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HomeMy WebLinkAboutF2019-0335 - Permitsw , City of Newport Beach - Building Division © 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 225 VIA LIDO SOLID NB Inspector Area: 1 Owner: - ERICKSON ANITA M Address: 225 VIA LIDO SOLID Address: NEWPORT BEACH, CA 92663 Phone: $0.00 Applicant: CASEY DENISE Address: 1101 KINGSTON DR 876004 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: IIY�I III ILII III ILII III 0�I�� IIID VIII 5 II FIRE Permit: F2019-0335 Project No : 1259-2019 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (7(2016-4342) 47 HEADS Legal Description: TR 907 LOT 895 AND SELY112 LOT 894 AND NWLY 5 FT LOT 896 Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 1101 KINGSTON DR Address: Planning Zoning PC Fee: LA HABRA CA 90631 $0.00 Phone: 714-476-5370 Phone: Can State Lie: 876004 Engineer: Lie Expire: 04130/2020 Address: Bus Lie: BT30040107 Lie Exp Date: 07/31/2019 Phone: Fl �Y y 4 State Lie: State Lie: Worker's Compensation Insurance Designer: CASEY MONTY V -B -SPR Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR R31U Policy No: MOWC002750 LA HABRA CA 90631 0 Expire: 02115/2020 Phone: 0 2 Issued Date: 06/04/2019 Special Conditions: 0 Setback- Front: Rear: Y Left: Right: Construction Valuation: $4,700.00 Building PC Fee: Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee Building Permit Fee FEES $202.00 Fire Residential Alarm PC Fee : $0.00 Records Management $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 O b 0 O p $0.00 Public Works PC Fee : $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $240.00 sm n ammo 11 TOTAL FEE : $448. Plan Check Fee PROCESSED BY: ZONING APPROVAL: � V FIRE APPROVAL : be• e o oa©¢ momoco O b 0 O p b p o a o 0 sm n ammo c 1➢[09 Sm m O ee o mm� mncoeo�oc Jmm:,ba n mmc >c r, s 6 boe.Av O e u F es®b ba,g $6.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $448.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 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 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 1 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 Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm LWOFar 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, and my license is in full force and effect. ^ • ' License -Class License No Date Contractor Signature ...... WORKKERS' 10114P.ENSATION DECLARATION WARNING: FAILURE N SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR8 100,000), IN ADDITION TO THE poftgOcOMPENSA ON, DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 14eregy affirm w MdeT%malty of perjury one of the following declarations: . .., ® I•heve and til! m.aintain 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 auvmance ofih :.o: for which this permit is issued. Policy No. J1)N TaNe and will plainlain 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 rem Pe carrier and pslicy number are: barrier • • ...., • Policy Number Expiration Date Dt•Agent —Nnone s . . eitify that, frxlhe performance of the work for which this permit is issued, I 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 subjeet to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision nature of Applicant nate i 1 CLARATION REG DNGICONST 10 NDING AGENCY areby 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 laws relating to building construction. I authorize representatives of this city or county try€ntgr17 ove-identifie y or inspection purposes. nature of PmDerty Owner or Authorized AGent Print Property Owner's or Authorized Agent's Name -<- �— ACTION DATE BY DECLARATION OF COMPLIANCE TN CODEOF FOR 'OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TOLE40AND AQMO RULE 1403. PERMlr€XPIRED ❑ I SUBMITTEDASBESTOS N077FICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ASBESTOS NORRCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION PERMITFINAI I b CER77RCAT€OF SIGNATURE: OCCUPANCYISSOEO z1 ❑❑❑❑ D ❑ ❑❑❑ El❑❑ �I � ��A A�o m c a E sI ID Ix U� CD a CL _ mpo td AL Ij v �I id .® C4 .F vi t 0 r O i 8 F1 ❑ 0 ❑ ROD ❑ ❑ ❑ to