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Home My WebLink AboutF2019-0044 - Permits>wt$ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II R .100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 0 4 4 F. -r Permit Counter Phone (949)644-3288 FIRE Permit: F2019-0044 Project No: 0185-2019 Inspection Requests Phone (949)644-3255 I, Job Address: 19 MONTGOMERY NB - Description: SFR FIRE SPRINKLERS 10 HEADS (X2018-1243) _ Inspector Area: 4 Legal Description: N TR 15409 LOT 58 :Owner: DAVID HOPKINS & ELIZABETH - Contractor: MIKE BILKA FIRE PROTECTION 'Architect: - Address: 19 MONTGOMERY Address: 114 LAS FLORES Address:. NEWPORT BEACH, CA 92660 - ALSO VIEJO CA 92656 $0.00 Records Management: Phone: .Phone: 949-305-8670 - Phone: Applicant: MIKE BILKA FIRE PROTECTION bon State tic: 958115 Engineer: -Address: 114 LAS FLORES Lie Expire. 0212812019 Address: ALSO VIEJO CA 92656 Bus Lic BT30052024 Building. Investigation Fee :.. Phone: 949-305-8670 Lie Exp Date: 08/31/2019 Phone: Code Edit: 2016 Worker's Compensation Insurance Designer: BILKA MIKE Type of Construction:. V -B -SPR... Carrier: WESCO INS CO Address: 114 LAS FLORES Occupancy Group: R31U Policy No: WWC3190160 Public Works Traffic Plan Check Fee; $0.00 ALSO VIEJO, CA 92666 Building Permit Fee: - Added /New sq.ft.'Bldg: 0 Expire: 03/05/2019 Phone: 909-228-1192 Added /New sq. ft. Garage:. 0 TOTAL FEE : $444.00 No of Stories: 2 Issued Date: 0112312019 : Special Conditions: No of Units: 0 Setback -Front: Flood Zone: Rear: Bldg Sprinklers: N 'Left: Right: State Lie: _ + e0oe0 `K � m000mo �^46oe�r State Lie: e • o rtnnT'ff{a��`=° . . o . . ro o oo�000 00000co Q c � o o co 000000 o c o 00000 oa000 - FEES Construction Valuation: , $900.00. Building PC Fee `. $202.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $2.00 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 as : ' $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $240.00 TOTAL FEE : $444.00 Plan Check Fee: _ $0.00 Fee Due at Permit Issuance : $444.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 (_) 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, 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 legall 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 Pl*tity Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I Dillliby affirm u nrJ4•r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ection 7000) of Division 3 of the Busine/NEHUNDRED Professions Code, and my license is in full force and Effect. License Class . License No Date 7' �3' Contractor SignaWClRKERS'iCOMPENSATION DECLARATION NARNING: FAILLa6TO SECURE WORKERS'COMPENSATION COVERAGE I5 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO THOUSAND DOLLARS ($700,000), IN ADDITION TO THE Cb,pl 5F COMPENSATIVN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I Dtgeby affirm u paler penalty of perjury one of the following declarations: D-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 the p ance of Jhe work for which this permit is issued. Policy No. • R.+.• aV. e and wlll malhtain 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' compensation asura carries and policy number are: Damar• •..:. en*o -Frlysgr Policy Number OCG Expiration Date le of Agent certify that, in the p , if I should become Ice of the work for which this permit is issued, I shall not employ any person in any manner so as to become su to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those nature of Applicant :LARATION REG RDING CONSTRUCTION LENDING AGENCY ,eby affirm underenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is ier's Name t Lender's Address ny 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 tave provided is correct. I agree to comply with all applicable city and co ty ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. ief„re ,.� or,...od.. fl,unur nr Aufhnrivcd Anenf �' Print Prooerty Owner's or Authorized ADeni the workers' compensation laws of California, and 1) (Section 3097, Civil Code). Name / /,Ae- R, m,4 / Date 1'a3 • /” ACTION DATE / BY ( ucr.csvvtrrvrr yr r.v,orusa,ra,z rrrr,r a.—v —1 � FEDERAL REGULATIONSPART 61 OFTITLE40AND AQMDRULE 9403. ...r.... r:.._.,y,—., PERMI€EXPIRED ❑ 1 SLIBMITT'EDASBESTOS NODFICATIOAT T0: ❑ EPA ❑ AQMD PERMfTCANCELLED PERMITEXTENDED ❑ ASBESTOS NORRCATION1S NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAL (� CERTIFICATEOF SIGNATURE: QCCUPANCYISSUED