HomeMy WebLinkAboutF2023-0123 - PermitsrEWPOR� City of Newport Beach
Community Development Department- Building Division
y 100 Civic Center Drive, Newport Beach, CA 92660
G S Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C'</F00.N`P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
F 2 0 2 3 0 1 2 3�COMB Permit: F2023-0123
Plan Check No: 1458-2020
Issued Date: 03/15/2023
Inspection Area : 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 22 VIA DIAMANTE
Description : SFR FIRE SPRINKLERS (3) HEADS (X201
Owner: NOWZARI FARSHAD TR F
Address : 22 VIA DIAMANTE
NEWPORT COAST, CA 92657
Phone : (310) 344-1017
Applicant: SOUTH COAST FIRE PROTECTION INC
Bus Li
Address : 1908 S EL CAMINO REAL
Bus Li
SAN CLEMENTE, CA 92672
Phone:. (949)493-4604
Worke
Carrier
Owner/Builder :
Policy
Address :
W. C. E
Phone:
Code Edition : 2019
Fire Sr
Type of Construction : V-B
Fire HE
Occupancy Groups : R3/U
No of t
Bldg Height:
No. of`£
Building Setbacks :
Flood Zone : X
Use Zone: PC - Newport Coast
PROCESSED BY
SPECIAL CONDITIONS:
N TR 15079 BLK LOT 50 TRACT NO 15079 LOT 50 AND FOR OF LOT V
/ EXPIRED PERMIT*
SOUTH COAST FIRE PROTECTION INC s,
Architect
1908 S EL CAMINO REAL
Address
SAN CLEMENTE, CA 92672
(949)493-4604
Phone:
is : ;746130
State Lic
02/29/2024
BT20011043
Engineer:
ire : "12131/2023
Address:
impensation Insurance:
Phone:
dERICAN FAMILY HOME INS CO
2EA5WC000082002
Designer: y
5/1/2023
Address: J
Phone:
irs : YES
Construction Valuation
Zone: YES
.Added/New/Ti sq. ft. Bldg
1 '`
Alteration sq. ft. Bldg :
2
Added/New sq. ft. Garage
TOTAL sq. ft.
....
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pequry that I am exempt from the Contractors' State: License La
(Section 7031.5, Business and Professions Code;: Any city or coontythattequires a permit to consti
the permit to file a signed statement that he or she is licensed:. pursuant to the provisions of the Gon
Professions Code) or that he or she is exempt from licensure-and the basis for the alleged exemgCii
not more than five hundred dollars ($500):
❑ 1, as owner of the property, or my employees with wages as their sple compensation,Will do.C_)
Business and Professions Code: The Contractors! State License Law does not apply to. an Owner of
improvements are not Mended or offered for sale. If, however, the building. or improvement is sold
improved for the purpose of sals)..
I, as owner of the property, am exclusively contracting with Noensed Contractors to construct IN
a lyto an owner of property who builds or improves.thereonr and who contracts for the projectswi
f am exempt from licensure under the Contractors' Stake License Law for the following reasorr.,
By my signature below I acknowledge that, except for my personal residence in which I must have t
sell a structure that I have built as an owner »milder if if has not been constructed in its entirety by lu
one year 0
ct (Section
ensed-Con
ated below bvthe checkmaik(s) I have placed next to the apt
by affirm too4rrpanafty of peijurythat I am licensed under provisions of Chapter 9 (Commencing with Section 0) G i
ffect. Licer%&"ass License No Da
,KjRS' CPr4PtNSATION DECLARATION
VG; FAILURE•iL dk8URE WORKERS' COMPENSATION COVERAGE. IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT1
)R(;OMPEN&ATIGN; DAMAGES AS PROWDEO FORIN SECTION 3706 of THE LASOR: CODE, INTEREST. AND ATTORNEYS FEES.
l5g affirm under penalty of perjury one of the: following Declarations:
lave and wilt maintain a certificate of Consent to self -insure for workers' compensation, Issued by the Director of
riance of Iire woik for which this permit Is issued, Polio No.
0 and wi7f malAsin workers' compensation insurance, as required by Section 3700 of the Labor Code, for the per
incecarrier anti policy number are'.
...
Policy Number
rr
":f:gent. ..
Ntarq that lri theper[ mane e work for which this permit is issued, I shall not employ any person in any manner s
f Ishouid becom. 0 N a workers' compensahonprovsions of: Section 3700 of the Labor Code, I shall forthwith.
tore of Applicant
,ARATIQN REGA NG CON RUCTION L
by affirm under penalty of perju am Is a construction lending agency for the performance of the Work for which.
Lancer's Name.
By mysigtiatute
1 am tha pia
knave read
t agraa toc
to
PERNriTEXfENDED i rAQMD
PERMITFINAL ? T ASBESTOS NOTIFICATION fS NOT APPLICABLE TO
CERTIFICATE OF 3- E�e"�- PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
5, aeu-run: Suuuwlu m Igu4llltnpunu of VIISIGV ,trt oq t nsu . o1,
ees' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving, that it was not built or
BE and Professions Code: The Contractors' State License Law does not
mt to the Contractors' State License Law),.
or to completion of the improvements: covered by this permit, I.cannot legal
id that a: copy of the applicable low, Section 7044 of the Business and
ovdcaiaw.hfmL
Date
ah ,?,of jI a Business and Prof _n nd my license Is in full force:
Contractor Signature
a CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS(S400,000) IN ADMION. TO TH
trial Relations as provided for by Section 3700of the Labor Code, for tl
Inca of the work for which this permit is issued. My workers` componsatI(
_Expiration Date
_Phone iE
o become subject to the -workers' Compensation laws of California, and agr
fly with those provisions.
ermlt is issued (Section3097, Civil Cade),