ I 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 copy of the applicable law, Section 7044 of the Business and Professions Code„ig available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of PropertyOwner or Authorized Agent Date LICENSED COVIUCTOR'S DECLARATION 6eree7affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 the usiness and Professions Code, and my license is in full force an4 effect. Leben �e.Olass • License No VD� � �.�y` Con ra for Sig atureNQRURS'CgMPeySATION DECLARATION N&RII1eCy PAILURE T6 SEdURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COSTOF COMPENSATJQNI DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATT nerebyaffinn uride� penalty of perjury one of the following declarations: r•••• and will Tnaintain 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 .e of the -work -for which this permit is issued. Policy No. nd will maintAin workers' compensation insurance, as required by Section 3700 of the Labor Code, :arrier.pTRlgolcy number are: .... Policy Number for the performance of the work for which this permit is issued. My workers' artily 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 if I sh,ould-bome subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith compl} CLARRQION I� DING rONSTRUCTION LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit 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. 1 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 represents 've I jy-arcounty to enter the above -identified property for inspection purposes. nature of Property Owner - 0rized Agent ..9.� Print Property OwnQr�uthvK orized Ag( Date the workers' compensation laws of California, and (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCEM9TH CODEOF FOR OFFICE 771 7(770 FEDERAL REGULATIONS PART 61 OF TIT LE40 AND AQMD RULE 1403. PERANTEXP/RED 0 I SUBMI'TTEDASSESTOS NO7IFICATION TO: 0 EPA 0 AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NORRCAIIONIS NOTAPPLICABLETO PROPOSEDDEMOLITION. FERNIITFINAL ALJ CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: �M V E i STM MIM I .I r • ' r1 •p 11 11 ' � h 2-1 ❑❑❑❑ ❑❑ ❑ ❑CI❑ ❑ ❑C BE": ❑