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Home My WebLink AboutF2022-0142 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 1 4 2 Permit Counter Phone (949)644-3288 �''crr�ru�ta Job Address: 2001 SEADRIFT DR NB Inspector Area: 2 Owner: MAYA SAMANTHA Address: 2001 SEADRIFT DR CORONA DEL MAR, CA 92625 Phone: Applicant: STACY/CA FIRE PROTECTION Address: 647 CAMINO DE LOS MARES #108 SAN CLEMENTE CA 92673 Phone: 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: 1 No of Units: 0 Flood Zone: 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 TOTAL FEE $5,000.00 FIRE Permit: F2022-0142 Project No : 0686-2022 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (X2021-2006) 52 HEADS Legal Description: N TR 2813 LOT 17 Contractor: CALIFORNIA FIRE PROTECTION Architect: Address: 647 CAMINO DE LOS MARES #108 Address: SAN CLEMENTE CA 92673 Phone: 949-212-4417 Phone: State Lic: Con State Lic: 1016781 Engineer: Lic Expire: 0813112022 Address: Bus Lic: BT30063097 Lic Exp Date: 05/3112022 Phone: State Lic'. Worker's Compensation Insurance Designer: WEISE STACY Carrier: OHIO SECURITY Address: 647 CAMINO DE LOS MARES #108 Policy No: XWS60230423 SAN CLEMENTE CA 92673 Expire: 0911812022 Phone: Issued Date: 0311612022 Special Conditions: Setback- Front: Rear: Left: Right: FEES $222.00 Fire Residential Alarm PC Fee : $0.00 Records Manaytement $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 Public Works PC Fee : $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $269.00 $495.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance PROCESSED BY: d \ OTHER DEPARTMENT: ZONING APPROVAL: SN PLAN CHECKED BY:: FIRE APPROVAL: 3''l APPROVAL TO ISSUE: - - PERMIT SYPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION SPECTOR $4.00 $0.00 $0.00 $495.00 LDER 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 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 andthe 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). D 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, Wsiness 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). J 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). J 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. 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 P Tess' ns Cod and my lic a is in full force nd effect. icense Class License No Date 3-110- 00 Contractor Signatur CORKERS' COMPENSATION DECLARATION EARNING: 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 ($1 0 00), 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 ,Lformance 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 Te of Agent certify that, in the performar(ce of t work . if I should become subiect o t rkers Date issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and is of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Daft(16 — Llff Ix� DECLARATION REGAR CON TRUCTION L'ERnING A C I hereby affirm under penalty of perjury that there is a constructs n nding agency for the performance of the work for which this permit is issued (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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county lnances and state laws relating to building construction. n I authorize representatives of this city or count e t r t'r(te a o dentified property for inspection purposes. e�"�((`� at, n Signature of Property Owner or Authorized Agent I\ Print Property Owner's or Authorized Agent's Name l IA-( fi'4 Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND ACIMDRULE 1403, PERMIT EXPIRE? ❑ 1 SUBMITTED ASBESTOS NODHCATIONTO- ❑ EPA ❑ AOMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLIC.",:,LE TO - PROPOSED DEMOLITION. PERMIT FINAL 9 CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: Ln V N � U m �zm pZp �yv og Lr, A d PL 8 N U U ® U v U 0 I Ri I m n .6 0 W vL3 6 p CC p o.y 13 5 N g O S t 6 0 o �' t9 cd .6 .6 0 ml cd NJ G N r IU f ❑❑❑❑❑❑❑❑❑I®