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HomeMy WebLinkAboutF2015-0056 - Permits, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII $2.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 II $0.00 FIRE Permit: F2015-0056 ✓+ 100 Civic Center Drive, Newport Beach, CA 92660 $0.00 F 2 0 1 5 0 0 5 6 $114.00 ',.. Project No : 0184-2015 0swop y, Permit Counter Phone (949)644-3288 $198.08 m $116.00 c'�kf�roA�b �. 0 • mmm ••o .• OTHER DBPARTMENT: Inspection Requests Phone (949)644-3255 Job Address: 2300 MESA DR NB 0 0 0 0 •m o m PLA4 CW-- KED BY:: 0 0 o m o • 0 0 Description: SFR - FIRE SPRINKLERS/RES ALT 16 HEADS (X2014-1836) 0164.2015 n/� /7 Inspector Area: 3 Legal Description: IRVINE SUB LOT 152 BILK 51 POR OF LOT Owner: GLIDEWELL JAMES Contractor: AAA ACTION INC Architect: PERMIT EXPIRES 180 DA YS AF�Tt=R ISSAN JE°eR L'AS`,I' VALID INSPECTION Address: 2300 MESA DR Address: 1545 W RENE DR Address: NEWPORT BEACH, CA 92660 ANAHEIM CA 92802 - Phone: Phone: 714-4484658 Phone: State Lia .. Applicant: CHEJOKA NART Con State Lie: 798572 Engineer: Address: 1545 W RENE OR Lie Expire: 08/31/2015 Address: ANAHEIM CA 92802 Bus Lic: BT30049803 Phone: 7144484658 Lie Exp Date: 01/31/2016 Phone: State Lia Code Edit : 2013 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: EXEMPT NO EMPLOYEES Address: - Occupancy Group: R3/U Policy No: Added/New sq.ft. Bldg: 0 Expire: Phone:._ - Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 01/2912015 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: Construction Valuation Building PC Fee : Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $2,525.00 FEES $82.08 Fire Residential Alarm PC Fee : $0.00 Records Management : $2.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 $0.00 Public Works PC Fee : $0.00 $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $114.00 $198.08 Plan Check Fee: $82.08 Fee Due at Permit Issuance : $116.00 • mmm ••o .• OTHER DBPARTMENT: 0 0 0 0 •m o m PLA4 CW-- KED BY:: 0 0 o m o • 0 0 n/� /7 APPROVAL TO ISSUE: mo• . . o ••• o• PERMIT EXPIRES 180 DA YS AF�Tt=R ISSAN JE°eR L'AS`,I' VALID INSPECTION )WNER-BUILDER DECLARATION I hereby affirm under penally 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 ie 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 '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). 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, lusiness 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 nprovements 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 nproved for the purpose of sale). 1, 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). I 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 I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally 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. html. 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 f Division 3 of the Business and Professi Cod a my license is in full force nd effect. /% icense Class License No Date= 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 th erformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: of Agent Policy Number Date in the performance of We work for ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' become subject to tl} 40rker,SiFy�penVtion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./ % nature of Applicant KAVA— uate a ,e i CLARATION REG DING STRUCTS 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). tder'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 law relating to building construction. I authorize representatives of this city or count to en r th ve-ide roe for inspection purposes. nature of Property Owner or Authorized Agent Print Properly Owner's or Authorized Agent's Name i! ve ACTION DATE BY .Dt:Q.4RATI0Ar-OA @MPL XE WITH CODEOF FOR O PERMIT EXPIRED .4L/MA) HUILL44Y3.+ ..G] ):MBM7TtDAcBEST04 k01Iz CAT10NTD: PERMIT£ANCELLED © EPA PERMIT EXTENDED ❑ AOMD PERMITFINAL _'"i' l i PQDPO� 4DtAVdF4N.* ONFS NOT APPLICABLE TO CERTIFICATE OF • • •. � . .• 0• i OCCUPANCYISSUED S QJVALUAE:• • .. . • .. laws of California, and