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Home My WebLink AboutF2019-0263 - Permits1 City of Newport Beach- Building Division IIIIGIIIIIIIIIIIIIIIIIIIIIIIIIIIInIIIIIIIIIIIIIIIIIIIIIII FIRE Permit: F2019-0263 100 Civic Center Drive, N Beach, CA 92660 F 2 0 1 9 0 2 6 3 Project NO 0791-2019 Permit Counter Phone (949)644 9)644 -3288 - c* m`b Inspection Requests Phone (949)644-3255 Job Address: 4815 LIDO SANDS DR NB. Description: SFR FIRE SPRINKLERS °ADD'L SCOPE` 13 HEADS Ins ector Area: 3 P Legal Description: DELTA1 N TR 3162 LOT 49 ,� =,.-� a s , I ! i " Owner: WEISNER ALAN & DEBBY Contractor: KELLY FIRE PROT INC Architect: 0 a `•'� Address:. 1817 GLENWIID k6 Address: 10141 THESEUS DR Address: NEWPORT BEACH CA92660 HUNTINGTON BCH CA 92646 Phone: 949-400.8725 Phone: 714-907-7586 Phone: State Lie:. Applicant: KELLY SEAN Con State Lie:. 878823 Engineer: Address: 10141 THESEUS DR Lie Expire: 08131/2019 Address: HUNTINGTON BEACH CA 92646 Bus Lie: BT30042225 Phone: .714.907-7586 Lie Exp Date: 0113112020 Phone: State Lie: Code Edit: 2016 - Worker's Compensation Insurance Designer: KELLY SEAN .... Type of Construction: V -B -SPR Carrier: AMERICAN FAM HOM INS Address: 10141 THESEUS DR m .... ° Occupancy Group: R3/U Policy No: 2EA5WC000024603 HUNTINGTON BEACH CA 92646. mmm mmm000 Added ]New sq.ft.. Bldg: 0 Expire: 04/11/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 3 Issued Date: 05/02/2019 Special Conditions: m o 0 No of Units : 0 Setback- Front: ...... Flood Zone: Rear: mom ° o Bldg Sprinklers: Y Left: mm mm Right ° •o°° ommmoo FEES Construction Valuation: $1,300.00 Building PC Fee: $0.00 Fire Residential Alarm PC Fee : $0.00 o m o 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 as: $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee. $240.00 TOTAL FEE : $242.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $242.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL., APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION IVVNrK-t3UILUCR VCMLl1RF111V1. 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 is 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 of 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, 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 n roved for the purpose of sale). - I, 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 ipply 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). 1 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 Iegali) yell 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date signature of Property Owner or Authorized Agent -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comme cing with Section 7000) of Division 3 of the B iness and Professions Code, and my license is in full force Ind effect. ate " - % " %^1 Contractor 'posture - - .icense Class License No l YORKERS' CjJRIMNSATION DECLARATION VARNING: FAILURE "AbURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN E PL YER TO CRIMINAL PENALTIES AND CIVIL FIN UP TO ONE HUNOREO THOUSA OLLARS (4100,0001, IN ADDITION TO THE :).%I 9r,4OMPENWWN,.DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTOR EY'S FEES. Hereby •affirm ullderpenalty of perjury one of the following declarations: have and will -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 th rerfrmance of the wwr for which this permit is issued. Policy No. ;g and will"Antain 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' compensatio rance carrier And dbZcy number are: rrie • • • " • Policy Number Expiration Date ertifythat, ir? ""tformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become SL jfJ sWoul� dbecome subject to th eWs co rfp�ensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those iglld Ie of APpRGaa C/fiv- iECLA TIO -R ,' DING CO TRUCTION LEND GENCY hereby affirm unde enalty of perjury that there is a co ction 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 s an state laws relating to building construction. I authorize representatives of this�o'orI oa^ o enter the above -identified property for inspection purposes. . h...Iwa Print Property Owners or Authoriz d Agan ACTION I DATE I BY I J II FEDERALREGDLAT/ONSPART&10FTl-L-E-(MD'— to the workers' compensation laws of California, and (Section 3097, Civil Code). AQMDRULE 1403. PERtMITOWIRED ❑ I SUBMfTFEDASBESTOS NOTIFICATION TO. ❑ EPA [3 AQMD E3ASBESTOS NORACATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE. P€RMITCANCELL€D PERMITEXT€NDED PERMIT ANAL I - "l V.r C€RTRACATEOF OCCUPANCYISSUED to the workers' compensation laws of California, and (Section 3097, Civil Code). 0 LO OD -co Pj JEW m lz zo.. w� a° ;R o o A Ir,� O C7 ' O PG a F" W u � a U a 0 1 r1 io El El ❑ ❑❑❑ ❑ ■■ JI �I ni .o u v ai mlcda N a E U) h 0 q a}0 t N m N T OD V iammu1 J m N ❑ ❑ ❑ 0 0000 ❑❑❑❑❑❑❑❑❑la