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Home My WebLink AboutF2022-0361 - Permits�WP�r City of Newport Beach CAI u,li e Community Development Department- Building Division 4 V . _ y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 v _ x Inspection Requests Phooe: (949) 644-3255 newportbeachca.gov/inspections IIII II I I II COMB Permit: F2022-0361 Plan Check No : PC2022-1768 Combination Type Work Class : New Issued Date : 07/14/2022 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 : 1615 LINCOLN LN Legal Desc : N TR 3702 BILK LOT 1 Description: FIRE SPRINKLERS FOR NEW SFR (37 HEADS) Owner: WALTER KOSICH Contractor : Fireguard Sprinkler Systems, Inc. Address : 1615 LINCOLN IN NEWPORT BEACH, CA Address : 7907 LEEDS ST DOWNEY, CA 90242 92660 Phone Applicant : Fireguard Sprinkler Systems, Inc. Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Phone: (714)310-0194 Con State Lic : 992002 Lic Expire : 04/30/2024 Bus Lic : BT30078648 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier : Policy No W. C. Expire Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : Y Occupancy Groups : No of Units : 1 Bldg Height: No of Stories : 1 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6600000}, Single -Unit Residential (6000 indicates minimum lot area) Processed By: Public Works Approval: Zoning Approval: Grading Approval: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address Phone: Designer: Address Phone : Construction Valuation : $B,L00; 00 Added/New sq. ft. Bldg : 0 Added/New sq. ft. 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Architect Address : 1615 LINCOLN LN NEWPORT BEACH, CA Address : 7907 LEEDS ST DOWNEY, CA 90242 Address 92660 Phone : Phone : (714) 310-0194 Phone Con State Lie : 992002 State Lie Applicant: Fireguard Sprinkler Systems, Inc. Lie Expire : 04/30/2024 Address : 7907 LEEDS ST DOWNEY, CA 90242 Bus Lie : BT30078648 Engineer Phone: (714) 310-0194 Bus Lie Expire : 05/31/2023 Address Workers' Compensation Insurance Phone: Owner/Builder: Carrier: FALLS+LAKE+FIRE+AND+CASUALTY+COMP ANY Address: Policy No: FLA008008 Designer: Phone: W. C. Expire: 12/29/2022 Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $8,000.00 Type of Construction : V-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R3/U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 0 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: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Serlion 7031.5, Business and Professions Coda: Any city or county that requires a permit to construct, after. improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for the permit to he 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 3of Ole Business and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 13 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 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 it was not built or rIm.�roved for the purpose of sale). I, as owner or 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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: , T. ._ __._..—-___—__ ______.__,.__�_______-.___ 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 covored by this pemait,.l cannot legally sell a structure that I have built as an owner-buitdor 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, is available upon request when this application is submitted or at the following Web site:http:llwww,leginfo.ca.gov/calaw. hill Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury [hat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 (SI00,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: 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 'ormance of the work for which [his 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' compensa Trance carrier and policy number are: Policy Number of Agent Date 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 . if I should become subject to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. nature or Applicant _ _ _m_.___.____.__..____.___.____.._.Y...._.Bala_ C L.ARATION REGARDING CONSTRUCTION LEN6ING. AGENCY 3reby 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). Idol 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 to enter the above-identifted property for inspection purposes, nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PART 61 OF TITLE 40 AND Al RULE PERMIT EXPIRED l; IJ I SUBMITTED ASBESTOS NOTIFICATI'I.ON To PERMITCANCEUEO i flM PEIY EXTENOEo �t--IEPA LJAQMD PERMITFINAL CERTIr1CATE or OCCUPANCY 155UED j_�+s^23 SIN un 'V*C1 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO G�hs PROPOSED DEMOLITION SIGNATURE: All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.