The URL can be used to link to this page

Home My WebLink AboutF2020-0343 - Permits (2)�vr rn City of0 Civic cNewenter port Beach Beach, Building Division I II��II�IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II FIRE Permit: F2020-0343 Permit Counter Phone (949)644-3288 PfOJBCt NO : 1504-2020 �'��tfrlA�� NO CONSTRUCTIONWORK Inspection Requests Phone (949)644-3255 Job Address: 5311 SEASHORE DR NB Deacygti®n�Lg�Q KLERS (38) HEADS X2019-3762 Inspector Area: I Legal Description: OCEAN FRONT TR BLK 53 LOT 6 Owner: HARRIS ROBERT Contractor: RESIDENTIAL FIRE SYSTEMS INC Architect: Address: 46 OLD COURSE DR Address: 8086 E CRYSTAL DR Address: NEWPORT BEACH CA 92660 ANAHEIM CA 92807 Phone: Phone: 714-666-8450 Phone: State Lie: Applicant: GUTIERREZ RUBI Con State Lie: 786965 Engineer: Address: 8086 E CRYSTAL DR Lie Expire: 11/30/2020 Address: ANAHEIM CA 92807 Bus Lie: BT30003809 Phone: 714/666.8450 Lie Exp Date: 04/30/2021 Phone: State Lic: Code Edit : 2016 Worker's Compensation Insurance Designer: GUTIERREZ RUBI Type of Construction: V-B-SPR Carrier: CYPRESS INS. CO. Address: 8086 E CRYSTAL DR Occupancy Group: R3/U Policy No: REWC019434 ANAHEIM CA 92807 Added /New,sq.ft. Bldg: 0 Expire: 09101/2021 Phone: 7141666-8450 Added /Newsq. ft. Garage: 0 No of Stories: 3 Issued Date: 09/08/2020 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: 0.2% Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $6,202.00 Building PC Fee: $217.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $8.00 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 Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $263.00 TOTAL FEE : $488.00 Plan Check Fee: $488.00 Fee Due at Permit Issuance: $0.00 PROCESSED BY:� ♦ o o OTHER DEPARTMENT: • ZONING APPROVAL: ° PLAN VC ED BV ;: PIKE APPROVAL: AP�0VgL T6 I$SliEr E PERMIT EXPIRES 180 DAYS AFTER 15SUM E OR LAST VALID INSPECTION o • • • e a • IWNER-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) 1 have placed next to the applicable item(s) 3eclion 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 ie 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). 1 1, 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, 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 nproved 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 pply 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). I am exempt from licensure under the Contractors' Stale 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 legally ell 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.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 wit Section 7000) of Division 3 of the Business and Professions a, and my license is in full force nd effect. 1 icense Class License No Dat � 7 I % S Contractor Signatt� /( PORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 erfor0yence 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 k�jd policy number ard) —'� A is of Agent certify that, in the performance of if I should become subiecttolhe Date 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseprovisions. r ignature of Applicant uake" r iECLARATION REG D STRUCTION LENDING AGENCY hereby affirm under penalt 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 ',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 ordinance nd state laws relating to building construction. I authorize representatives of this city or countZtl entgq l:X e-identified property for inspection purposes. ACTION PERMIT FINAL CERTIRCATEOF OCCUPANCYISSUED DATE BY ucur+rva rrvrx ve I FEDERAL REGULAT AQMD RULE 1J03.. •Ll d�IIBM1tTgPA L❑�5 EP21 • AQXV ' • �• •9t ASBESTOS NO • PROPOSED DEMOLI S1 iNATlI(1Ez• DONS PART 61 OF TITLE 40 AND $BESTOS NORFICATION TO. • 77RCA170NIS NOT APPLICABLE TO