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Home My WebLink AboutF2021-0453 - PermitsCity of Newport Beach - Building Division 'F2021-0453* .�. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 80 LINDA ISLE NB Inspector Area: 2 Owner: FANTICOLA CHRISTIAN Address: 1422 EDINGER AVE TUSTIN CA 92780 Phone: 9491400-8777 Applicant: GOMEZ GERARDO Address: 4765 GATESHEAD RD CARLSBAD CA 92010 Phone: 760-720-2675 Code Edit : 2019 Type of Construction: V-B-SPR 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: 0.2 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: $6,000.00 FIRE Permit: F2021-0453 Project No: 2262-2021 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (X2021-0255) 49 HEADS Legal Description: N TR 4003 LOT 80 Contractor: GGP INC Address: 4765 GATESHEAD RD CARLSBAD CA 92010 Phone: 760-729-2675 Con State Lic: 711174 Lic Expire: 0813112023 Bus Lic: BT03031904 Lic Exp Date: 02/28/2022 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9043197 Expire: 02/01/2022 Issued Date: 09/28/2021 Setback- Front: Rear: Left: Right: FEES $222.00 Fire Residential Alarm PC Fee: $0.00 Planning Counter Review $0.00 Planning Zoning PC Fee $0.00 $0.00 Public Works PC Fee $0.00 Public Works Traffic Plan Check Fee; $269.00 $497.00 Plan Check Fee Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 it v11® �•'�fl,� eLic: State Lic: TREVOR/GGP INC 4765 GATESHEAD RD CARLSBAD CA 92010 Records Management : $6.00 $0.00 $0.00 Fee Due at Permit Issuance : $497.00 ° - OTHER DEPARTMENT: • e ° " e PLAN CHECKED BY:: APPROVAL TO ISSUE: O Oda LO O G ( G PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION u c, ®ce ®e� ® n exe es owe OWNER -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 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). U I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throul improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cc improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70. apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra( ❑ I 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 or sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .le Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700( and effect. License Class License No Date COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL DST 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 Direl 0rmance of the work for which this permit is issued. Policy No. I ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for I lance carrier and policy number are: :arrier Policy Number lame of Agent certify that, in the performance of work for which this permit is issued, I shall not employ any person in any if I should become subject to ttl;6Afters' compensation provisions of Section 3700 of the Labor Code, I shall signature of Applican IECLARATION REG R G M TRUCTION LENDING AGENCY hereby affirm in penalty of p rjury that there is a construction lending agency for the performance of the work for Ender's Name Lender's Address ly 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 ord' ces and state laws relating to building construction. I authorize representatives of this city or county to e e above-ide,�ltified property for inspection purposes. signature of Property Owner or Authorized AgenL n__ -y Print Property Owner's the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the pletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion or the Improvements covered oy tms permit, I cannot nderstand that a copy of the applicable law, Section 7044 of the Business and Date of Division 3 of the Business and Prof Sons Code, and my license is in full force Contractor Signature .,.-C 1LTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and t comply with those provisio?. this permit is issued (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE IMITN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND ... . ••• ••• AQMD RULE 1403. 1�•• ,• •�+ •• �• PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: . ❑ EPA ,•• ❑ AQMD +•+ • •�• •i ,+• ••• PERMtTCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. • • s see- • s•• ••s e e e • e e e PERMIT FINAL ` y CERT[RCATEOF SIGNATURE: . ; e e° OCCUPANCYFSSUED ••• •• e• ee a doe o00