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Home My WebLink AboutF2016-0275 - Permits (3)City of Newport Beach - Building Division 111111111111�11111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 6 0 2 7 5 �! '> Permit Counter Phone (949)644-3288 �rAf /h11 Job Address: 157 SHORECLIFF RD NB Inspector Area: 5 Owner: WHELAN JOHN Address: 228 HAZEL DR CORONA DEL MAR CA 92625 Phone: 949.760.1885 Applicant: MEDINA MARTIN Address: 705 E. HARRISON ST #200 CORONA, CA 92879 Phone: 800-915-3473 Code Edit: 2013 Type of Construction: V-B-SPR Occupancy Group: R31S-2 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 Building PC Fee: Building Overtime PC Fee: Building Extention Fee: Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee FEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $12,968.00 FIRE Permit: F2016-0275 Project No: 1165-2016 Inspection Requests Phone (949)644-3255 Description: FIRE SPRINKLER SYSTEM FOR NEW SFR (131) HEADS(X2013-3405) Legal Description: N TR 1116 LOT 109 Contractor: FIRE SPRINKLER SYSTEMS INC Architect: it ta� Address: 705 E HARRISON #200 Address: CORONA CA 92879 Phone: 800-915.3473 Phone: State Lic: Con State Lic: 684600 Engineer: Lic Expire: 02/28/2018 Address: • .. . Bus Lic: BT30027990 ' Lic Exp Date: 05/20/2017 Phone: State Lic: Worker's Compensation Insurance Designer: GUERRERO JESUS Carrier: INS CO OF THE WEST Address: 705 E. HARRISON ST #200 ` Policy No: WSD503131400 CORONA CA 92879 Expire: 10/01/2017 Phone: . . Issued Date: 0610812016 Special Conditions: - Setback- Front: Rear: Left: Right: FEES $217.50 Fire Residential Alarm PC Fee : $0.00 Records Management: $16.00 $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 $250.00 $483.50 Plan Check Fee : $483.50 Fee Due at Permit Issuance : $0.00 � 7 OTHER DEPART PLAN CHECKED APPROVAL TO I: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 :he 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 (_) all of or (_) 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). ❑ 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 legal 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 Cone, i� available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Rooertv Owner or Authorized Agent ate LICENSED CONTRACTOR'S DECLARATION I hereb;, affirm under penalt of perjury that I am licensed under provision of Chapter 9 (commencing with S tion 7000) of Division 3 of the Business and of i s C e, d my license is in full force and effect. Q % LicsnsE Class License No Ce' Date f Contractor Signatu WORKERS, rUMPGNSA ION DECLARATION .VAHNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINES UP T NE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THI COST OF COMPENS..TICN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. i hereby affirm urde: denalty of perjury one of the following declarations: 1 ha 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 th� r1rfeeiii`�rm;. ce of t1l a wor'a for which this permit is issued. Policy No. e]Fhe 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' compensation i„surr6ca carrier Bra pclicy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the performance he rk for w ' Is 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 agree that, if should become u ' t t e s' co anon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I Signature of Applicant Date DECLARATION REGA DI O NDING AGENCY I I hereby affirm under n o qury that there is a construction lending agency for the performance of the work for which this permit is issue/(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 owns ' be If. I have read this application and the information I have provide s c I. I agree to comply with all applicable city and county ordina s ate laws I ' g to building construction. I authorize representatives of this city or c N ty ter e - entifie a for inspection purposes. Z /V l(A /^y�7 Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na TY'In t ri/{ ACTION DATE BY DECLARATION OF COMPLIANCE MTN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCAiVCELLED PERMIT EXTENDED BESTOS N07IRCA770NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL CERTIRCATEOF SIGNATURE: OCCUPANCYISSUED