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Home My WebLink AboutF2019-0318 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)6443288 .Job Address: 437 ACACIA AVE NB Inspector Area: 5 Owner: ACACIA PROPERTIES I LP Address: ' 437 ACACIA AVE NEWPORT BEACH CA 92660 Phone: Applicant: SEXTON BRENT Address: 12222 WOODSIDE AVE #132 LAKESIDE CA 92040 Phone: 619-454-6945 Code Edit :2016 Type of Construction: VB 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: Bldg Sprinklers: Y. 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: FEE: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: *F2019-0318* FIRE Permit: F2019-0318 Project No 1203-2019 Inspection Requests Phone (949)644-3255 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Description: SFR -FIRE SPRINKLERS/NEW SFR (X2018-2291) 43 HEADS ;{ t�M ` m $4,300.00 1203-2019 s `' J, - Legal Description: N TR 682 LOT 51+ $0.00 + r 4 Contractor: SEXTON FIRE PROTECTION Architect: Address: 5044 GLEN ST Address:. $0.00 Public Works PC Fee: $0.00 LA MESA CA 91941 $0.00 Public Works Traffic Plan Check Fee; $0.00 Phone: 619-741-3661. Phone: State Lic: $448.00 Plan Check Fee : $0,00 Fee Due at Permit Issuance : $448.00 - Con State Lia 680423 Engineer: ..•.• ...... Lie Expire: 01/31/2021 Address: Bus Lie: BT30067475 Lie Exp Date: 05/31/2020 Phone: State Lia • ° �, " ° Worker's Compensation Insurance Designer. °o °° •.0 „ Carrier: - OHIO SECURITY INS Address: Policy No: XWS1959103192 °9 C. Expire: 09101/2019 Phone: 00(10 C. Issued Date: 05128/2019 Special Conditions: ' ° •'; ° Setback- Front Rear - • °c..":. Left: �0000 Right: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES $4,300.00 $202.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $6.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 $0.00 Public Works PC Fee: $0.00 $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $240.00 $448.00 Plan Check Fee : $0,00 Fee Due at Permit Issuance : $448.00 OTHER DEPARTMENT: PLAN CHECKED BY:: SAPPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION ",_4„ 1 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 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 ($500). 11 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 5 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, isavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Properly Miner or Authorized Agent Date LICENSED COlgtkl\CTOR'S DECLARATION I tllrebj.'affirm uTddr pbpalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force an$ effgct • • ••5 �/19 776 License Slass • License No Date Contractor Signatur 7j f h9R•N•ERS' C9MIPEVSATION DECLARATION NRRMING:1<AILURE Tb6ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE A)ST QF•COMPENSA=IOy,pAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. f 8rb5? affirm uMq&pEflalty of perjury one of the following declarations: I 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 IN Q• • ` of thG workffor which this permit is issued. Policy No. \ •••••• r'�gv gvwill mainMin 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 once carrier aril policy number are: ... . . . tier • •• • Policy Number Expiration Date is of Agent Phone # certify that, in the 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 agret , if I should become subject to the war rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I of CLARATION RE*RDING CONSTRUCTION LENDING AGENCY/ I �reby affirm under enalty of perjury that there is a construction 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 this city or county ter the ab -identified property for inspection purposes. nature of Prooertv Owner or Authorized Acenf,��/�r-- Print Prooertv Owner's or Authorized Acent's Name ACT701V DATE BY ULLL.AHA IION UP LOMPUAIYLL VW IH LUOt OF FOR OFFICE USE -ONLY ' FEDERAL REGULATIONS PART df OFTIILE40AND AQMD RULE 1403. PERMITEXPIRED ❑ 7SUSMITTEDASBESTOSNOTIFIC4TIONTO., ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ESTOS NOTIFICATIONIS ROTAPPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL C€RTIFICATEOF OCCUPANCYISSUED SIGNATURE. m F rf r Cl 0 a t