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Home My WebLink AboutF2020-0493 - Permits (2)wp City of Newport Beach - Building Division cs4` 100 Civic Center Drive, Newport Beach, CA 92660 .k Permit Counter Phone (949)644-3288 U Job Address: 2610 BASSWOOD ST NB Inspector Area: 4 Owner: GILDEN JAKE Address: 2610 BASSWOOD ST NEWPORT BEACH, CA Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-6370 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/U 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 Building PC Fee : Building Overtime PC Fee: Building Extention Fee, Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $2,600.00 ��FIREProjecPermit: er zit: F 2020-0493 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (X2020-2730) 26 HEADS Legal Description: N TR 4893 LOT 10 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-6370 Con State Lic: 876004 Lic Expire: 04/30/2022 Bus Lic: BT30040107 Lic Exp Date: 08/3112021 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC148394 Expire: 02115/2021 Issued Date: 12115/2020 Setback- Front: Rear: Left: Right: FEES Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic Designer: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: Special Conditions: $217.00 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 $0.00 Public Works PC Fee : $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $263.00 $484.00 Plan Check Fee : $217.00 Fee Due at Permit Issuance "e u'• `®THERb91PAVTMENT: 0 0 0 0 • e e o c eaa a e a eI!AN C11, MKEF BY:: o e oue `a T APPROVAL TO ISSUE: 00 ooe a e eoo 0 0 0 0 0 0 000 0 0 0 0 0 PERMIT EXPIRES 180 DABS AF70R IGSVANC€ OR J-AST VALID INSPECTION oe emu o a uo eo eoo $4.00 $0.00 $0.00 $267.00 DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (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 U all of or U 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). ❑ 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 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 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.htmi. Signature of Property Owner or Authorized Agent Date 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, and m i nse is in full force and effect. License Class License No Date ' Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: 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 ( el, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 th performance of the work for which this permit is issued. Policy No. have and wiintain 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' is of Agent �Y'� 'IelJ ' " certify that, in the performance of the work for which this if I should become sect to a workers' compensatio Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and lions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant -Z uare— CLARATION RUG DING CONSTRUCTION LEND AGENCY ereby affirm under penalty of perjury that there is a c nst ction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owners 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 relatink to building construction. I authorize representatives of this city or county tQ 5p °�e-Id n-tified property r inspection purposes. ^�,. nature of Property Owner or Authorized Agent X _ ` � Print Property Owners or Authorized Agent's Name C— ACDOPY DATE BY i ARATION OF COMPLIANCE WITH CODE OF _ FOR OFFIC&C&EOMLY t�tH jST/O11SPAQ7 f I OF TITILE40 AND D U EI Zn: UW1MJ MASB45"NQTIFICAnON TO: ❑ £PA''' ❑ AQMD ❑ ASBESTOS M07IRC4710MISNOTAPPLICABLETO �gi4U,�C�SFr'.fjEjfT(f7h", ego • • • o • s o 0 SFONA?URE,�° ° o .00 o PERMITEXPIRED PERMIT CANCELLED PERMfTEXTENDED PERMITFINAL �Z:� CERTIFICATEOF _ OCCUPANCYISSUED 00o cc o0 0 0 000 00