HomeMy WebLinkAboutF2020-0480 - PermitsCHI°kr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 4 8 0
Permit Counter Phone (949)644-3288
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Job Address: 536 SEAWARD RD NB
Inspector Area: 5
Owner:
LEVINE
Address:
1515 ANTIGUA WAY
NEWPORT BEACH CA 92660
Phone:
Applicant:
MCSTAY MIKE
Address:
27068 LA PAZ RD #212
ALISO VIEJO CA 92656
Phone:
949-337-3317
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:
$1,000.00
FIRE Permit: F2O2O-0480
Project No : 2232-2020
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (2) HEADS (X2020-0965)
Legal Description: N TR 1237 LOT 182
Contractor: ALL AMERICAN FIRE SYSTEMS
Architect:
Address: PO BOX 2306
Address:
MISSION VIEJO, CA 92690
Phone: 714-476-3169
Phone:
State Lic:
Con State Lic: 1034609
Engineer:
Lic Expire: 01/3112022
Address:
Bus Lic: BT30072047
Lic Exp Date: 0613012021
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
MCSTAY MIKE
Carrier: WESTCHESTER FIRE INS
Address:
27068 LA PAZ RD #212
Policy No: 71827709
ALISO VIEJO CA 92656
Expire: 11/22/2021
Phone:
Issued Date: 1210312020
Special Conditions:
LANDSLIDE &FUEL MOD
Setback- Front:
Rear:
Left:
Right:
$217.00
$0.00
$0.00
$0.00
$0.00
$0.00
$263.00
` $488.00
FEES
z
0
Do
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$8.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
Public Works PC Fee :
$0.00
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$488.00
OTHER DEPARTMENT:
` - PLAY CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AF7ER ISS,JA NCE ORIASEVALID INSPECTION
IWNER-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 hem(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
to 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
'rofessions 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
Dt more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
7 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
pply 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:
ly 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
ell 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
'rofessions 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
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty 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
nd effect.
icense Class License No Date Contractor Signature�
IIORKERS' COMPENSATION DECLARATION If
'ARNING: 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
DST 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:
1 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 thi
erForyance of the work for which this permit is issued. Policy No.
and will in workers' com ation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier a p icy number are: P[/ (�
Pin,
i � Polic(Quoitetil Exoirafion Date
of Agent
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
�sub' gct to ®/grke pen ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi Ions.— /'
Iatu re of Applicant Y�/ �S ' Datet7�'3/2c�
Ireby affirm under pelbalty of perjury that there is a constructiori'l-ending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ides 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 correct.
I agree to comply with all applicable city and cou ffi n-a-n-c-es
>nd a e s relating to building construction.
I authorize representatives of this city or c y„�o eggrfh yp lnt+: property for inspection purposes.
2-
ACTION
DATE
L BY
-DECLARATION OF COMPLIANCE IMTN CODE OF
FO FFICFUSEONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40ANO
AOMD RULE 1403.
PERMIT EXPiRED
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❑ ; 15013MITTED ASBE3T9S NOTIFICATION TO:
EPA
J ` At IMO
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS IM077FICA710MIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIRCATEOF
OCCUPANCYISSUED
SIGNATURE;