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HomeMy WebLinkAboutF2018-0383 - Permits (2)ar° City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�II'IIIIIIIIIII I) 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 3 8 3 Permit Counter Phone (949)644-3268 e'11Fd1R'� Job Address: 88 LINDA ISLE NB Inspector Area: 2 Owner: DAVIS Address: 88 LINDA ISLE NEWPORT BEACH, CA 92660 Phone: Applicant: ALECICRAIG FIRE PROTECTION Address: 123 E CENTRAL AV MONROVIA CA 91016 Phone: 626-3274045 CRAIG FIRE PROTECTION CO Code Edit : 2016 123 E CENTRAL AVE Type of Construction: V -B -SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: Carrier: Bldg Sprinklers: Y FIRE Permit: F2018-0383 Project No : 1576-2018 Inspection Requests Phone (949)644-3255 Description: SFR- FIRE SPRINKLERS - 61 HEADS (X2017-1807) Legal Description: N TR 4003 LOT 88 Contractor: CRAIG FIRE PROTECTION CO Address: 123 E CENTRAL AVE MONROVIA CA 91016 Phone: 626-712-8862 Con State Lie: 692823 Lie Expire: 03131/2019 Bus Lie: BT30048335 Lie Exp Date: 0813112018 Worker's Compensation Insurance Carrier: AMERICAN FAMILY INSURANCE Policy No: 2EA5WC000051800 Expire: 02111/2019 Issued Date: 07103/2018 Setback- Front: Rear: Left: Right: Architect: Address: i a Phone: State ls„ T i8ii 1 C ■ O, R Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: ommm State Lie: ° °coo© 0 o eoo m mmmeoo e o 0 mm 00 . m m e m e o 00 0 memo $190.00 0 0 meow° om o 0 $0.00 00 0 e 0 o c ooeoo 00 om o ooeeo 0 m 00000 o c c o 0 c0000m ° o PROCESSED BY: 1 ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES °° m e o ooeo 00 . Construction Valuation: $12,000.00 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: 1 ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION DECLARATION I hereby affirm under penalty of perjury that I am exempt fmm 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 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 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), u 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). ❑ a, m 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.htmi. 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 my license is in full force and effect. ...... License.Class • • • • License No DaMY7'��r7 Contractor Signature, W(5AkPRS' t:O�NSATION DECLARATION / ,OS`r OG: FAILURE Td SECURE WORKERS' COMPENSATION COVERAGE I6 UNLAWFUL, AND E, INT SUBJECT AN EMPLOYER Pb CRIMINAL PENALTIES AND CIVIL FINES OP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE )^.09' �OFCOMPENSAAON, DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm uaderpenalty of perjury one of the following declarations: 1.ha6a and e7ill 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 IN grpiance oPth: work for which this permit is issued. Policy No. D►10 ve and win m3ntain 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' compensatior r iI Ce carrier 2nd policy number are: _• Raaf Agent C2rtify that- , if I should Policy Number Expiration Date Phone # 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 is subject jo the workers] compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions` _ ^, ignature of Applican�!'ZfW DECLARATION RE ING CONSTRUCTI LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is ender's Name Lender's Address y 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 cou ty o nterth� ve-tlerttified property for inspection purposes. ignature of Propertv Owner or Authorized Agentt.1i'irl. M-� Print Prooertv Owner's or Authorized Agent 3097, Civil Code). ACTON DATg By OLLLAHAtIUNUI-L.UMPLIANtt YYlitIWUt Ut- FOR OFFIi:E USE ONLY FEDERAL REGULATIONSPART tilOFTITLE40.AND AQMD RULE 1403. PERMITEXPIR€D ❑ I SUBMITFEDASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NORRCADONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. 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