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Home My WebLink AboutF2021-0192 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2415 SIERRA VISTA NB Inspector Area: 3 Owner: MANSOUR NICK Address: 2415 SIERRA VISTA NEWPORT BEACH, CA 92660 Phone: Applicant: BILKA MIKE Address: 114 LAS FLORES ALIS VIEJO, CA 92656 Phone: 949-228-1192 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y II��I� •m mm m m FIRF Permit: F2021-0192 F 2 0 2 1 0 1 9 2 ° o °, • ®° e m m �roject-No : 1091-2021 • ° •o• °.e °ee oeo oee .e Inspection Requests Phone (949)644-3255 m mmm e e • eoe e m om m o ei •—+ •° e e • e • e e Description: NEW SFR SPRINK4RS°($3 HEAAG� ... m. Legal Description: N TR 1801 LOT 7 Contractor: MIKE BILKA FIRE PROTECTION Address: 114 LAS FLORES ALISO VIEJO CA 92656 Phone: 949-305-8670 Con State Lic: 958115 Lic Expire: 02/28/2023 Bus Lic: BT30052024 Lic Exp Date: 08/31/2021 Worker's Compensation Insurance Carrier: WESCO INS CO Policy No: WWC3190160 ALISO VIEJO, CA 92656 Expire: 03/05/2022 Issued Date: Setback- Front: Rear: Left: Right: z Architect: Address: Cn Phone: State Lic: SU ppp (! , Engineer: Address: `^, Phone: State Lic Designer: BILKA MIKE Address: 114 LAS FLORES �0 Phone: 949-228-1192 Special Conditions: FEES Construction Valuation: $5,500.00 Building PC Fee : $217.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $2.00 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 : $482.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $482.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: (1 V1 APPROVAL TO ISSUE: a' PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-BUILDER DECLARATION •' "' , • •• •• •.. I hereby affirm under penalty of perjury that I.aro exar$pt jro( Te Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code ny i;romoanty ttvatsequireCa 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 ($500). I, as owner of the property, or my employees: U:wageg aS,their idle compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractor$' Sta@,License: awdoes npt a p: tj 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 sAIV If} however, the 44WIng of oprevement 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). 7 I am exempt from licensure under the Contractors' State 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. tignature 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 Professions Code, and my license is in full force and effect. .icense Class L' 11.0 License No Q5611 5 Date I sI f't I2j Contractor Signature l VORKERS' COMPENSATION DECLARATION rARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty 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 the rmance of the work for which this permit is issued. Policy No. 3 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' compensation Isu ance carrier and policy number are: ri..r GJ%E4^O Ao" 7AV07— Policv Number _ Expiration Date of Agent # nfeD� 720- 4te32 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 t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J 21 its nature of Applicant / /�l�—' Date / s"II7 / CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby 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). 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, to enter the above -identified property for inspection purposes. +� nature of Prooertv Owner or Authorized Agent / ::�� Print Property Owner's or Authorized Agent's Namall/�r%G �c+/�iSs4 Date/S n7 ACTION DATE BY ULULJ{ JJUn Ur LUlvrr"A"Y c xvI rn UVUc Ur FEDERAL REGULATIONS PART 68 OF T17LE40AND AQMD RULE 1401 PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD P❑ROPOSEDTEMOLITIOOS CrATtON1S NOT APPLICABLE TO ASBESPERMIT PERMITCANCELLED PERMITEXTENDED FINAL 'j.Z 4,'D� CERTWICATEOF SIGNATURE: OCCUPANCYISSUED z S e O c El O O O O I I F § I d # Fl