HomeMy WebLinkAboutf2020-0413 - Permitst�, City of Newport Beach - Building Division IIIIIIIIIIIdIIIIIIIINIIYIIIYIIIIIIIINIIINIIIIIII FIRE Permit: F2020-0413
100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 1884-2020
M =s n Permit Counter Phone (949)644-3288
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*cr..�¢u� Inspection Requests Phone (949)644-3255
Job Address: 1842 PORT SHEFFIELD PL NB Description: SFR FIRE SPRINKLER SYSTEM 35 HEADS (X2020-0579)
Inspector Area: 4
Owner: PURDY COURT B
Address: 1842 PORT SHEFFIELD PL
NEWPORT BEACH, CA 92660
Phone:
Applicant: GGP INC
Address: 4765 GATESHEAD RD
CARLSBAD CA 92010
Phone: 760-729-2675
Code Edit: 2019
Type of Construction:
V-BSPR
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:
Bldg Sprinklers:
N
Legal Description:
N TR 6620 LOT 8
Contractor:
GGP INC
Address:
4765 GATESHEAD RD
CARLSBAD CA 92010
Phone:
760-729-2675
Con State Lic:
711174
Lic Expire:
0813112021
Bus Lic:
BT03031904
Lic Exp Date:
02128/2021
Worker's Compensation Insurance
Carder:
STATE FUND
Policy No:
9043197
Expire:
0210112021
Issued Date: 10/7512020
Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
I V S1 EVI®
State Lic:
State Lic:
Designer:
GOMEZ GERARDO
Address:
4765 GATESHEAD RD
CARLSBAD CA 92010
Phone:
760-729-2675
Special Conditions:
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FEES
Construction Valuation:
$4,000.00
Building PC Fee:
$217.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$4.00
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 :
$484.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$484.00
PROCESSED BY:
ZONING APPROVAL:
_ I FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
1 APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)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 items)
(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
iot more than five hundred dollars ($500).
❑ 1, 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,
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' Slate 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 legally
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.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CbAPTr XTOR'S DECLARATION
C4q%V.affirn uNdBi penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wction 7000) of Division 3 of the Business and P o de, and my license is in full force
and effect. •••,••
License Class License No Date Contractor Signature
$/C RKERS' CQMPEj9SATION DECLARATION
NARNINS: FAILURPIIYSEt,9RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN-F
ED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
TST Q FeOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I r2r&4`1 affirm u$88r penalty of perjury one of the following declarations:
• ••
Q.I. k!a✓e and willaintain 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
pE Qrpwce of the work for which this permit is issued. Policy No.
have and wfi"dinttin 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
ee carrier any •po licy number are:
CeAie.•.• • _ _ _ -' Policy Number Expiration Date
ne of Agent
certify that, in the perfo nd
if I should become ct to
iature of ADDlicant /
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 those provisions.
hereby affirm under penalty ikpury ff at there is a construction lending agency for the performance of the work for which this permit is
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 ceun o nonce a d state laws relating to building construction.
1 authorize representatives of this city or county t eI r th identified pr arty for inspection purposes.
of
ACTION I DATE V (BY
_ir_ / Print PfODertv Ownei
I SUINWTTEDASBESTOS N077FlCATfON TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NO71FICATTONIS NOT APPLICABLE TO
PROPOSEDDEMOUTTON.
ISSUED I ` r I v II
SIGNATURE:
OCCUPANCY
3097, Civil Code).
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