HomeMy WebLinkAboutF2022-0136 - Permits'{rN•r�r,'�r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 1 3 6
Permit Counter Phone (949)644-3288
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Job Address: 14 SCENIC BLUFF NB
Inspector Area: 5
Owner: CRYSTAL COVE 14 LLC
Address: 14 SCENIC BLUFF
NEWPORT COAST CA 92657
Phone:
Applicant: BILKA MIKE
Address: 114 LAS FLORES
ALISO VIEJO CA 92656
Phone: 949-228-1192
Code Edit: 2019
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: 2
No of Units : 0
Flood Zone: X
Bldg Sprinklers: Y
Legal Description
FIRE Permit: F2022-0136
Project No : 0664-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (X2021-2989) RELOCATE 8 HEADS, ADD 1
Contractor: MIKE BILKA FIRE PROTECTION
Architect:
Address: 114 LAS FLORES
Address:
ALISO VIEJO CA 92656
Phone: 949-305-8670
Phone:
Con State Lic: 958115
Engineer:
Lic Expire: 02128/2023
Address:
Bus Lic: BT30052024
Lic Exp Date: 08/31/2022
Phone:
Worker's Compensation Insurance
Designer:
Carrier: WESCO INS CO
Address:
Policy No: WWC3190160
ALISO VIEJO CA 92656
Expire: 03/06/2023
Phone:
Issued Date: 03/15/2022
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
State Lic:
State Lic:
BILKA MIKE
114 LAS FLORES
949-228-1192
INSPECTOR
FEES
Construction Valuation:
$900.00
Building PC Fee:
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$2.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
Building Extention Fee :
$0.00
Planning Zoning PC Fee :
$0.00
Building Investigation Fee:
$0.00
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit as :
$0.00
Public Works Traffic Plan Check Fee:
$0.00
Building Permit Fee :
$269.00
TOTAL FEE :
$493.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$493.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: V ` APPROVAL TO ISSUE:
FZRMI"t" EX?rRFS 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
WNER-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)
;action 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
ie 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
of 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 the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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).
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
poly 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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.html.
;ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing witp Section 70000) of Division 3 of the Business
and
^Professions
�Code,
and my license is in full force
nd effect.
cense Class C-1 P License No 9.-9,11 S Dat s/ysr a'� Contractor Signal��r9t
11ORKERS' COMPENSATION DECLARATION
FARMING: 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
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:
'2 I 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 th
ario rmance of the work for which this permit is issued. Policy No.
dfl hh)ve 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' compensatiol
tsura ce carrier and policy number are:
Sa er Policy Number Expiration Date
Jame of Agent Phone #
:1I 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 agre
hat if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date
Signature of Applicant / \
)ECLARATION REGARDING C NSSTTR' UUCT—ION LENDING AGENCY
hereby affirm under penalty 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).
.ender's Name
Lender's Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners 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 to enter the above -identified
property for inspection purposes.
Alit'& Date
ii nature of Property Owner or Authorized Agent
Print Property Owner's or Authorized Agent's Name
ACTION
DATE
BY
DECLARATION OF COMPLIANCE KITH CODE OF
FOFTIFFICE U5E ONLY
FEDERAL REGULATIONS PART 51 OP TITLE 49 AND.
AQMD RULE 1403.
❑ ISUBMITTEDASBESTOSNt)TIFCATON.r O:
❑ EPA
AQMD
❑ ASBESTOS N07IFICA17ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
'
PERMIT EXPIRED
P
PERM)TCAN'CELLED
PERA9IT EXTENDED❑
PERMIT FINAL
7 L Vok—
CERT)F)CA TE OF
OCCUPANCY)SSUED
'