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Home My WebLink AboutF2011-0498 - Permitso� r City of Newport Beach Building Division FIRE COMBO Permit No: F2011-0498 PROJECT NUMBER: 2257-2011 � PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestslTelephone (949)644-3255 na4!}O4p�4 Job Address: 14 VIA GIADA NB Description: FIRE SPRINKLERIRES ADD 24 HEADS (X2010-3101) 2257-2011 �ySA Inspector Area: 6 Legal Description: �T Owner: DADA FESTUSMEANIE Contractor: SOUTH COAST FIRE PROTECTION INC Architect: P� Address: 14 VIA GIADA - Address: 1908 S EL CAMINO REAL Address: NEWPORT COAST CA 92657 SAN CLEMENTE CA 92672 Phone: Date: Pho e: 9.1 Phone: State Lic: -�— Applicant: HANLEY SEAN 130 Engineer: ' Address: 1908 S EL CAMINO REAL Lic Expire: 012 ess: SAN CLEMENTE CA 92672 Bus Lic BT200110 -- Phone: 949-678-4005 Lic Exp Date 12/31/2011 Phone: a Lic: - _ 'f apks1$;Ab1QiANLEY SEAN _ Code Edit: 2010 Worker's Compensation Insurance , D si Type of Construction: V-B-SPR - Carney MID CENTURY INS CO Cl 8�cbdress: 1908 S EL CAMINO REALB Occupancy Group: R3/U Policy No:.-- A09256184 /p or ❑SQ. CLEMENTE CA 926 2 Added/New sq.ft. Bldg: 0 '� ire: 05/01/2012 Phone: 94 f ,,/ r, Added /New sq. ft. Garage: 0. r E1111 �1 �, unit No of Stories: 2 - 4 Issued Date 12101/2011 SpectrCi�iidife; . No of Units : 0 - setpeck- Front Flood Zone: Bldg Sprinklers: Y Left Right. "sz "�1q® i� FEES F Construction Valuation: $3,000.00 r"J9 a 1L �� Building PC Fee : i Q0 k Started Fire Residential Alarm C Fe ®� 0.00 Records Managenj nt : $11.00 Building Overtime PC Feet Not $0.00 Planning Counter Review. '��/ t Building Extertion Fee : �• $0.00 Planning Zoning PC Fee : S{ /�.11 Building Investigation Fee : 0. (no wor(� Plan $0.00 Fire Commercial PC Fee: $0.00 lic Works PC Fee : "$ to $0.00 Fire Commercial Permit Fee : 0 Public c Plan Check Fee; $0.00 Fire Residential Permit Fee : .00 Fire Residential Alarm Fee : 0. TOTAL FEE : 16 .20 k Fee : t�$78.10 at t=t Issuance : $89.10 PROCESSED BY: �/ OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: I? FIRE APPROVAL : APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION DINNER -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 :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 Drofessions 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 lot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intendedor 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 itwas not built or mproved for the purpose of 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 legally 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 Code, :s cvailable upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw. html. Fignatum of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Business and Professions C e, and my license is in full force and effe �. ))) License Class License No Date/� Contractor Signa re 17CRKCRS' CCr11?2NSATION DECLARATION r NARNING: FAILURE :O SECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COS r OF COMPENSAnON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. I hereby affirm under penalty of perjury one of the following declarations: have and wall 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 $ ante of the work for which this permit is issued. Policy No. LFII u and will main.ain 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' compensatio nsuurance carrier and pclicy number are: Carrier Policy Number Expiration Date Name of Agent ❑I 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 that, if I should become subject t the w rkersompereation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions ,, nature of Applicant i D/e CLARATION R NG CFINSTRUCTION LENDING AGENCY affirm under of pbrjury, that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ereby penalty 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 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 a ove--' egtified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name F"f� ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OI FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403, EDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT EXPIRED 1(-7/r4-l� SL J.3 /} PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED