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Home My WebLink AboutF2017-0145 - Permits�wa�, City of Newport Beach - BuildingDivision IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FIRE Permit: F2017-0145 I IIP VIII �� 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 7 0 1 4 5 [�. �. Permit Counter Phone (949)644-3288 Project No : 0987-2015 'rxrsex''. Inspection Requests Phone (949)644-3255 Job Address: 2015 LEEWARD LN NB Description: SFR *CHANGE OF CONTRACTOR* FIRE SPRINKLER SYSTEM (70) HEADS Inspector Area: 3*REVISED PLAN 03/21/2017* Legal Description: N TR 3801 LOT 2 Owner: SKYPARK HOMES INC Address: 2967 MICHELSON DR #G240 Contractor: QUICK RESPONSE FIRE SVCS Architect: IRVINE CA 92612 Address: PAEO ELIOSA Address: Phone: SAN SAN JUANN CAP, CA 92675 Phone: 949-412-7196 Phone: State Lie: Applicant: HANLEY SEAN Con State Lie: 783832 Address: 1908 S. EL CAMINO REALEngineer: Lie Expire: 08/31/2018 SAN CLEMENTE CA 92672 Bus Lie: BT30063973 Address: Phone: 949-678.4005 Lie Exp Date: 02128/2018 Phone: State Lie: Code Edit : 2010 Worker's Compensation Insurance Type of Construction: V -B -SPR Carrier: STATE COMP INS FUND Designer: HANLEY SEAN Occupancy Group: R3/U Policy No: 1904985 Address: 1908 S. EL CAMINO REAL Added /New sq.ft. Bldg: 0 Expire: 12/05/2017 SAN CLEMENTE CA 92672 Added /New sq. ft. Garage: 0 Phone: 949.678-4005 No of Stories: 2 No of Units : 0 Issued Date: 03/0912017 Special Conditions: Setback- Front: Flood Zone: X Rear: Bldg Sprinklers: N Left: Right: FEES n Valuation: $0.00 Fee : vertime PC Fee: FlBuildingExtention $0.00 $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management xtention Fee: $0.00 Planning Counter Review: $0.00 vestigation Fee : $0.00 Planning Zoning PC Fee: $0.00 heck Fee: $0.00 Public Works PC Fee: $0.00 Fire Permit Fee: Building Permit Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 $0.00 TOTAL FEE : $33.00 Plan Check Fee : $33.00 Fee Due at Permit Issuance: PROCESSED BY: y ► pd,— ° OTHER DEPARTMENT: ` • m ° ZONING APPROVAL: * o ° ° ° ,°, �', • m PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: �E. HERMIT EXPIRES : 80 Dt fS A„ -i Et2 / ;SUANC CR LAST VALID INSPECTION m om � V mom gym• ` ` ° $0.00 $0.00 $0.00 $0.00 DWNER-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). ❑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). ❑ 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 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://vmw.leginfo.ca.gov/calaw.htmi. Date 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 70�0j0) of.^Di7vision 3 of the Business and Professions Code, and my license is in full force and effect. j/ License No �' 7R �If 3 `Z Date — /— / Contractor Signatur License Class C� 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 HUNDRE THOUSAND DOLLARS ($'100,0001, 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: EDireI have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the ctor of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Derformance o work for which this permit is issued. Policy No. have 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'.comoensatio r.nre c.rri rand WiCY number a%Q:1 ems„ ( G,.,,;r.ti,n Date ie of A certify that, a performance of the work for which this perm' ier so as to become subject to the workers' compensation laws of California, and s issued, I shall not employ any person in any mann if I should become subject t9 the workers' cosation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant I CLARATION REG G CO TRUCTIO NDIN AGENCY Ireby affirm under penalty of p ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder's Name Lender's Address 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 ordinance d ate laws relating to building construction. I authorize representatives of this cit or cou t t ant the dentified property for inspection purposes. P Y RY � mature of Prooertv Owner or Authorized Agent X, Print Property Owner's or Authorized Agent's Na AL77DN DATE BY _- FEDERAL ULATI!)NS,WT 61 orTTTE 40AND AOMD4UE 403. • " P€RMITEXPIRED ❑ i ICYBBM"EnAtEkSTIS l OTrCAZIOTI TO: PERMIT CANCELLED �e EP. `e` +`'` e•• + AQ D PERMITEXTENDED ❑ ASBESTOS NOTIFICATION/S NOT APPLICABLE TO PERMIT FI NAL y' PROPOJPeD(•7�110"T/ON.• > s+• • e • • • • • ° CERTIFICATE OF SIGNAUZRd. e: + - "• OCCUPANCY7SSUED • • ? •.` •• ••° 7 r9f