HomeMy WebLinkAboutF2019-0188 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 _ F 2 0 1 9 0 1 8 8
h _ Permit Counter Phone (949)644-3288
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Job Address: 4815 LIDO SANDS DR NB
Inspector Area: 3
Owner:
WEISNER ALAN & DEBBY
Address:
1.1817 GLENWIID KB
Occupancy Group:.
NEWPORT BEACH CA 92660
Phone:
949.400-8725
Applicant:
KELLY SEAN
Address:
10141 THESEUS DR
No of Units :
HUNTINGTON BEACH CA 92646
Phone:
714-907-7586
Code Edit : 2016
Description: SFR FIRE SPRINKLERS (X2018-2999) 47 HEADS
Type of Construction:
-V-B-SPR
Occupancy Group:.
R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
3
No of Units :
0
Flood Zone:
Address:
Bldg Sprinklers:
Y
FIRE Permit: F2019-0188
Project No : 0791-2019
Inspection Requests Phone (949)644-3255
Con State Lie: 876823
Description: SFR FIRE SPRINKLERS (X2018-2999) 47 HEADS
FEESommo
Lie Expire: 08/31/2019
Address:
Legal Description:
N TR 3162 LOT 49
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Contractor:
KELLY FIRE PROT INC
Architect:
State Lie:
Address:
10141 THESEUS DR
Address:
KELLY SEAN ....
o °
HUNTINGTON BCH CA 92646
Address:
10141 THESEUS DR
Phone:
714-907-7586
Phone:
State Lica.
Con State Lie: 876823
Engineer:
FEESommo
Lie Expire: 08/31/2019
Address:
Bus Lie: BT30042226
....
$4,800.00
Lie Exp Date: .01131/2020
Phone:
State Lie:
Building PC Fee :
Worker's Compensation Insurance
Designer:
KELLY SEAN ....
o °
Carrier: AMERICAN FAM HOM INS
Address:
10141 THESEUS DR
• °
Policy No: 2EA5WC000024801
Building Extention Fee :
HUNTINGTON BEACH CA 92646
Planning Zoning PC Fee :
Expire: 0411112019
Phone:
....
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Issued Date: 04109/2019
Special Conditions:
$0.00
$0.00.
Setback- Front:
$0.00
o 0 0
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Rear:
Building Permit Fee :
0000
0
Left:
0
mmm000
Right:
$0.00 Fee Due at Permit Issuance :
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PROCESSED BY: "C -
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEESommo
Construction Valuation:
$4,800.00
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 Fee :
$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: "C -
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)WNER-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
ie 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
Irofessions 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
of more than five hundred dollars ($500).
1, 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,
lusiness 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
nprovements 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
nproved for the purpose of sale). - -
1 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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. 1 understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (corliRmISIncing with Section 7000) of Division 3 of t e Business and Professions Code, and my license is in full force
nd effect.. `� _ _1
icense.Class ""• License No to ctor Signature-4"�
d APMRS' (160ENSATION DECLARATION
....
'QRNINQ: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLJAftrM 0,000), IN ADDITION TO THE
OSIr OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm indepp malty of perjury one of the following declarations:
� f jjle and wWrIlintain 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 thl
e p trance of V%%or$ for which this permit is issued. Policy No.
e 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' compensatior
lWW" carrier a9d policy number are:
aIAer : .:... : Policy Number Expiration Date
p&Agent
Ortify that, ihjtig girtormance 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
if I sh9�Id� ome subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with ose provisions.
CLARATION-REGARBIM-CONS7RU6T,jgt1:I,ENDING AGENCY
neby.affirm under penalty of perjury that fheFo4aaconstruction lending agency for the performance of the work for which this permit is issued (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 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 or count Scent r the above -identified property for inspection purposes.
nature of ProOertv Owp oef r Autho ' Acent 7_61 //1 _ Print Property Owner's or A"orized 9g is Name 5 k-eeen
DATE I BY
I
L1 I SUBMITTEDAS S
❑ EPA
❑ AOMD
❑ ASBESTOS NOIIFICANONIS NOTAPPUCABL.E TO
PROPOSED. DEMOLITION
SIGNATURE.
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICAT€OF
OCCUPANCYISSUED
Date 41-9