HomeMy WebLinkAboutF2020-0307 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 3 0 7
F Permit Counter Phone (949)644-3288
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Job Address: 12 SURFSPRAY BLUFF NB
Inspector Area: 6
Owner:
LAIIZHU
Address:
12 SURFSPRAY BLUFF
NEWPORT COAST CA 92667
Phone:
Applicant:
CUCULIC STEVE
Address:
33041 CALL PERFECTO
SAN JUAN CAP CA 92675
Phone:
714-608-1173
Code Edit : 2019
Type of Construction:
V-B-SPR
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
1
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
Legal Description
FIRE Permit: F2020-0307
Project No : 1284-2020
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (18) HEADS (X2020-0179)
Contractor:
STEPHEN CUCULIC FIRE PROT
Architect:
Address:
33041 CALLE PERFECTO
Address:
SAN JUAN CAPISTRANO, CA 92675
Phone:
714-608-1175
Phone:
State Lic:
Con State Lic:
964483
Engineer:
Lic Expire:
11/3012020
Address:
Bus Lic:
BT30072160
Lic Exp Date:
0613012021
Phone:
State Lic:
Worker's Compensation
Insurance
Designer:
CUCULIC STEVE
Carrier:
NO EMPLOYEES
Address:
33041 CALLE PERFECTO
Policy No:
SAN JUAN CAP CA 92675
Expire:
Phone:
714-608-1173
Issued Date: 07122/2020
Special Conditions:
LANDSLIDE AREA
Setback- Front:
Revised # of heads
Rear:
8113120
Left:
Right:
FEES
Construction Valuation:
$0.00
Building PC Fee :
$202.00
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:
$240.00
TOTAL FEE :
$444.00
Plan Check Fee:
$444.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
HERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
u i, oaa
ER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) 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
m 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 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,
'usiness 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 said within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
n roved 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' State License Law for the following reason:
'y 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 legall).
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.html.
ignature 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
nd effect.
icense Class License No Date Contractor Signature
✓ORKERS' COMPENSATION DECLARATION
'ARMING: 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 IN
erformance of the work for which this permit is issued. Policy No.
]I 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' compensatior
isurance carrier and policy number are:
Policy Number
of Agent
Date
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.
nature of Applicant Date
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Ireby 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 Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCEWITH CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OFTITLE40AND
AQMO RULE 1403. -
PERMIT EXPIRED
❑ I SUBMITFEDASBESTOS NOPFK_A,.;ON'O:
❑ EPA -
- -
PERMITCANCELLED
❑ AQMD
PERMITEXTENDED
PROPOSED DEMOUTION. ASBESTOS HONLS NOT APPLICABLE TO
PERMIT FINAL
CERTfffCATEOF
SIGNATURE: - - -
OCCUPANCYISSUED
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