HomeMy WebLinkAboutF2021-0452 - PermitsCity of Newport Beach - Building Division
c 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 1532 KEEL DR NB
Inspector Area: 6
Owner:
DOYLE JOHN M
Address:
1532 KEEL DR
CORONA DEL MAR, CA 92625
Phone:
Applicant:
WEISE STACEY
Address:
647 CAMINO DE LOS MARES #108
SAN CLEMENTE CA 92673
Phone:
949-770-5371
Code Edit : 2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3
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
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:
$5,000.00
FIRE Permit: F2021-0452
Project No : 2250-2021
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (25) HEADS (X2020-1880 & X2020-2236)
Legal Description:
N TR 6152 LOT 115
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 STACEY
Carrier: OHIO SECURITY
Address: 647 CAMINO DE LOS MARES #108
Policy No: XWS60230423
SAN CL EMENTE CA 92673
Ex ire: 09/1812022
Phone: 949-770-5371
p
Issued Date: 09/27/2021 Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management :
$4.00
$0.00
Planning Counter Review:
$0.00
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
$0.00
$0.00
Public Works PC Fee :
$0.00
$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 :
$495.00
OTHER DEPARTMENT:
PI AN CHECKED BY::
AP?ROVAL TO ISSUE:
PERMIT EXPIRES i 80 DAY° A<TER /SCUANCE 6r, LAST VALID INSPECTION
DWNER-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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (SectrJn 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 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 Pr sio C d , an m lic a is in full force
and effect. 2
License Class License No Date t� Contractor Signature
WORKERS' COMPENSATION DECLARATION III
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 ($10 ,0001, N ADDITION TO THE
COST 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:
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
:e of the work for which this permit is issued. Policy No.
have and r alntain 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 carrie policy nuprb-kare: _- r 1�
is of Agenf7—�,� )41�
certify that, in the performance of t ark for
if I should become subj t to h rs' co
lature of Applicant
Date
Led, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
of Section 3700 of the Labor Code, I shall forthwith comply with those pro islons.
CLARATION REGAF?DING CONSTRUCTION LENDING AGE Y 1
=,reby affirm under penalty of perjury that there is a construction a ing agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder'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 ckt
I agree to comply with all applicable city and county ordina s and building construction.
I authorize representatives of this city or county tognte 've-inspection purposes. v` r����� r� ((I�
nature of Property Owner or Authorized Agent � Print Property Owner's or Authorized Agent's Namx I W Y
ACTION
DATE
BY
E ARATION OF COMPLIANCE WITH CODE OF
WDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TIRE 40 AND
AQMD RULE IA03
PERMI T EXPI RED
❑ FSU5hffTTE0'Ab BESTOSt:07TFI17ATIONTO:
[1 EPA
C AQMD
PERFrflT CANCELLED
-
PERMIT EXTENDED
G ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
_27.j,Z
CERTIFRCATEO:F
SIGNAYt'RE:
OCCUPANCYISSUED