HomeMy WebLinkAboutF2020-0037 - Permits00-4"'Oi�
City of Newport Beach - Building Division100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 3 7
Permit Counter Phone (949)644-3288
Job Address: 24 TIDELINE BLUFF NB
Inspector Area: 6
Owner:
LAFEVER MICHAELIJACQUELIN
Address:
24 TIDELINE BLUFF
Occupancy Group:
NEWPORT BEACH CA 92657
Phone:
0
Applicant:
HANLEY SEAN
Address:
1408 S EL CAMINO REAL
No of Units :
SAN CLEMENTE CA 95672
Phone:
949.493-4604
Code Edit : 2016
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:
X
Bldg Sprinklers:
Y
FIRE Permit: F2020-0037
Project No : 0148-2020
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (39) HEADS (X2019-2202)
*REVISED 06118/2020: REV20-0916
Legal Description:
Contractor:
SOUTH COAST FIRE PROTECTION INC
Address:
1908 S EL CAMINO REAL
$4,000.00
SAN CLEMENTE CA 92672
Phone:
949-493-4604
Con State Lic:
746130
Lic Expire:
02128/2022
Bus Lic:
ST20011043
Lic Exp Date:
12131/2020
Worker's Compensation Insurance
Carrier:
EVEREST NTNL INS CO
Policy No:
6300003782181
Expire:
0510112020
Issued Date: 01/2412020
_ Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone: State Lic
Engineer:
Address:
Phone: State Lic
Designer: HANLEY SEAN
Address: 1908 S EL CAMINO REAL
SAN CLEMENTE CA 92672
Phone: 949-493-4604
Special Conditions: LANDSLIDE AREA
PROCESSED BY: W.' p ': Y 'OWER WAVIMENT:
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ZONING APPROVAL: PLANYCHEGKEDGY::
FIRE APPROVAL: ( APPROVAL TO ISSUE:
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PERMIT EXPIRES 180 DAYS Ai?TER €SSUANCC OR LAST UALlD INSPECTION
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FEES
Construction Valuation:
$4,000.00
Building PC Fee :
$202.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$6.00
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 :
$448.00
Plan Check Fee:
$448.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY: W.' p ': Y 'OWER WAVIMENT:
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4 OpW 4 YW O
ZONING APPROVAL: PLANYCHEGKEDGY::
FIRE APPROVAL: ( APPROVAL TO ISSUE:
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pYW p < cY W
PERMIT EXPIRES 180 DAYS Ai?TER €SSUANCC OR LAST UALlD INSPECTION
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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 (_) 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' State License Law).
I_I 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 legally
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.htmi.
Signature of Property Owner or Authorized Agent ate
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 androfess' C e a y license is in full force
and effect.
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 HU ED THOUSA RS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
pe ormance of the work for which this permit is issued. Policy No.
Fhave and will n t ntain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
surance carrier a d 4olicy number re:
Carrier o 6 Nu er Expiration Date
Name of Agent Phone #
❑I certify that, in the performance of the rk for which thi Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
that, if I should become supj�ct to the era' compens ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
2V 6
CLARATION REGARTNSy 'NSTRUCTION J OFEMG AGENCY /
:reby affirm under pen Ity of perjury that thar$Ts 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 ner's behalf.
I have read this application and the information I have provi d is correct.
I agree to comply with all applicable city and county ordin as andstate laws re building construction.
I authorize representatives of this city or count t nter a -I e y for inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's AQZ
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