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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: O 4 p 4 OpW 4 YW O ZONING APPROVAL: PLANYCHEGKEDGY:: FIRE APPROVAL: ( APPROVAL TO ISSUE: � p4Y pY pYW p < cY W PERMIT EXPIRES 180 DAYS Ai?TER €SSUANCC OR LAST UALlD INSPECTION Y E.4 Oy pc , .. pJV Ypp 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: O 4 p 4 OpW 4 YW O ZONING APPROVAL: PLANYCHEGKEDGY:: FIRE APPROVAL: ( APPROVAL TO ISSUE: � p4Y pY pYW p < cY W PERMIT EXPIRES 180 DAYS Ai?TER €SSUANCC OR LAST UALlD INSPECTION Y E.4 Oy pc , .. pJV Ypp VYYIYCR-OUILVCR YCML/1RMIIVn 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 5"11 o e G -/f- ACTION BATE BY DEC .RATION OF COMPLIANCE WTH CODEOF FOR OFFICE USE ONLY • •€RDERAA! REGU1LAT10f+rS.P4RT61 OFTITL.E40AND QQ/b16#it a1, 03' ' • ' " PERMITEXPIRED • Q tSIfEIJflTTV(tASBM2-0$ 1077FICATtON TOr + ❑ •EPA• •• ❑ AQMD PERMITCANCELLED • PERMIT EXTENDED ❑ ASBESTOSNONFICATIONIS NOTAPPLICABLETO PNa1306€DPEJVgL1 VON: • •• •' PERMIT FINAL CERTIFfCATEOF + l • •SfGrQ1TVRF: OCCUPANCYISSUED