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Home My WebLink AboutF2018-0325 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II a. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 3 2 5 E '= Permit Counter Phone (949)644-3288 e* b Job Address: 409 N BAY FRONT NB Inspector Area: 2 Owner: GUNDERSON DAVE Address: 409 N. BAY FRINT NEWPORT BEACH, CA Phone: Applicant: KELLY SEAN Address: 10141 THESUS DR Phone: HUNTINGTON BEACH, CA 92646 Phone: 714.907-7586 FIRE Permit: F2018-0325 Project No: 1308-2018 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS 32 HEADS (X2017-1348) `REVISED 0 7/2 312 01 8 Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 8 LOT 5 Contractor: KELLY FIRE PROT INC Address: 10141 THESEUS DR Type of Construction: V-BSPR HUNTINGTON BCH CA 92646 Phone: 714.907-7586 Con State Lie: 878823 Lie Expire: 08131/2019 Bus Lie: BT30042225 Lie Exp Date: 01/31/2019 Code Edit: 2016 Worker's Compensation Insurance Type of Construction: V-BSPR Carrier: AMERICAN FAM HOM INS Occupancy Group: R31U Policy No: 2EA5WC000024601 Added /New sq.ft. Bldg: 0 Expire: 04/1112019 Added /New sq. ft. Garage: 0 No of Stories: 3 Issued Date: 0 610 412 01 8 No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: N Left: Right: FEES Construction Valuation: $3,800.00 Building PC Fee: $190.00 Fire Residential Alarm PC Fee: Building Overtime PC Fee: $0.00 Planning Counter Review: Building Extention Fee : $0.00 Planning Zoning PC Fee Building Investigation Fee: $0.00 Fire Plan Check Fee: $0.00 Public Works PC Fee: Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; Building Permit Fee : $225.00 TOTAL FEE : $417.00 Plan Check Fee Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: $0.00 $0.00 $0.00 $0.00 $0.00 State Lie: State Lic: KELLY SEAN 10141 THESUS DR HUNTINGTON BEACH, CA 92646 714-907.7586 REV18.1297 Records Management $417.00 Fee Due at Permit Issuance PROCESSED BY: �I V Ih1 ° _° ° 0 0 0 ° • OTHER DEPARTMENT: ZONING APPROVAL: PIAN CHECKED BY:: °oc o FIRE APPROVAL: APPROVAL TO ISSUE: °Cp ° o eoo PERMIT EXPIRE4 180WAYS hFSE✓< ISSUAkc& OR LAST VALID INSPECTION $2.00 $0.00 $0.00 $0.00 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). ❑ 1, 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 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). ❑ I, 8§ 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 legally 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 my license is in full force and effect. °+ �/ License Class License No Date V -7- 3 14F --Contractor Signatu ey'ti WORKERS' COMPENSATION DECLARATION NARWING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL ($'I00,000), IN ADDITION TO THE COSIOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES. hereby affirm 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 th jerfgrmance of the work for which this permit is issued. Policy No. have and will"�i tain 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' compen rance carrier a p Icy number 'ler _ Poli m r Expiration Date is of Agent V, Phone # certify that, in the performance 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 if I should become s_ugject to the wor am. compensatio provisio_n.3700 of the Labor Code, I shall forthwith comply with those provisions. p lature of Applicant '`(/V~ A Date -k— 7- 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) ender's Name Lender's Address ',y 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 to/Inter the above -i entified property for inspection purposes. ionature of Propertv Owner or Authorized Agent Ze4, % Print Property Owners or Authorized Agent's Nams.,/ ACTION DATE BY DECLARATION OF COMPLIANCEVWTU CODEOF FOROFFICEUSEONLY FEDERAL REGULATMSPA.7;;61 OFT4XEJOAND AQMDgIft.ETq(!9. ° • • a ❑ is ❑••EPA•• �•• •,° i,• ••• 13°AQMD PERMITEXPIRED PERMITCANCELLED .. P€RMfTEXTENDED ❑ ASBESTOS NOTIRCARONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. , • • : • • • • • • " •• PERMITFINAL CERTIFICATE OF SIGNATURE, ; ; '• �� • a