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Home My WebLink AboutF2022-0129 - Permitswtr,, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 1 2 9 ' n Permit Counter Phone (949)644-3288 fi :44IyfAYH�` Job Address: 209 CRYSTAL AVE NS Inspector Area: 2 Owner: SAILHOUSE CRYSTALL LLC Address: 209 CRYSTAL AVE NEWPORT BEACH, CA 92662 Phone: Applicant: DOUGHERTY HOLT/ASHLEY Address: 22672 LAMBERT ST#619 LAKE FOREST, CA 92630 Phone: 801-647-6161 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 2385 Added /New sq. ft. Garage: 348 No of Stories: 2 No of Units : 0 Flood Zone: X-0.2PCT 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 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: IS\ $7,000.00 Description: SFR FIRE SPRINKLERS (X2021-1036) 30 f Legal Description: BALBOA ISLAND SEC 5 BLK 6 LOT 24 Contractor: ALL STAR PLUMBING & FIRE Architect: Address: 22672 LAMBERT ST #619 Address: LAKE FOREST CA 92630 Phone: 949.470-0072 Phone: Con State Lic: 715588 Engineer: Lic Expire: 08/31/2023 Address: Bus Lic: BT30059737 Lic Exp Date: 07/31/2022 Phone: Worker's Compensation Insurance ' y Designer: Carrier: FALLS LAKE FIRE & CASU0 Address: Policy No: FLA01837500 it//�I,, /ky Expire: 02/07/2023 Phone: Date: 03/23/2022 Sppe��ci gia doditions: Issued Setback- Front: ® "(��fy„. Rear: Left: �I Right: (� $222.00 $0.00 $0.00 $0.00 $0.00 $0.00 $269.00 $495.00 FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee Public Works PC Fee : Public Works Traffic Plan Check Fee; Plan Check Fee FIRE Permit: F2022-0129 Project No : 0645-2022 Inspection Requests Phone (949)644-3255 State Lic: State Lic: DOUGHERTY HOLT 22672 LAMBERT ST#619 LAKE FOREST CA 92630 HIGH DENSITY ZONE LIQUEFACTION ZONE $0.00 Records Managerp�ptfo*�, $4.00 $0.00 $0.00 $222.00 Fee Due at Permit Issuance : $273.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT Ea'PIRES180 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) indic (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, deml the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L. Professions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Sectk not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of tt Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp) 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, 1 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor ❑ 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 yr sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unc Professions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginf Signature of Property Owner or Authorized Agent 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 and effect. License Class License No e - ZZ COMPENSATION DECLARATION ad below by the checkmark(s) I have placed next to the applicable item(s) sh, or repair any structure, prior to its issuance, also requires the applicant for (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of work, and the structure is not intended or offered for sale (Section 7044, ployees' or personal effort, builds or improves the property, provided that the ion, the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date m 3 of the Business and Profes ' ns ode, and my license is in full force Contractor Stgnatur,(� 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI�SAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE OST 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: J 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of I ormance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pert Is ance carrier and policy number are: arrier Policy Number is of Agent certify that, in the pt if I should become Iature of Appllpltat Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date of the work forwhich this permit is issued, I shall not employ any person in any manner s4 as to become subject to the workers' compensation laws of California, and the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith qomply with those provisions.# I :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which 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 rovided is correct. I agree to comply with all applicable city and county di nces and state laws relating to building construction. I authorize representatives of this city or countj'to er th above -identified property for inspection purposes. nature of Property Owner or Authorized Ager117 Print Property Owner's or Aut permit is issued Name 3097, Civil Code). Date 3 ACRON DATE BY DECLARATION OF COMPLIANCE WITH ODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 510,: 1 AQMD RULE 1403. 1 TLE 40AN6 - PERMITEXPIRED ❑ I SUBMITTED ASEESTOS?.'ORFIC) ❑ EPA ❑ AQMD RON TO: PERMIT CANCELLED PERA41T EXTENDED ElW ASBESTOS NOPFICARONIS NOT PROPOSED DEMOLITION, PLICABLE TO i PERMIT FINAL % CERT6FV CA TE OF SIGNATURE: OCCUPANCYISSUED