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Home My WebLink AboutF2018-0234 - PermitsCity of Newport Beach - Building Division `F2018-0234 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 211 VIA RAVENNA NB Inspector Area: 1 Owner: BROWN GREG Address: 211 VIA RAVENNA NEWPORT BEACH, CA 92663 Phone: Applicant: CASEY MONTY Address: 9071 RANDALL AV LA HABRA CA 90631 Phone: 866-457.3473 Code Edit: 2016 Type of Construction: V-BSPR Occupancy Group: R311.1 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 0 Flood Zone: Bldg Sprinklers: Y Construction Valuation: $3,000.00 Building PC Fee: Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: FIRE Permit: F2018-0234 Project No : 0914-2018 Inspection Requests Phone (949)644-3255 Description: FIRE SPRINKLERS FOR NEW SFR -34 HEADS (X2017-0305) MIR Legal Description: TR 907 LOT 167(AND SWLY112 LOT 166 G Contractor: FIREPROOF FIRE PROTECTION Architect: IN S To, Address: 1101 KINGSTON DR Address: LA HABRA CA 90631 Phone: 714-476-5370 Phone: State Lie: .... m o Con State Lie: 876004 Engineer: °O°° • ° Lie Expire: 04/30/2020 Address: o m o ° o• e e � 0 0 o m Bus Lic: BT30040107 Lie Exp Date: 07/31/2020 Phone: State Lie, ° m o • m ° mm c Worker's Compensation Insurance Designer °o°• °o • m Carrier: NORGUARD INS CO Address: Policy No: MOWC002760 Expire: 0211612020 Phone: o Issued Date: 0 411 912 01 8 Special Conditions: PERMIT REVISED 09-23-19 Setback- Front 0 Rear: oommc° Left: ° e 0 0 • • ° Right: °cmo $190.00 $0.00 $0.00 $0.00 $0.00 $0.00 $225.00 $419.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $4.00 Planning Counter Review: $0.00 Planning Zoning PC Fee : $0.00 $0.00 Public Works PC Fee: $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 Plan Check Fee : $419.00 Fee Due at Permit Issuance: $0.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ✓NER-(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) ction 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 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 ,fessions 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iiness 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 )rovements 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 )roved for the purpose of sale). 1, 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 )ly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 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 Iegalll 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 �fessions Code' "available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of ProTJEgy PIVner or Authorized Agent Date !EASED CONaRA+CTOR'S DECLARATION Heby'affirm fig: peMalty 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 I effect. a Mass ' License No Date ..-�}-c`Gontractor Signature ,ns)RICERS' OdMPM48ATION DECLARATION tNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT %EMOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND D !ARS (E'100,000), IN ADDITION TO THE i7t)E COMPEN�AT�ON-DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, ANDSFEE3. p.jgy-affirm ondeppenalty of perjury one of the following declarations: and wild 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 of Jt vj%rgt for which this permit is issued. Policy No. 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' compensal carriar antl otlicv number are: Policy Number Date of Agent Fnone IF rtify 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith eemply-oath those provisions. DECLARATJON REGARDIN aZ 'CONSTRLICTIOhQ�NDING AGENCY Q ' I 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). Lender's Name Lender's Address By 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 repres tatlGes of t ity-or cou t to enter the above -identified property for inspection purposes. Signature of Prope er orr Auzed Agent Print Property Owner's or Authorized A ent's Name �^SDated ACTION DATE SY DECLARATION OF COMPLIANCEMTN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OFTITLE40AND AQMDRULE1403. - PERMtTEXPIRED ❑ ISUBMITT€DASSESTOSN071FICATIOPJTO. ❑ EPA ❑ AQMD _ PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NONFICATIONIS NOTAPPLICADLE TO PROPOSEDDEMOIITIOM PERMITFINAt — /'`.. CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED O� U 9 U � p„ A rn O� 0 o � U � � U v s O� U 9 I_I JI N LA Ell I ■ ■ ■ ■ ■ ■ ■ ■ o e r � N N ■ ■ ■ ■ ■ ■ ■ ■