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Home My WebLink AboutF2019-0067 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H *a Permit Counter Phone (949)644-3288 �d Job Address: 20052 CYPRESS ST NB Inspector Area::.8 Owner:. WEBBER MATT Address: 20052 CYPRESS ST - NEWPORT BEACH, CA 92660 Phone: Applicant: HANLEY SEAN Address: 1908 S EL CAMINO REAL SAN CLEMENTE, CA 92672 Phone: 949-493.4604 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: 1 No of Units : 0 Flood Zone: Bldg Sprinklers: N 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 $3,400.00 FIRE Permit: F2019-0067 F 2 0 1 9 0 0 6 7 Project No: 0278-2019 Inspection Requests Phone (949)644-3255 $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 $240.00 $446.00 FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee Public Works PC Fee : Public Works Traffic Plan. Check Fee; Plan Check Fee: $0.00 Records Management $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL : APPROVAL TO ISSUE: !✓ �✓ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $4.00 $0.00 $0.00 $446.00 Description: SFR FIRE SPRINKLERS. 39 HEADS (X2018-3144) Legal Description: TR 706 LOT 180 NELY112 Contractor: SOUTH COAST FIRE PROTECTION INC Architect:. • •.« - Address: 1908 S EL CAMINO REAL Address: ° • °,;' SAN CLEMENTE CA 92672 e • ; .;, a o Phone: 949-493-4604. Phone: State Lie: •� • m "O °° ° Con State Lie: 746130 Engineer. ac, • ; e ° o ° o Lie Expire: 02129/2020 Address: < • ° ° ° ° Bus Lie: BT20011043 - ° 0.01• ° � ° N• Lie Exp Date: 12131/2019 Phone: State Lie: °q° ° o • • o Worker's Compensation Insurance Designer. _ HANLEY SEAN • ¢ °° , ••oco • ®o a Carrier: EVEREST NTNL INS CO Address: - 1908 S EL CAMINO REAL e�,.,,n7 `. ° Policy No: 5300003782181 SAN CLEMENTE, CA 92672 e ° ° Expire: 05101/2019 Phone: 949-493-4604 ° •� ° ®° • --' ° Issued Date: 0210512019 Special Conditions: ° iv ° • • • o • ° • • • o Setback- Front: Rear: Left: Right: $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 $240.00 $446.00 FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee Public Works PC Fee : Public Works Traffic Plan. Check Fee; Plan Check Fee: $0.00 Records Management $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL : APPROVAL TO ISSUE: !✓ �✓ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $4.00 $0.00 $0.00 $446.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law.forthe 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 penaltyof 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 L) 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❑ 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 ',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). ❑ I am exergdt`refticensure under the Contractors' Stale 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 legalll S1.%Ctructure that 61tave 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 ofessions Cfftls 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 *sIond ,LICFNSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business d d m / Is in full force end effect. ••'. License Class .; • License No Date X -f-7H Contractor SignalRJKERS' COMPENSATION DECLARATION .WARNING: FAILURE TG SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO RTO CRIMINAL PENALTIES ANO CIVIL FINES UP T ONE HUNRS ($700,000), IN ADDITION TO THE fOT"VOMPENSATION, SAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1•hereby'affirm unc ei penalty of perjury one of the following declarations: 101 ;awe and XA?gia:itain 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 peVbHance of the -Mork 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' rance carrier and policy number are: ^, Number Expiration Date ne of Agent Phone # certify that, in the pe rma ce of the' sued, I shall not employ any person in any manner so as to become subject the workers' compensation laws of California, and t, if I should become ubje t ansalion prov' ' of Section 3700 of the Labor Code, I shall forthwith comply with those prooions. nature of Applicant DateCLARATION REG G CONSNDING AGENCY Ireby affirm under�penalty of pe ' rya construction lending agency for the performance of the work for which this permit is is ed (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 ypropeowner's elf. I have read this application and the information ed is c ect. I agree to comply with all applicable city and coes stat s r g Ilding construction.I authorize representatives of this city or county v -id prop or inspection purposes. /h` �7, nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name lr>dYs� �9^' at. AC770M DATE DECLARATION OF COMPLIANCEWITN CODE OF FOR OFFICE OSErY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMDRULE1403. PERMITEXPIRED - ❑ ISUBM7TiEDAS13ESTOSNOTIFIC4T[ONTO: ❑ EPA ❑ AQMD PERMITCA.NCEIIED PERMITEXTENDED ❑ ASBESTOS NORFICATIONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAI ®^ o CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: A e l4 z L T M W4 o azo �00 en A� Ao �z pmI �O aaa§ a� �O o a T 0 ❑0❑❑ ❑❑ ❑ 0110 ❑ ❑❑ 0 d c g o ani N � � T e N C nC E FL $� r CL ° °1 1 2 V, 5 o aK o�y�aa-ILL _gym g id c u TJ di a rtl .c N id a td 4 d v �I td a � a T C4 C4 L' E. z O U U z; O °u W N z 0 m