HomeMy WebLinkAboutF2018-0588 - Permits' City of Newport Beach - Building Division
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P,,mit 0 inter Iilhom a (949)644-3288
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JoWANdrdIss: 129 VRA YELLA NIB -
Inspector Area: 1
Owner:
BROYLES JAMES P
Address:
128 VIA YELLA
Occupancy Group:
NEWPORT BEACH, CA
Phone:
0
Applicant:
NICHOLAS DOMNICK
Address:
16224 SPACE DR
No of Units :
MORENO VALLEY CA 92551
Phone:
951-807-1347
Code Edit: 2016
N TR 907 LOT 399
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:
BT30064954
Bldg Sprinklers:
Y
Construction Valuation: $1,500.00
Building PC Fee :
Building Overtime PC Fee:
Building Extention Fee :
Building Investigation Fee:
Fire Plan Check Fee:
Fire Permit Fee:
Building Permit Fee
IIY�F II2III0 III I�u�IV� III5IIII8IIII� II
FIRE Permit: F2018-0588
Project No : 2551-2018
Inspection Requests Phone (949)644-3255
Description: SFR - FIRE SPRINKLERS 11 HEADS (X2017-0078)
Legal Description:
N TR 907 LOT 399
Contractor:
DOMINICK NICHOLAS FIRE PROTECTION
Address:
16641 PINNACLE PEAK CT
$0.00
RIVERSIDE CA 92503
Phone:
951-687-1668
Con State Lic:
662276
Lic Expire:
05131/2019
Bus Lic:
BT30064954
Lic Exp Date:
10/31/2019
Worker's Compensation Insurance
Carrier:
WC EXEMPT
Policy No:
(NO EMPLOYEES)
Expire:
Issued Date: 1 0/2 912 01 8
Setback- Front:
Rear:
Left:
Right:
FEES
$202.00
Fire Residential Alarm PC Fee:
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee:
$0.00
$0.00
Public Works PC Fee:
$0.00
Public Works Traffic Plan Check Fee;
$240.00
TOTAL FEE : $444.00 Plan Check Fee:
PROCESSED BY: v !
ZONING APPROVAL:
FIRE APPROVAL:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lic:
State Lic:
$0.00 Records Management: $2.00
$0.00
$0.00
$0.00
$0.00 $0.00
$0.00
$0.00 Fee Due at Permit Issuance : $444.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
DWNER-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 ne" Urthg aRolica4le itemtus)
(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, also6aluires,the-applicane 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 70130) b►Divisfon 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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure isnot intended•: rvffe" fir s$IPy(4ctfon•7CQ440
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 tha4theo
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 bul'Qpb oj' brpving1W itaaas not 6uijt 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 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, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division ,3 of the Business and Pro ssion Code and my licens is in full force
and effect. — � g — vr}t
License Class License No Date ntractor Signatu
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' -COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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 the
)erformance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
�f Agent
ify that, in the performance
I should become subject to
ire of AoolicantY X ub/
Policy Number
Date
the work for which this permit is dssued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
workers^compepee# q0 provisiobs of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. v
' 1 " r
hereby affirm under penalty of perjury that there i� a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
ender's Name I 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 owners 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 to enter the ove-Ide ifled pection purposes. n/�1 iyl
innature of Prnnwrty Owner nr Authnrized Anent \7. Print Prooertv Owner's or Authorized ADent's Name U1=—
ACDON DATE BY I
DECLARATION OF COMPLIANCLW/INCUDE. OF
FOR OFFICE USE ONLY
FEDERAL REGULA71ONSPART Of OF T17LE40AND
AQMD RULE 1403.
P€RMIT EXPIRED
❑ 1 SUBMITTEDASBESTOS NOTIFICATION 7O:
❑ EPA
❑ AQMD
PERMITCANCEtL€D
PERMITEXTENDED
PROPOSEDDEMOLITION. ASBESTOS NOT APPLICABLE TO
PERMITFINAL
CERTIF/CATEOF
SIGNATURE:
OCCUPANCYiISSUED