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HomeMy WebLinkAboutF2020-0359 - Permitsw1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 6 0 3 5 9 Permit Counter Phone (949)644-3288 �d�3mR r Job Address: 2961 CLIFF DR NB Inspector Area: 3 Owner: HALLER DAVID Address: 2961 CLIFF DR NEWPORT BEACH, CA 92663 Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-6370 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3I1.1 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: F2020-0359 Project No : 1598-2020 Inspection Requests Phone (949)644-3255 Description: SFR- FIRE SPRINKLERS/NEW SFR 60 HEADS (X2019-1778) 1598-2020 Legal Description: FIRST ADD TO NEWPORT HEIGHTS LOT BILK Z PARK Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 1101 KINGSTON DR Address: LA HABRA CA 90631 Phone: 714-476-5370 Phone: Con State Lie: 876004 Lie Expire: 04130/2022 Bus Lie: BT30040107 Lie Exp Date: 08/31/2021 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC148394 Expire: 02115/2021 Issued Date: 10/0512020 Setback- Front: Rear: Left: Right: Engineer: Address: Phone: State Lie: State Lie: Designer: CASEY MONTY Address: 1101 KINGSTON LA HABRA CA 90631 Phone: 714-476-5370 Special Conditions: FEES Construction Valuation: $6,000.00 Building PC Fee: $217.00 Fire Residential Alarm PC Fee, $0.00 Records Management : $8.00 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: $263.00 TOTAL FEE : $488.00 Plan Check Fee: $217.00 Fee Due at Permit Issuance : $271.00 PROCESSED BY: `�. , - / OTHER DEPARTMENT: ZONING APPROVAL: °i° •°m o°° °°o °o °PL`Att CHECKED BY:: c e -¢ o • a. FIRE APPROVAL: `e `•° °°" ••• ••°AAPOOVAL TO ISSUE: PERMIT EXPIRES°180 DAYS AFTER OSSUANCE OR LAST VALID INSPECTION o m • o • • o 0 0o m s S Y • C O N t/ 4 000 °b 02 0 O .A°a °G IWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lawfor the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) iection 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' Slate 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 Iicensure 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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). ] I am exempt from Iicensure under the Contractors' State License Law for the following reason: y 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. ignature of Property Owner or Authorized Agent Dale .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 effect. is p �/ ,, nd Class License No Date ° ` Contractor Signalun� T6�J V IIORKERS' 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 (E10D,000(, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 1 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 thl erformance of the work for which this permit is issued. Policy No. 11 have and will qauIbun 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 Zisur ce carrier a poll number are: q /�'�t /''% e- I Ink n ,n 1 PDl e�f // / Expiration Date IS of Agent r -- certify that, in the pl if I should become 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant-1 ruar DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I 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). Lender's Name Lender's Address By 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 er he above -identified property for inspection purposes. toe Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam /�A� ACTION DATE BY DEC T/ON OFCOMPLIANCEMT CODEOF FOR DERCE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. — PERMITEXPfRED [3 i M�pI� D A �i Q NOD 7i N TQr � i EP • '•. � � • � i e + AQND • • . • • •• ❑ A9BESf0S NOtIF1WONIS NIN APPLICABLE TO PROPOSED DEMOLITION. SIGNATLIRt. •' PERMITCANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATEOF OCCUPANCYiSSUED • • • • • • • • •• ••c • • •• •• ••• 0 11 Nil 0❑❑ ❑❑❑❑❑❑❑❑❑lo