HomeMy WebLinkAboutF2019-0066 - Permitsa
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address:2 CAPE ANDOVER NB"
Inspector Area: 3
Owner: RAVVIT CRISTOPHER
Address: 2 CAPE ANDOVER
NEWPORT BEACH, CA 92660
Phone:
Applicant: HANLEY SEAN
Address: 1908 S. EL CAMINO REAL
SAN CLEMENTE, CA 92672
Phone: 9494934604
Code Edit: 2016
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:
Bldg Sprinklers; N
piiiiiiiiii 11
FIRE Permit: F2019-0066
Project No : 0276-2019
Inspection Requests Phone (949)644-3255
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION -
FEES
Construction Valuation:
$5,000.00
Description: SFR FIRE SPRINKLERS 52 HEADS (X2018-3032)
Legal Description:
N TR 15012 LOT 7
Fire Residential Alarm PC Fee :
$0.00 Records Management :
$4.00
Building Overtime PC Feer
Contractor:
SOUTH COAST FIRE PROTECTION INC Architect:
$0.00
Building: Extention Fee:
Address:
1908 S EL CAMINO REAL
Address`
Building Investigation Fee:
$0.00
SAN CLEMENTE CA 92672
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee:
Phone:
949493.4604
Phone:
State Lic:
„✓'
$0.00
Con State Lic:
746130
Engineer.`
Lic Expire:
02129/2020
Address:
$0.00 Fee Due at Permit Issuance :
_
Bus Lic:
BT20011043
Lic Exp Date:
.1 2131 /2 01 9
�
Phone:
State Lic:
Worker's Compensation
Insurance
Designer:
HANLEY SEAN
Carrier:
EVEREST NTNL INS CO
Address:
1908 S. EL CAMINO REAL
Policy No:
5300003782181
SAN CLEMENTE, CA 92672
Expire:
05101/2019
Phone:
9494934604
Issued Date: 02/0512019
Special Conditions:
o
Setback- Front
o f
° ° ° c
o °
Rear
Lek:
°°°
°
Right:
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION -
FEES
Construction Valuation:
$5,000.00
Building PC Fee :
$202.00
Fire Residential Alarm PC Fee :
$0.00 Records Management :
$4.00
Building Overtime PC Feer
$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 :
$446.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$446.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION -
OWNER -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
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 (_) 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
improved 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).
❑ 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 legall
sell a structure tNablhave 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 Cdc(p, ia.available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
.Signature of Property Qwner or Authorized Agent A Date
UUMED Ogq'fRlkCTOR'S.DECLARATION
I bereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wie5,--
ction 7000) of Division 3 of the Business Prof Bions Code, a cense i
License Class _"" License No Date14 Contractor Signatur
313 (ERS' COWENSATION DECLARATION R��
: FAILURE f 4 AWRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE DRED THOUSAND DOLLARS (5700,000), IN ADDITION TO THE
GOMPENBATI"DAMAGES AS PROVIDED FOR IN SECTION 3103 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
T* affirm under penalty of perjury one of the following declarations:
f hake and 46IpSibtain 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 the
fi rfnance of the wont for which this permit is issued. Policy No.
,,,
rgylf and w9rmainfain 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
u nce carrier 9dridolicy number are:
mer P Number Expiration Date
me of Agent Phone # ®
I certify that, in the performa of the work f which th' issued, I shall not employ any person in any manner so as to become subje /to the workers' compensation laws of California, and agree
t, if I should become subje to the worke compe n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr isions.
mature of Applicant Dat
CLARATION REGAR CON LENDING AGENCY
:reby affirm under p a at there is a construction lending agency for the performance of the work for which this permit is i Led (Section 3097, Civil Code).
ider's Name Lender's Address
my signature belo , I certify to each of the following:
I am the property owner or authorized to act on the propert wner's beh
I have read this application and the information I havd pr J ed is cor
I agree to comply with all applicable city and county rdi aances and at aws �1 ' g to building construction.
I authorize representatives of this city or county to n the above 'den fie rtiparty for inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name l��%s"' /��® D �'>'�
ACTION DATE BY
DECLARATION OF COMPLIANCEMTH CODEOF
FORDFRCEUSE0N7
FEDERAL REGUULATIONSPART &7 OF77TLE40AND
AWMDRULE 1403.
P€RMITEXPIRED
❑ I SUBMITTEDASBESTOS AIO7IFICATION TO:
❑ EPA
❑ AOMD
PERWTCANCELLED
PERMITTEXTENDED
❑ ASBESTOS NORRCARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMiFFINAL . Z .-
CERTtFICATE OF
OCCUPANCYISSUED
SIGNATURE: