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Home My WebLink AboutF2021-0543 - Permitswt•„� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II f 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 5 4 3 Permit Counter Phone (949)644-3288 y ki Job Address: 2601 BUNYA ST NB Inspector Area: 4 Owner: MARKEL JR. THOMAS O Address: 2601 BUNYA ST NEWPORT BEACH, CA 92660 Phone: Applicant: KELLY SEAN Address: 10141 THESEUS DR HUNTINGTON BEACH CA 92646 Phone: 714-907-7586 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: 2 No of Units : 0 Flood Zone: Bldg Sprinklers: Y Construction Valuation: $4,100.00 Building PC Fee : Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee TOTALFEE: FIRE Permit: F2021-0543 Project No : 2629-2021 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (X2021-0998) 45 HEADS Legal Description: N TR 4893 LOT 63 Contractor: KELLY FIRE PROT INC Architect: Address: 10141 THESEUS OR Address: HUNTINGTON BCH CA 92646 Phone: 714-907-7586 Phone: State Lic: Con State Lic: 878823 Engineer: Lic Expire: 08/31/2023 Address: Bus Lic: BT30070761 Lic Exp Date: 01/31/2022 Phone: State Lic: Worker's Compensation Insurance Designer: GRISSOM DAVE Carrier: AMERICAN FAM HOM INS Address: 645 N ECKHOFF ST STE B Policy No: 2EA5WC000024603 ORANGE CA 92868 Expire: 0411112022 Phone: Issued Date: 1110812021 Special Conditions: Setback- Front: Rear: Left: FEES $222.00 Fire Residential Alarm PC Fee $0.00 Planning Counter Review $0.00 Planning Zoning PC Fee $0.00 $0.00 Public Works PC Fee: $0.00 Public Works Traffic Plan Check Fee; $269.00 $493.00 Plan Check Fee $0.00 Records Management : $2.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $493.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: - _. _ _ PLAN CHECKED BY:: FIRE APPROVAL: _; APPROVAL TO ISSUE: PERMIT ZXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -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 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). ❑ 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, 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). ❑ 1, 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 Iicensure 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.html. 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. P r License Class License No Date Contractor Signature --_ G6^� WORKERS' COMPENSATION DECLARATION X NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA LLARS ($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--hllereby affirm under penalty of perjury one of the following declarations: ��P 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 p ormance 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 Expiration Date of Agent LJI 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 agre that, if I should become subject to he workers/',to/rppensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / e Signature of Applicant_/ /,i, ,tiv ky Date / DECLARATION I A IN ONSTRU T N NDING AGENCY I hereby affirm under alty of perjury that t ere is a construction lending 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 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 toe er the apK-identified property for inspection purposes. Signature of Property Owner or Authorized Agel'If7 i,.... // Print Property Owner's or Authorized Agent's Name i t�l� Date ACTION DATE BY DECLARATION OFCOMPLIANCE INITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 51 OF TITL.E40 ANO AQMD RULE 1403. PERMIT EXNRED ❑ I SUBMITTED ASBESTOS N077FICATION 7J: ❑ EPA ❑ AQMD ' PERMFFCANCELLED PERMIT EXTENDED ❑ ASBESTOS M077FICA77ON IS NOT APPLICABLE TO PROPOSED DEMOLITION, - PERMIT FINAL 2 CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: