HomeMy WebLinkAboutF2018-0472 - Permitswn City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 31 FAENZA NB
Inspector Area: 6
Owner:
GUSTAV BONSE
Address:
31 FAENZA
HUNTINGTON BCH CA 92646
NEWPORT COAST, CA 92657
Phone:
Con State Lie:
Applicant:
MCCLAIN WES
Address:
645 N ECKHOFF ST
BT30042225
ORANGE CA 92630
Phone:
Worker's Compensation Insurance
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:
V -B -SPR
R3/U
0
0
VIII'�FIII�II�II0II��I�I�tlI0�II4I�II7I�� III
FIRE Permit: F2018-0472
Project No : 2073-2018
Inspection Requests Phone (949)644-3255
Description: SFR REPAIR FIRE SPRINKLER RISER @ GARAGE
Legal Description: N TR 15467 LOT 8
Contractor:
KELLY FIRE PROT INC
Address:
10141 THESEUS DR
Construction Valuation:
HUNTINGTON BCH CA 92646
Phone:
714-907-7586
Con State Lie:
878823
Lie Expire:
08/31/2019
Bus Lic:
BT30042225
Lie Exp Date:
01/31/2019
Worker's Compensation Insurance
Carrier:
AMERICAN FAM HOM INS
Policy No:
2EABWC000024601
Expire:
04/1112019
2 Issued Date: 08/29/2018
0 Setback- Front:
Rear:
Y Left:
Right:
f
Architect: INMICTR
11r 41 1
Address:
Phone: State Lie:
Engineer:
Address:
Phone:
State Lie:
FEES.
Designer:
KELLY SEAN
Construction Valuation:
Address:
10141 THESEUS DR ......
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HUNTINGTON BEACH CA 92646 ° e • °
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Phone:
714-907-7586 ° ° °
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Special Conditions:
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$0.00 Records Management:
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PROCESSED BY: \ \ 1 --
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES.
° ° •
Construction Valuation:
$1,000.00
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00000„
Building PC Fee :
$190.00
Fire Residential Alarm PC Fee,
$0.00 Records Management:
° o • $4.00
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 :
$225.00
TOTAL FEE :
$417.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance:
$417.00
PROCESSED BY: \ \ 1 --
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
DWNER-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
:he 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
Tot 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 Cade: 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
'mprov,ed forthe purpose of sale).
❑ I, @s 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 ;m'exempt Rom 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 legall)
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.html.
Signature of Property Owner or Authorized Agent Dale
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 and Professions Code, an my license is in full force
and effect.
License Class License No ate �'�'%'-T� Prac Ign ureWORKERS'COMPENSATION DECLARATION
NARNING:FAILURIPTO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO R T CRIMINAL PENALTIES ANOS UP TO ONE HUNDRED THOUSAND DOLLA 100,000), IN ADDITION TO THE
gOST OF POMPENsA"M, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
.HbM affirm W-ItIpPoppally, of perjury one of the following declarations:
131 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
ZaAvqnce of thework for which this permit is issued. Policy No.
•.
g and WII! 7Nir�ain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensation
ensu ante carrier and policy number are:
Pr
er •
00. . Policy Number Expiration Date
Agent
Ice 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
to the worters' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
I hereby affirm under penalty of perjury that thE�construction lending agency for the performance of the work for which lhi