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Home My WebLink AboutF2022-0610 - Permits��EWPORr City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 } Inspection Requests Phone: (949) 644-3255 cqG/FppN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - New F 2 0 2 2 0 6 1 0COMB Permit : F2022-0610 Plan Check No: PC2022-3010 Issued Date : Inspection Area :3 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 : 1720 SKYLARK LN Legal Desc : N TR 3097 BLK LOT 7 Description: SFR FIRE SPRINKLERS - 45 HEADS (X2021-3068) Owner: OLGA BETZLER Contractor: STEPHEN CUCULIC FIRE PROT Architect Address : 1720 SKYLARK LN Address : 33041 CALLE PERFECTO Address NEWPORT BEACH, CA 92660 SAN JUAN CAPISTRANO, CA 92675 Phone: Applicant: STEPHEN CUCULIC FIRE PROT Address : 33041 CALLE PERFECTO SAN JUAN CAPISTRANO, CA 92675 Phone : (714) 608-1175 Owner/Builder : Address : Phone: Code Edition : 2019 Type of Construction : V-B Occupancy Groups: Bldg Height: Phone: (714)608-1175 Con State Lie : 954483 Lie Expire : 11/30/2024 Bus Lie: BT30072160 Bus Lie Expire : 06/30/2023 Workers' Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES W. C. Expire: Fire Sprinklers : YES Fire Hazard Zone : NO No of Units: 1 No of Stories : 2 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Phone: State Lie: ri Engineer: r--� T"0 ' '1 Address : r ! Phone: Designer: STEPHEN CUCULIC FIRE PROT Address : 33041 CALLE PERFECTO SAN JUAN CAPISTRANO, CA 92675 Phone: (714)608-1175 Construction Valuation : $11,250.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 eheckmark(s) I have placed next to the applicable items) 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 is permit to file a signedstatement 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 Tofessions Code) or that he or she is exempt from lioensure 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). ] 1, 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, Iusiness 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). Z 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 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 I am exempt from lioensure under the Contractors' Slate License Law for the following reason: ty my signature below € acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I. cannot legally all 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 7044of the Business and 'rofasslons Code, Is available upon request when this application is submitted or at the fallowing Web site;hftp9fwww.leginfo.aa.gov/calav+fitml. :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 with Section 7000) of Division 3 of the Business and Profe sions Code, and my license is In full force nd effect. License Class License No Date U 5;1 Contractor Signalu /�i� VORKERS' COMPENSATION DECLARATION "7 IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IEE AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE GET OF COMPENSATION; DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 31 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 thl erformance of the work for which this permit is issued. Policy No, have and will maintain workers' compensation insurance, as required by $action 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers` ranee carrier and policy number are: Policy Number Expiration Date of Agent Al ertify that. inthe 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 agrer at'if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, gig lure of Applicant D—1 2 /S LARATION R6 RDING CONSTRUCTION LENDING AGENCY T— hereby affirm and penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7 Civil Cade). enders Name Lenders Address Iy 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 conslntetion, I authorize representatives of this city or cou tq ant the above -identified property for inspection purposes. //fi , I ,, I iianature of Prci Owner or Authorized AaeaiI X / / 7 Print Procerty Owner's or Authorized Aaent's Nahi6 W P-6,l).f Ia—G4- t2.WlOate j Z0 5/ 22 rrus. PERMIT CANCELLED PERIviiT Ea7ENDED ...,_.�_______ ______- PCRIL//TFlNAL CERTfftCATE OF OCCUPANCY ISSUED DATE. By J DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE F 'r,L �� / ^ An ¢ LJ ASBESTOS NOTIKICA"I ION IS NOT APPLICABLE TO 0_� PROPOSED DEMOLITION FOR OFFICE USE ONLY