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Home My WebLink AboutF2018-0426 - PermitsCity of Newport Beach - Building Division II1111111111111111111118IIIIIIIIIIIIII I) A 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 4 2 6 t«� Permit Counter Phone (949)644-3288 0 �`�LfiYfitL�*� Job Address: 4 FAIRWIND NB Inspector Area: 6 Owner: BUI CHRIS Address: 4 FAIRWIND Occupancy Group: NEWPORT COAST, CA 92657 Phone: 0 Applicant: MCSTAY MIKE Address: 27068 LA PAZ RD 9212 No of Units : ALISO VIEJO CA 92656 Phone: 949-337.3317 Code Edit: 2016 - Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: 949-337.3317 Bldg Sprinklers: N Construction Valuation: $6,800.00 Building PC Fee: Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee Building Permit Fee TOTAL F PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: FIRE Permit: F2018-0426 Project No: 1816-2018 Inspection Requests Phone (949)644-3255 State Lie: State Lie: Worker's Compensation Insurance Designer: MCSTAY MIKE Carrier: EXEMPT NO EMPLOYEES Address: 27068 LA PAZ RD Policy No: ALSO VIEJO CA 92656 Expire: Phone: Issued Date: 07/31/2018 Special Conditions: Setback- Front: Rear: Left: Right: FEES $190.00 Description: SFR - FIRE SPRINKLERSIRES ALT 68 HEADS (X2016-4322) Legal Description: N TR 14037 LOT 37 Planning Counter Review: Contractor: PRECISION FIRE SYSTEMS Architect: Address: 27068 LA PAZ RD #212 Address: ALSO VIEJO CA 92656 Public Works PC Fee: Phone: 949-337.3317 Phone: Con State Lie: 906248 Engineer: Lie Expire: 11130/2019 Address: Bus Lie: BT30052678 Lie Exp Date: 09130/2018 Phone: State Lie: State Lie: Worker's Compensation Insurance Designer: MCSTAY MIKE Carrier: EXEMPT NO EMPLOYEES Address: 27068 LA PAZ RD Policy No: ALSO VIEJO CA 92656 Expire: Phone: Issued Date: 07/31/2018 Special Conditions: Setback- Front: Rear: Left: Right: FEES $190.00 Fire Residential Alarm PC Fee: $0.00 Records Management $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 Public Works PC Fee: $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $225.00 $419.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance OTHER DEPARTMEN PLAN CHECKED BY: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION CTOR Doom 0000� • m om 0 0 0 o • m mm om m mome0m m u m memomm ee o m o 0 mm m $4.00 $0.00 $0.00 $419.00 0 0 oeeomo 0 • m 0 o n mm o e o 0 o n mo 0 ocmma m oomom ao0eoo 0 0 m o 000000 m o mono 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 items) 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 he 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 'rofessions 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 lot 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, 3usiness 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 mprouements 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 mproved for the purpose of sale). 7 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 exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 'rofessions Cor;2,192Kailable 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 :iraNSED CONTRACTOR'S DECLARATION 'hereby affirm tinder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio d6 e, andm tic 'Is in full force dna, fkgt. ricence Class License No Dat 31 I Contractor Signature VIQ.RK�RS' CAMFj4ISATION DECLARATION IT IARNINe: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN DOLLARS ($1 ,000), IN ADDITION TO THE "I Qr&COMPENyy%)J1 pMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,hrVoy5ffirm under penalty of perjury one of the following declarations: ;;IphaT and w'111maiptain 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 thI erf8rmance of th@w Iofor which this permit is issued. Policy No. PIM4 and will•maiptain 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 1strarx:e carrier§Ifdgdlicy number are: Policy Number of Agent Date that, in the pertormance Bf crfor Is permi s issued, I shall not emplRyson in any manner so as to become subject to the workers' compensation laws of California, and ould become subj9pWo th compensation p sions of Section 3/70gAMe Labor Code, I shall forthwith comply with those provisions. >� // of Applicantyi / Dahl / areby affirm under planalty of perjury that there is a construction I Ing agency for the performance of the work for which this permit is Ider's Name \ Lenders 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�insen a laws relatin�ding ccotruction. I authorize representatives of this city or c Ified property for Ion puposes.nature of Property Owner or Authorized Ag nPrint Property Owners or Authori Ago (Section 3097, Civil Code). ACT70N DATE Y DECLARATION OF COMPLIANCEW7TN CODEOFFOR OFFICE EONLY FEDERAL REGULATIONS PART 6'f OF TITLE40AND AQM0 RULE1403. PERM/TEXPIRED ❑ t SUBM7TTEDASBESTOS N077FICATION TO: ❑ EPA ❑ AQMD PERMITCANCENED PERMITEXTE'NDED ❑ ASBESTOS N07IRCATTONIS NOT APPLICABL.E TO PROPOSED DEMOLITION. PERMITFINAL f CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: