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HomeMy WebLinkAboutF2020-0037 - Permits (3)wt4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII III 100 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 NEWPORT BEACH CA 92657 Phone: Applicant: HANLEY SEAN Address: 1408 S EL CAMINO REAL SAN CLEMENTE CA 95672 Phone: 949-493-4604 Code Edit: 2016 Description: SFR FIRE SPRINKLERS&(41 Type of Construction: V -S -SPR Occupancy Group: R31U 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 Construction Valuation: $4,000.00 Building PC Fee : Building Overtime PC Fee: Building Extention Fee: Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee TOTAL FEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: FIRE Permit: F2020-0037 Project No : 0148-2020 Inspection Requests Phone (949)644-3255 FEES $202.00 Description: SFR FIRE SPRINKLERS&(41 ADS (X2019.2202) $6.00 'REVISED 06118/_2,40"REV20.0915 Planning Counter Review: Legal Description: _--- $0.00 Planning Zoning PC Fee : Contractor: SOUTH COAST FIRE PROTECTION INC Architect: Address: 1908 S EL CAMINO REAL Address: Public Works PC Fee: $0.00 SAN CLEMENTE CA 92672 $0.00 Public Works Traffic Plan Check Fee; Phone: 949-493-4604 Phone: State Lie: -Con State Lie: 746130 Engineer: Plan Check Fee : Lie Expire: 02128/2022 Address: Bus Lie: BT20011043 Lie Exp Date: 12/31/2020 Phone: State Lic: Worker's Compensation Insurance Designer: HANLEY SEAN Carrier: EVEREST NTNL INS CO Address: 1908 S EL CAMINO REAL Policy No: 2EA5WC000082000 SAN CLEMENTE CA 92672 Expire: 0510112021 Phone: 949-493-4604 Issued Date: 01/24/2020 Special Conditions: LANDSLIDE AREA Setback- Front: ADDED 2 HEADS Rear: .11x1.7/20 Left: Right: _ FEES $202.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $6.00 $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 $240.00 $448.00 Plan Check Fee : $448.00 Fee Due at Permit Issuance : $0.00 ® ,,,e OTHER DEPARTMENT: PLAY CIS.ECKE6&: .J iWROVAL TO IySUE©., 60 40G PERMIT EXPIRES 180 DAYS AF-rEF. ISS( ANCC aft4A�T-VALID INSPECTION •• •..r n W JL• ®o u uG JOO IWNER-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 IS 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). 1, 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, 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 n roved 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 only 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: 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.htmi. 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 with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. icense Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 thr 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: Policy Number Date re of Agent vnone s certify 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 become subject to the workers' compensation laws of California, and , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant ware IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). ender's Name Lender's Address iy 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. 1 authorize representatives of this city or county to enter the above -identified property for inspection purposes. 1—f— ,.f o.. 4,, n- ­r ,., A,ahndv.H Ao..t Print Prooertv Owner's or Authorized Aaent's Name ACTION RATE BY ...,... --- 1-1 .v,.—. --- FED€RAL REGULATIONSPART 61 OF TITLE40AND PERMITEXPIRED •• AQMDRULE14" .•• tl I SUBMITTtDA9p€STOS NORFICATION TO: PERMIT CANCELLED • : ' Q . EPA f . ' • - PERMIT EXTENDED C7 • • • . • •4QMD' • E ASBESTOS NOT APPLICABLE TO PERMfT FfNAt PROPOSED DEMOL7RQN CER€7FICATEOF .•• 31(iNA•fR�':: �•• OCCUPANCYISSUED Date