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Home My WebLink AboutF2018-0612 - Permitsaw,a r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)6443288 Job Address: 882 SANDCASTLE DR NB Inspector Area: 4 Owner BARTUSICK JASON Address: 882 SANDCASTLE DR CORONA DEL MAR, CA 92625 Phone: Applicant: KELLY SEAN Address: 10141 THESEUS DR HUNTINGTON BEACH CA 92646 Phone: 714.907-7586 Code Edit : 2016 Type of Construction: V-BSPR Occupancy Group: R3/U Added /New sq.ft, Bldg: 0 Added/New sq. ft. Garage: 0 No of Stories: 1 No of Units: 0 Flood Zone: 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: $3,800.00 iiiiiiiiii I� FIRE Permit: F2018-0612 Project No : 2679-2018 Inspection Requests Phone (949)644-3255 It W- State Lic: Bus Lie: BT30042226 Description: SFR - RES FIRE SPRINKLERS (40) HEADS X2017-1667 Legal Description: N TR 6228 LOT 78 Lie Exp Date: 01131/2019 -. Contractor: KELLY FIRE PROT INC Architect: Address: 10141 THESEUS DR - Address: o m ° ° e • m ° HUNTINGTON BCH CA 92646 Address: Phone: .714-907-7686 Phone: Con State Lie: 878823 Engineer: Lie Expire: 08/31/2019 Address: It W- State Lic: Bus Lie: BT30042226 • ° Lie Exp Date: 01131/2019 -. Phone: State. Lie: ooeomm Worker's Compensation Insurance Designer: KELLY SEAN o m ° ° e • m ° Carrier: AMERICAN FAM HOM INS Address: 10141 THESEUS DR ° Policy No: 2EA5WC000024601 HUNTINGTON BEACH A 92646 ° Expire: 04/11/2019 Phone: m•m°mm o Issued. Date: 1 111 412 01 8 Special Conditions: °°•° Setback- Front:. m m m Rear: 0 Left: .Right: c00000 0 $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 $240.00 $444.00 FEES Fire Residential Alarm PC Fee: $0.00 Records Management Planning Counter Review: $0.00 Planning Zoning PC Fee: $0.00 Public Works PC Fee: $0.00 Public Works Traffic Plan Check Fee; $0.00 Plan Check Fee: $202.00 Fee Due at Permit Issuance PROCESSED BY: i��`"""""yam OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION omoemo 0 0 0 o . o °o 0 0 0 0 0 oo• o omwp 0 00000 000000 ° m c o 000mco 0 40 0 0000 mo 0 $2.00 $0.00 $0.00 $242.00 )WNER-BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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 ie 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 Irofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rlprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 7 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm ur$der 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 nd effect. ;i wer,lass �_ l> License No 7�a > D I 'j for Signature VORKERS' COMENSATION DECLARATION I/ZRNIN%FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS LARS ($100,000), IN ADDITION TO THE OSTVF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby -affirm Vile& penalty of perjury one of the following declarations: 3.1 and All plaintain 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 the drrj?j"ince of the wok for which this permit is issued. Policy No. �Eke 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 19Qrthle carrierrand pplicy number are: :arrier' ""': Policy Number Expiration Date .• certify that, ilt th>°'pertormance 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 tp the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho&e.:provisions. areby affirm under penalty of perjury that ther Is a nstruction 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 this city or county to ter the above=%rd6tified propert p otion purposes. 11 / nature of Prooertv Owner or ed Aoent .e'�u✓- / ""'"� Print Property Owner's or AuthonndjAgentI.II Sz.� ACTION I DATE I BY I PERMITEXPIRED I I I PERMITC7 7ANCE"ED P€RMITEXTENDED OFTITLE40AND AOMO RULE 9403. f SUBMITTEDASBESTOS NO77FICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOURCABONIS NOT APPLICABLE TO PROPOSEDDEMOU770N. OCCUPANCYISSUED I I I I SIGNATURE: .