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Home My WebLink AboutF2020-0231 - PermitsitofNewport Beach - Building Division 1pi1111111111111111111111111111111� ill CiviccDA96o1111111 Permit Counter Phone (949)644-3288 FIRE Permit: F2020-0231 Project No: 0919-2020 Inspection Requests Phone (949)644-3255 Job Address: 239 62ND ST NB Description: SFR FIRE SPRINKLERS (31) HEADS (X2019-1770) Inspector Area: 3 Legal Description: TR 772 LOT 8 BILK 2 ALL (EX SWLY 15 FT) THEREOF ANDALL (EX NELY 11 FT) Owner: MCDOWELL KATHERINE Contractor: KELLY FIRE PROT INC Architect: Address: 239 62ND ST Address: 10141 THESEUS DR Address: NEWPORT BEACH CA 92663 HUNTINGTON BCH CA 92646 Phone: Phone: 714.907-7586 Phone: State Lie: Applicant: SEAN KELLY Con State Lie: 878823 Engineer: Address: 10141 THESEUS DR Lie Expire: 0813112021 Address: Bus Lie: ST30070761 Phone: Lie Exp Date: 01/3112021 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: KELLY SEAN Type of Construction: V-BSPR Carder: AMERICAN FAM HOM INS Address: 10141 THESEUS DR Occupancy Group: R3/U Policy No: 2EA5WC000024603 HUNTINGTON BEACH CA 92646 Added /New sq.ft. Bldg: 0 Expire: 04N 112021 Phone: 714-907-7586 Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 06/04/2020 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: X Bldg Sprinklers: Y \11 Rear: _ `® Left: �1 \^w\ Right: `j®� FEES Construction Valuation: $3,200.00 t N nO� � Building PC Fee : $202.00 Fire Residential Alarm PC Fee: $0.00 anagement : $2.00 Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00 Building Extention Fee : $0.00 Planning Zoning PC Fee: $0.00 \4 Building Investigation Fee: $0.00 - $0.00 Fire Plan Check Fee: $0.00 Public Works PC Fee: $0.00 $0.00 Fire Permit as : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $240.00 TOTAL FEE : $444.00 Plan Check Fee: $202.00 Fee Due at Permit Issuance : $242.00 PROCESSED BY: ; 9 : F • ° ®�. + . • • bnE�Z dEPARTMENT: a e e c e a•• ZONING APPROVAL: � < o a.• - PLAN CHECKED BY:: FIREAPPROVAL: a o a . AlaRkOVAL TO ISSUE: 0 PERMIT EXPIRES 1 0P4X4AST*1RJJ9UAUtE 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 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 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). 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's! 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 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 Proles � s C le, and my license is in full force nd effect' tense Class 49License No �25 Date � '�20` Contractor Signatu a �� PORKERS' COMPENSATION DECLARATION IARNING: 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: �.l 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 ert ance 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: Policy Number of Agent Phone # Date YI certify that, in the perform ce 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 tat, if I should become subject t ers' mpen tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �7 signature of Applicant Daley CJ ~ 7 2 a(/ IECLARATION REGARDING CONSTRUCTION L NDING AGENCY 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 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 ordin cQs and state laws relating to building construction. I authorize representatives of this city or county tgen(ig� d�,rttified property for inspection purposes. ACRDN DATE BY DECLARA17ON OF COMPLIANCEWTN CODEOF FOR 0FRCE USE ONLY FESERAI, REGULQTIONVART 61.OF 77TLE40AND ADW IJUW 1409. 0 PERMIT EXPIRED Q gSNSMIXEht lk-' f% M79F1g.:Aj7ON TO: •EPA •.• ❑ AQMD `• .. PERMITCANCELEED PERMITEXTENDED ❑ ASBESTOS NORRCA770N7S NOT APPUCABLE TO PROPGSEO VEMOUTIOP, • • , • • o • o• a o e e PERMIT FINAL .J CERRFtCA7EOF SIGNATURE.00COPANCYTSSOED one ° o