HomeMy WebLinkAboutF2023-0061 - PermitsQ ��WPO�T City of Newport Beach
@ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u z Permit Counter Phone: (949) 644-3288
a.Inspection Requests Phone: (949) 644-3255
cqC/pppd�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
F 2 0 2 3 0 0 6 1COMB Permit: F2023-0061
Plan Check No : 0058-2022
Issued Date : 02/03/2023
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 : 1113 KINGS RD Legal Desc : N TR 1219 ELK E LOT 31
Description : RENEW EXPIRED - NEW SFR FIRE SPRINKLERS (139) HEADS X2019-3305 (F2022-0013)
Owner: REED GREGORY IRA TR CMGI TR
Contractor: RESIDENTIAL FIRE SYSTEMS INC
Architect
Address : PO Box 1245
Address : 8085 E CRYSTAL DR
Address
NEWPORT BEACH, CA 92659
ANAHEIM, CA 92807
Phone:
Phone: (714)666-8450
Phone:
Con State Lic : 786965
State Lic
Lic Expire : 11/30/2024
Applicant: RESIDENTIAL FIRE SYSTEMS INC
Bus Lic : BT30003809
Engineer
Address : 8085 E CRYSTAL DR
Bus Lic Expire : 04/30/2023
Address
ANAHEIM, CA 92807
Phone: (714) 666-8450
Workers' Compensation Insurance
Phone:
Carrier: PACIFIC COMPENSATION INS CO
Owner/Builder :
Policy No: WA00712001
Designer
Address :
W. C. Expire: 9/1/2023
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups : R3/U
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 3
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: rV
IN
SPECIAL CONDITIONS:
0
0
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the ressori indicated belovr 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
professions Code) or that he or she is exempt from licensors 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
not more than five hundred dollars ($500p,
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or Q portions of the work, and the structure is not intended or 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
mprovements 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
mproved for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, 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).
I 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 legalt,
sell a structure that I have built as an owriorbuilder if Ithas 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, is available upon request when this application is submitted or at the following Web site:http:/lwww.leginfo.ca.gov/calaw.html,
Signature of Property Ownar or Authorized Agent Date _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed underprovisions of Chapter 9 (commencing with Section 7000)) of (vision 3 of the Business and Professiorl:5 Cqd and my license is in full force
and effect. License Class License No Date CE7403gZ3 Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE6 AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS HI DO,000), IN AUCTION TO THE
COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 4F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penally of perjury one of the following declarations:
�~'.. I havu and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Seciion 3700 of the Labor Code, forth
performarce of the work or which this permit is issued. Policy No.
have 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'
ra„Le carrier and policy number are:
Policy Number
of Agent
Date
I certdf7 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
t, it I should become subject to
the worker 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
:nature of Appli-ant_ '"�:Nl� � Date O�-�3'23
CLARATION PEGAPDING CONSTRUCTION LENDING AGENCY
�reby '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).
riders Name Lender's Address
my signature belOW, I certify to each of tine following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application andthe 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 entter Ethel above1-iidenntified property for inspection purposes.
(nature of Prooertv Owner or Authorized Anent-F++�+L�� Y'' 3� Print. Property Owner's or Authorized Aeent's Name FlJ1Jt . &Q' -ieYYtrZ Date 07/03123
ACTION ( DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL j FOR OFFICE USE ONLY
E REGULATIONS PART 61 OF TT E 40AND AQMD RULE
PERMITEXPIRED I I I IJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED_ _ LAQMD
PERLIiT FINAL 6,'L/�y i ASBESIO5 NOT IFICATION 15 NOT APPUCABLE TO
CERTIFICATE OF v .PROPOSED DEMOLJJTION
OCCUPANCYISSUED SIGNATllRE:"RIAI[T s