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HomeMy WebLinkAboutF2020-0343 - Permitsno City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 0 0 3 4 3 Permit Counter Phone (949)644-3288 Job Address: 5311 SEASHORE DR NB Inspector Area: 3 Owner: HARRIS ROBERT Address: 46 OLD COURSE DR NEWPORT BEACH CA 92660 Phone: Applicant: GUTIERREZ RUST Address: 8086 E CRYSTAL DR ANAHEIM CA 92807 Phone: 7141666-8460 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: 3 No of Units : 0 Flood Zone: 0.2% 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: TOTALFEE $6,202.00 FIRE Permit: F2020-0343 Project No: 1504-2020 Inspection Requests Phone (949)644-3255 Description: SFR - NEW FIRE SPRINKLERS (28) HEADS X2019-3762 Legal Description: OCEAN FRONT TR ELK 53 LOT 6 Contractor: RESIDENTIAL FIRE SYSTEMS INC Address: 8085 E CRYSTAL DR ANAHEIM CA 92807 Phone: 714-666-8450 Con State Lie: 786965 Lie Expire: 11/30/2020 Bus Lie: BT30003809 Lie Exp Date: 0413012021 Worker's Compensation Insurance Carrier: CYPRESS INS. CO. Policy No: REWC019434 Expire: 09101/2021 Issued Date: 09/0812020 Setback- Front: Rear: Left: Right: $217.00 $0.00 $0.00 $0.00 $0.00 $0.00 $263.00 $488.00 PROCESSED,3N,: ° °o ZONING APPkPVAit, FIRE APPROVAL: tow I o. FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee : Public Works PC Fee: Public Works Traffic Plan Check Fee; Plan Check Fee: Architect: Address: Phone: State Lie: Engineer: Address: Phone: State Lie: AI16Designer: GUTIERREZ RUBI 66 0 8085 E CRYSTAL DR Phone: Ion S 9UN NOISE 141 - Special Conditions: ON 7-HE WEEKEND $0.00 �r $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: $8.00 $0.00 $0.00 $488.00 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ce oee o o ee ouo o®o )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 he 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 lot 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, 3usiness 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 mprovements 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 mproved for the purpose of sale). 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 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: 3y 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 legalll ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 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 (commencing with Section 7000) of Division 3 of the Business and Prof s'on de, and my license is in full force Ind effect. nn .icense Class License No Date '"t %J7 Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,0003, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370S OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penally 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, forth ,.,Armance of the work for which this permit is issued. Policy No. ,fJl ave 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' compensatiol rsu nce carrier and policy number are: :arr r G%WVA-Ca rl G C at A?. Policy Number (n) 6°c©G- _C) Q C2 Expiration Date eof Agent TIYC'COAf /aA-I'J Cl' Phone III I -I 01 7 G3�� It 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 agre let, if I should become subject to ft wgrl ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant hereby affirm under penalty 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) ender's Name Lender's Address ly 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 co�[ty toe r bove-identified property for inspection purposes.„ ^ B 1 r tinnahlre of Pronertv Owner or Authnrized Anari / ,< Print ProDertv Owner's or Authorized Aaent's Nam I - I S:7 ACTION DATE BY UCULArw Llury ur vvI r n wvc ur run urrHX wt vnLT FEDERAL REGULATIONS PART 61 OFTITLE40AND AOMO RULE 1403. •.• ••• •'• •�• •� PERMITEXIDWED ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑. AQMD • �•• • • ••• • • ••• PERMITCANC£LLED PERMITEXTENDED ASBESTOS OPOSED DEMOLITION.IIONIS NOT APPLICABLE TO PROPOSED •:� •�• ••• ••• �•• �•� PERMIT FINAL jot CERTfFfCATE OF OCCI)PANCYISSUED SIGNATURE: .�• ..• �•_ �•�