The URL can be used to link to this page

Home My WebLink AboutF2018-0128 - Permits (3)rEIt.ry�* City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111111 ,1 *�� 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 6 0 1 2 a V Permit Counter Phone (949)644-3288 h h U $ �axiruu+"p Job Address: 187 SHORECLIFF RD NB Inspector Area: 5 Owner: PRICE SACHI MARGAUX Address: 187 SHORECLIFF RD CORONA DEL MAR CA 92625 Phone: Applicant: CASEY DENISE Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Code Edit: 2016 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: 3 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 TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $5,100.00 FIRE Permit: F2018-0128 Project No : 0507-2018 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (51) HEADS (X2016-3734) Legal Description: N TR 1116 LOT 102 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Con State Lie: 876004 Lie Expire: 04130/2018 Bus Lie: ST30040107 Lie Exp Date: 0813112018 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC901180 Expire: 0211512019 Issued Date: 03102/2018 Setback- Front: Rear: Left: Right: FEES Architect Address: Phone: State Lie Engineer: Address: Phone: State Lie: Designer: CASEY MONTY Address: 9071 RANDALL AVE LA HABRA CA 90631 Phone: 866.457-3478 Special Conditions: $190.00 Fire Residential Alarm PC Fee : $0.00 $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 $225.00 $421.00 Plan Check Fee : $0.00 e OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: Records Management Fee Due at Permit Issuance : PERMIT EXPIRES 180 DAYC AFTE,@ ISSUANCE OR LAST VALID INSPECTION $6.00 $0.00 $0.00 $421.00 ER -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 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 not 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, 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-Builderwill have the burden of proving that it was not built or im 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 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 licensure 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. License Class License No Dat Contractor Signa r WORKERS' COMPENSATION DECLARATION 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 DOL E700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 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 De ormance op -the work for which this permit is issued. Policy No. have and II intain worker mpensation insur nce, 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 n policy numb r�r � �� ier _ ry �) \ o Ic ) Expiration Date of 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 su�bj/ect('to the workers' co io�Prq)visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant X `Y� '6 .. / _ _ _ Dats 'c �kzA \Sl I hereby affirm under')Senalty of perjury that there is c struction 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 followin . 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 ad prop for inspection purposes. t en eobove-identifi_ Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na � -cal Date / ACTION DATE BY DECLARATION OF COMPLfANCE IMTNCODEOF EDERAL REf JI.A7I,,NS PAF,T Bi OF TITLE40 AND QMD RULE'. 40". ❑ ISUBM176DASEIIESIOi N07-FI,Xr701Y TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N017FICA770NIS NOT APPLICABLE TO PROPOSED DEIWOLIr7JN. SIGNATURE: FOR OFFICE SE ONLY PERMIT EXPIRED PERM IT CANCELLED PERMIT EXTENDED PERMIT FINAL (b CERTfFICATEOF OCCUPANCYlSSUED '�'t- I i'�