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Home My WebLink AboutF2018-0413 - Permits,�, City of Newport Beach - Building Division FIRE Permit: F2018-0413 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 2' II '. 100 Civic Center Drive, Newport Beach, CA 92660 F 0 1 8 0 4 1 3 Project No: 1746-2018 1., Permit Counter Phone (949)644-3268 '"'Z1�nri�?' Inspection Requests Phone (949)644-3255 Job Address: 1706 E OCEAN FRONT NB Description: SFR FIRE SPRINKLERS (86) EADS X2016-4029 Inspector Area: 1 Legal Description: N TR 518 ELK C LOT 2. gym: � Owner: BURCHER PATRICKIBURCHER ROSEMARY Contractor: Address: 1706 E OCEAMFRONT Address: KELLY FIRE PROT INC Architect: 10141 THESEUS DR Address: C+4 NEWPORT BEACH CA 92661 HUNTINGTON BCH CA 92646 '4S''�' Phone: Phone: 714-907.7586 Phone: State Lie: F-i _j Applicant: KELLY SEAN Con State Lie: 878823 Engineer: Address: 10141 THESEUS DRIVE Lie Expire: 08131/2019 Address: HUNTINGTON BEACH CA 92646 Bus Lie: BT30042225 Phone: 714-704-9024 Code Edit : 2016 Lie Exp Date: 01/3112019 Phone: Worker's Compensation Insurance Designer: State Lie: KELLY SEAN Type of Construction: V-BSPR Carrier: AMERICAN FAM HOM INS Address: - 10141 THESEUS DRIVE Occupancy Group: R31U Policy No: 2EA5WC000024601 HUNTINGTON BEACH CA 92646 Added /New sq.ft. Bldg: 0 Expire: 0411112019 Phone: 714-704.9024 Added /New sq. ft. Garage: 0 No of Stories: 3 Issued Date: 0712312018 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: 0.2 Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $3,800.00 Building PC Fee: $190.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $4.00 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 : - $225.00 TOTAL FEE : $419.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $419.00 PROCESSED BY: ..•� ° +++ • �.°° , OTHER DEPARTMENT: ° c • o ZONING APPROVAL: < °Y • ° ' '^ Y PLAN CHECKED BY:: • f Y FIRE APPROVAL: APPROVAL TO ISSUE: i` c c Y ao PERMIT EkPIRF,,S 180 &AC'S �F?ER IbSdANCE OR LAST VALID INSPECTION iii Y+i°•V • • 4 Y 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 orimprovement 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://www.leginfo.ca.gov/calaw.html. 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 y license is in full force and effect. License Class License No Date 3 Contractor Signature NOkKERS' COMPENSATION DECLARATION NARNING: 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 a Q(111), IN ADDITION TO THE COST OF cOMP4NSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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' SX X)a Trance of the work for which this permit is issued. Policy No. SII heye 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' compensatiol surance carned policy number are, /^, 7arrier TV _ ..0^.' 1 rAlicirNumber G.. Expiration Date is of Agent t rial ° U`'C 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 subject to �e workers' cnqnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those sions. of VLMR 11V1Y MC MN IIYV YyI.J I RVYIIVN Ireby affirm under penalty of perjury that there i onstrd on 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: ' 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 nter he above-ide tified property for. inspection purposes. i nature of Property Owner or Authorized AgentPrint Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCEtNITHCODEOF FOROFFICEUSEONLY FEDERAL REGULATIONS PARJ- 61JOF•TITLE44MIJ AQMDRULE140.1 •*' . • • • 0 PERM/TEXPIRED ❑ i SUBET�EBAS4ESTOS 4(OTIFICATJON �O: 13 EPA, • • • • ••• ••• [3AQM0 PERMITCANCELLED PERMIT EXTENDED [3 ASBESTOS NOTIRCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. ••: ••� ••• •. PERMIT FINAL i CERTIFICATEOE OCCUPANCYISSUED SIGNATURE: •; : •.