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HomeMy WebLinkAboutf2020-0325 - Permits (2)City of Newport Beach - Building Division 11111111111111111111111111111111111111111p111111 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2209 BAYSIDE DR NB Inspector Area: 5 Owner: 2209 BAYSIDE LP Address: 6641 ESPIONAGE PLAYA DEL REY, CA 90293 Phone: 310-702.6262 Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714476-5370 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R311.1 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: AE 8' Bldg Sprinklers: Y Legal Description: FIRE Permit: F2020-0325 Project No: 1397-2020 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (X2018-0569) 84 HEADS Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-47"370 Con State Lie: 876004 Lie Expire: 04/30/2022 Bus Lie: BT30040107 Lie Exp Date: 08/3112021 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC148394 Expire: 0211612021 Architect: 14®\S� Address: Q .(01 Phone: ��\CJ� `�State Lie: Enging�e�®G \`� 'IV Addre�sv c ` Phone: �C��Stale LicC' Designer: CASTY Address: „1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-473-5370 Issued Date: 09103/2020 Special Conditions: HIGH DENSITY Setback- Front: ^^{ Left: C Right: V FEES Construction Valuation: $8,400.00 Building PC Fee : $202.00 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: $240.00 TOTAL FEE : $450.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $450.00 PROCESSED BY: ZONING APPROVAL: ••• 6DYHE"kP&RT„MENd'0 000 • •• e • 0 a o00 0 0 • 0 n • • PLAN CHECKED• BY::. • o 0 o e 00• • o a FIRE APPROVAL: Y_ APPROVAL TO ISSUE: 000 0 0 • ooa PERMIT EXPIRES 180 DAYS AFTER ISSIIAaVCrs@RLAS'AMI-lbaINSA.CTION e o 0 0 0 • o • oo eoa • a ®• •• oa• I hereby atfnn under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the oheckmark(s) I have placed next to the applicable Hem(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 licensors 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 roved for the purpose of sale). J 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 p ly 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 licensors 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,) cannot legally ell a structure that I have built as an owner -builder It it has not been constructed In its entirely by licensed contractors. 1 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:hip.,/Aw .leginfo.ca.govfcalaw.himL 'ignature 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 license is in full force no effect license Class License No Dale `. ��jContractor Signature,, VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$'100,0001, IN AMMON TO THE on OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'& FEES. - hereby afFir i under penalty of perjury one of the following declarations: 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 thr aftiTnance of the work for which this permit is issued. Policy No. 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' carder and policy number are: Policy Number . Expiration Date Name of Agent Phone 9 I certify that, in the performance of the work for which this emn.t is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become sub' doers' compe sation p ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicantpv, C--. > Date`v/' ,O\ DECLARATION REGARDING CT10N LENDIN Y I hereby aftdm under penalty of perjury that there is a consiltualibn lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name Lender's Address By my signature below, I certify to each of the fallowing: 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 staIg s relating to building Construction. I authorize representatives of this city or county t e�nterthe�b -ipug I t edproperty.,formspection purposes. Signature of Property Owner or Authorized Agenia[_ �� \-G:—�.� Print Property Owner's or Authorized Agent's Name \. sacs _ mate ACTION DATE BY —DECLARATION OFCOMPIJANCEVATIf CODEOF FOROFRCEU, E Ly •40M0 �E3 T10NSPART61OF7I7LE40AND • PERMITEXPIRED : : . a . . . . p •1YEPMEj;I ASBESTOS NOTIRCATION TO: • • • EPA- ❑ AOafD ❑ ASBESTOS NOTIRCARONISNOTAPPLICABLETO 9ROP.42$E4QEMOL1WX • • : : SIQ1A�'VREr• PERMITC41VCELLED • • • PERMITIXTENDED PERMITRNAL •• • CERBFICATEOF • • : • • • OCCUPANCYISSUED • • • • m o 0 0