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HomeMy WebLinkAboutF2021-0506 - PermitsCity of Newport Beach - Building Division 111111111111111 Iit 1IIIIII1I1I�I�l�tll�lllJill 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit Counter Phone (949)644-3288 Job Address: 894 SANDCASTLE DR NB inspector Area: 6 Owner. VASQUEZ RAYMOND G Address: 894 SANDCASTLE DR CORONA DEL MAR, CA 92625 Phone: Applicant: VU ANTHONY Address: 9559 NIGHTINGALE AVE FOUNTAIN VALLEY, CA 92708 Phone: 714-234-9633 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: V-B-SPR R3/U 0 0 Description: SFR SPRINKLERS 32 HEADS (X2019-4036) Legal Description: N TR 6228 LOT 76 Contractor: (FIRE PROTECTION Address: 9559 NIGHTINGALE AVE FOUNTAIN VALLEY CA 92708 Phone: 714-234-9633 Con State Lic: 1038755 Lic Expire: 04/30/2022 Bus Lic: BT30067240 Lic Exp Date: 05/31/2022 Worker's Compensation Insurance Carrier: EXEMPT Policy No: no employees Expire: 1 Issued Date: 10/20/2021 0 Setback- Front: X Rear: Y Left: Right: Construction Valuation: $5,300.00 Building PC Fee: Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee: FEES $222.00 Fire Residential Alarm PC Fee: $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee: $0.00 $0.00 Public Works PC Fee: $0.00 Public Works Traffic Plan Check Fee; $269.00 TOTAL FEE : $495.00 Plan Check Fee: PROCESSED BY: ZONING APPROVAL: w FIRE APPROVAL: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: $0.00 $0.00 $0.00 $0.00 $0.00 FIRE Permit: F2021-0506 Project No : 2485-2021 Inspection Requests Phone (949)644-3255 State Lic: ° 0 00 State Lic: 000000 VU ANTHONY 9559 NIGHTINGALE AVE FOUNTAIN VALLEY, CA 92708 714-234-9633 °o 00 0 �o°o° 00000 0000 0 00000 00 0 000000 0 0 0 0 © o 0 0 °°0000 Records Management: $4.00 $0.00 $0.00 $0.00 Fee Due at Pen -nit Issuance : $495.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 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) 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). El 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 purposeof sale). ❑ 1, 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 legall) sell a structure that I'ph'avel;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.htmI. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm `una6r,°p,;._�,nalty'of perjury that 1 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 knd,effect. o / �icenst; Class License No Date n ( Z�(2 Contractor Signature 0000 VVPRr,ERS' COMPENSATION DECLARATION iNARINIiNG: 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 ($100,000), IN ADDITION TO THE QOST PF COMPENSATIgN,C�DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I heF-,by affirm Iri3er, Penalty of perjury one of the following declarations: ca i . lave and- wif'rrdintain 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 P-z�.Ia:lr ance of fhe wOrk for which this permit is issued. Policy No. E,1`tia �e and will mantain 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 nsurar<ce cars- r anc ,policy number are: L'arfierr r e Policy Number Expiration Date P'l of AgerRo f Phone # rtify 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 agre should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant_ ''/ n,+e " t r-1 -7 ECLARATION REGAF hereby affirm under 'pei ender's Name y my signature below, I am the property'o I have read this app I agree to comply wi I authorize represen ionature of Prooerty O SING COWTRUCTION LENDING AGENCY f ` arty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ` Lender's Address to each of the following: caner or authorized to act on the property owner's behalf. lication and the information I have provided is correct. th all applicable city and county ordinances and state laws relating to building construction. tatives of this city or county to a er a abo e-identified property for inspection purposes. wrier or Authorized Aaent Print P a�enT nwnar Name Dat 10 AC77ON RATS BY UE TfON OF CO�d�'t DANCE Y H CODzE OF F€ RALREGULAT1ONSPART51 FT17LE40ANU 11 DRUL E 1403. # SL#BMITTEDAS TOS NO7IFtCATION TO.. eLl AQMD ASBESTOS N077FICA7701V dS NOT AP LICA E TO d OSEEIDEMOLITIOM. i..:.77 RE: /,�. FOR OFFICEUSE ONLY 4I PERIT ;SIRED it ii I PER{�: Ta7EAIDED PERFAIT FINAL CEIRU1 LATE O3 0CC PAPJCYfSSUE