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Home My WebLink AboutF2022-0127 - Permits,LewlYjkr City of Newport Beach - Building Division *F2022-0127* .t dp 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ClY4,L Job Address: 5201 SEASHORE DR NB Inspector Area: 1 Owner: THE GOALPOST TRUST -- - - Address: 16000 VENTURA BLVD #900 ENCINO, CA 91436, Phone: Applicant: DOUGHERTY HOLIT; / AS,HLEY---,- .�, Address: 22672 LAMBERT STII #619 °� LAKE FOREST, CA 52630 I , Phone: 801-647-6161 Code Edit 2019 Type of Construction: Occupancy Group: Added /New sq.ft Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: Construction Valuation: I V-B-SPR . R3/U 402 \ 02 i 3 01 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: FIRE Permit: F2022-0127 Project No : 0641-2022 Inspection Requests Phone (949)644-3255 Description: SFR (N) FIRE SPRINKLER SYSTEM WI (22) HEADS (X2021.1814) w Legal Description: OCEAN FRONT TR BLK 52 LOT 1 ALL STAR PLUMBING & FIRE Architect: 1222 AKF nRBATrA Q#s619 if applical9 !": hone: 949-470-0072 Pho e: State Lic: onS Lic ,15 r ngmeer: c E Hr4iT�3 " Address: s.-�`B'rBtS 5 .7 �' chip D `7/0 a�-�'~:.'. r] t0 w110t71. one ei - State Lic.�t Worker's Compensation Insurance �arrj@r , -'FALL'S L,R`Anl O Policy No FLA01837500 �3 Expire: 02107/2023 Issued Date: 03/10/2022 Setback- Front: Rear: v--�� yLeft: ,2 1 IRIgb ila n (work started) $7,000.00 FEES (no Designer: A)( $tom+' plumb�a�.4D r`e" F-= Address: azy1z Lawnerg 5+ -Olq W c.,l k, fanecl y[!} a2630=-,M Phone: q4.tct-470-0072 - 0 Special Conditions: HIGH DENSITY ZONE .0 LIQUEFACTION ZONE 0 $222.00 Fire Residential AlarmP iVcte. fanning Counter Review : $0.00 , $0.00 Planning Zoning PC Fee!r$apn. Ea++' -.-_...... fee : z...:.,.:..�.��_ $0.00 Public Works Traffic Plan Check Fee; $0.00 $269.00 sR $495.00 Plan Check Fee : $0.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: R A Fee Due at Permit Issuance PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $4.00 $0.00 $0.00 $495.00 ED z ,Y.° 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 items) ction 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 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 fessions 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 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, ,iness 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 Pavements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder vf111 hhurdEn of proving that it was not built or roved for the purpose of J I, as owner of the propert# am exclusively contractin h li d tractors to construct the project (Section 7044, Business and Professions Code: The ont tors' State License Law does not poly to an owner of property who builds irPprove R w o co Pacts for the projects with a licensed Ctfitrpgigf��Ig�I�the Contractors' State Llc nse- w). "P't' I am exempt trom !icensure under the o'h lIS€tM or e o owing reason. Iy my signature below I. acknowledge that, except for my personal residence in which I must have resided for at le �1 o�-jy'® r pppgqrr �¢°0p oj-+r�(�re►re ent;,. vered by this permit, cannot legally 3'1 3 structure that I have built as an owner builder if iF-has not been constructed in its entirety by license81,contracleFlS.0U9Lt'affd lh�t C6 6Fot e'ab�"ifcar Is w S- tion 7044 of the Business and 'rofessions Code, 's available upon request when thi „application is submitted or at the following Web site http://w .leg!nfo.ca.gov/calaw.html. «' ignAcpre of Property Owner or Authorized Agent 1. � to .ICI2NSED CONTRACTOR'S DECLARATION ( IL ,: u„;, _ _._. O {f hereJv affirm uddul penalty Gf perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof ions' (ode, and my license is in full force ntl ffect. iq nFe Class -Licen e N„ ?"'-p'a "` to Z Contractor Signature - 'f04!fERS' COMPENSA ON DECLAR/�TIOf ;YYc:yy FAILURE TO SECURE WC KERBOOMPENSR1tlON C ERAGE Is�7!LAWFUL ANO SHALL SUOJECT AN EMPLOYER TO GRIINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OLT OF COMPENSIATION, JAMAGE AS PROVIDED FOR'.IN SEC ON 37M ($IrHE LASQR CODE INTEREST, AND ATTORNEY'S PEES. USAFIS�DOLLARS I$ipO,flapl, IN ADDITION TO THE hereby affirm ur,6er penalty perjury one of Me following declarations: `9' I have and .will mzIntain certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for b Sect in 3700 of the Labor Code, for the eirformance of tl le worrc for w ch this permit Is issued Policy No. a '''��'''��ppp 6-have and will maintain w kers c ensahon insurance, as required by. Section 3700 of t e La r de>� Ynf th�yfok rh h this p rml4issued. My workers' compensatior Isurance carrier and policy Pit. ITISS-- arrier .alicy�Wmber. ,,ly inn tn�nr.: 7fiar1'P �iration Date f K ldl lC ame of Agent .moo {� Phone # ]I certify that, in the perform oft work for which this permit is issued, shall not employ any person in any manner so as to become subje om'� tion laws of California, and agree EMkars' eat, if I should becomesubIS, t ers' compensation provisions of Section 3700 of the Labor E d IgH II forthwith ^^m^ot� Kiianature of Applicant s..__... �_:a:R3t» iLI2. .... �reby affirm under penalty o perjury that there is a construction lending aaPbr;c,fpr the p rt gp�gf-N^h.Shiserrnit-is�issued8eetimr369•F,' Civi Co A 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 p rovjd d is correct. I agree to comply with all applicable city and county and ante and state laws relating to building construction. 11 /�(\ I authorize representatives of this city or county to ants a ab ve identified property for inspection purposes. jt $%y`wM \,- ,Date 3 /1 nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /� �t WrV`w� AC77ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIRICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMITEXPIRED (� '� PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIRCATE OE OCCUPANCYISSUED