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Home My WebLink AboutF2022-0029 - Permits�'Aflukr City of Newport Beach - Building Division IIIII II I IIII IIII I III IIIIIIIII III I II o� ,, '�, 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 0 2 9 Permit Counter Phone (949)644-3288 Job Address: 2132 OCEAN BLVD NB Inspector Area: 1 Owner: CALLAGHAN RYAN & KELLY Address: 2018 E BAY AVE NEWPORT BEACH, CA 92661 Phone: 9491422-7764 Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/1J Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: X 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 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $3,200.00 FIRE Permit: F2022-0029 Project No: 0146-2022 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (X2021-0829) 32 HEADS Legal Description: TR 518 LOT 9 BLK F ELY 26.25 FT(AND WLY1/2 LOT 10 BILK F Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 1101 KINGSTON DR Address: LA HABRA CA 90631 Phone: 714-476-5370 Phone: State Lic: Con State Lic: 876004 Engineer: Lic Expire: 04/3012022 Address: Bus Lic: BT30040107 Lic Exp Date: 07/3112022 Phone: State Lic: Worker's Compensation Insurance Designer: CASEY MONTY Carrier: SECURITY NATIONAL INS Address: 1101 KINGSTON DR Policy No: SWC1325710 LA HABRA CA 90631 Expire: 02/16/2022 Phone: Issued Date: 02/16/2022 Special Conditions: Setback- Front: Rear: Left: Right: $222.00 $0.00 $0.00 $0.00 $0.00 $0.00 $269.00 $499.00 FEES Fire Residential Alarm PC Fee : $0.00 Records Management: $8.00 Planning Counter Review : $0.00 Planning Zoning PC Fee : $0.00 $0.00 Public Works PC Fee: $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $499.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT E,.PLRES t 80 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Y• YYY 4 Y Y+ u" •- 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 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 Iicensure 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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' State 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/ca[aw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 License Class License No Date `6 ��- Contractor Sign WORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 thi Zerformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: r Policy Number Expiration Date of Agent Phone # 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i1 I hereby affirm under penalty of perjuryNaLthere is a construction lending agency for the performance of the work for which this permit is issuEW(Section 3097, Civil Code). Lender's Name Lender's Address By 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. L w / �t Signature of Property Owner or Authorized Agent -1 �i Print Property Owner's or Authorized Agent's Nam 1— \ l -.\- v C..' J Date L f� ACTION DATE BY DECLARATION OFCOMPLIANCE KITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 54 OF TITL E 40 AND AQMD RULE 1403. " PERMIT EXPIRED ❑ ISUBMITTEDASBES,OSNOP.FICARrINT'). ❑ EPA - - ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. _ - PERMITFINAL — -'j, CERTIFICATEOF SIGNATURE: - OCCUPANCYISSUED