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HomeMy WebLinkAboutF2022-0405 - Permits�gWPpQT City of Newport Beach II II I I II I II I II II II IIII II Community Development Department- Building Division COMB Permit:F2022-0405 it 100 Civic Center Drive, Newport Beach, CA 92660 2022-1960 PC Plan Check No : u z Permit Counter Phone: (949) 644-3288 Issued Date : oe/O PC Inspection Requests Phone: (949) 644-3255 022 newportbeachca.gov/inspections Inspection Area : 4 Combination Type - Work Class - New 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 : 2411 BAMBOO ST Legal Dose : N TR 4893 BILK LOT 48 Description : SFR FIRE SPRINKLERS 57 HEADS (X2021-3096) Owner: LA21G LLC Contractor: N P MECHANICAL INC Architect Address: 26880 ALISO VIEJO PKWY STE100 ALISO Address : 9129 STELLAR COURTA CORONA, CA Address VIEJO,CA 92656 92878 Phone: Applicant: N P MECHANICAL INC Address: 9129 STELLAR COURT A CORONA, CA 92878 Phone: (951)667-4220 Owner/Builder : Address Phone : Phone : (951) 667-4220 Con State Lie : 890694 Lie Expire : 02/28/2023 Bus Lie: BT30053053 Bus Lie Expire : 06/30/2023 Workers' Compensation Insurance Carrier: DEPARTMENT OF INDUSTRIAL RELATIONS Policy No : 4503-103 W. C. Expire: Code Edition : 2019 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : No Occupancy Groups : R-3/U No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: I SPECIAL CONDITIONS: Phone: State Lie Engineer: Address Phone: Designer: KELLYMAHOOD Address : 9121 STELLAR CT CORONA, CA 92883 Phone : (951) 667-4220 x349 Construction Valuation : $7,081.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 INSPECTOR OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(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 .he permit to Pile 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 ton. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of orofesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemp not more than five hundred dollars (5500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 on owner of property who, through employees' ar 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 improved for the purpose of sale). 0 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and. Professions Gode: The Contractors' Stale License Law does not ply to an owner of properly vvbo builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ap I am exempt from licensure under the Contractors' Stale License Law for the folowng 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 !I 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 sfte:http:t/www.leginfo.ca.gov/calaw.html. Date Signature of Properly Owner or Authorized Agent — LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ZQ00) o Di Ision 3 of the Business and Professions ad-RtgNsense is in full force and effect. License Class License No Date ( Contractor Signature WORKERS' COMPENSATION DECLARATION 2 'WARNING: FAILURE TO SECURE WORKERS' COMPENSNUCIN COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS S100.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. l hereby affirm under penalty of perjury one of the following declarations: © 1 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 th, r mance of the work for which this permit is issued. Policy No. have andwill maintain workers' compensation insurance, as required by Section 370D of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carder and policy number are: Policy Number Date is of Agent ._.._ _. 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 , If I should become subjectH the workers' compensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. talure of Applicant Date 22 CILARATJUN KbUAKLIINl UUNZ r mua. own 1v11 - Ireby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Tar'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 properly 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 ent ve-Identified property for inspection purposes. nature of Prooertv Owner or Aulhonzed Agent Print Properly Owner's or Authorized Agents Name !T O{z ACTION DATE BY ' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART Gl OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED j 'LJ I SIIRMTTED ASPESTOS PCTi FiCATION 10 f; artier,5ha11 All required alarms, latches ales and fences which serve as art of a pool/spa a b p p p _ _ PERMITCANCELIED j EaA be in place prior to approval to fill pool/spa & shall remain In place & be maintained for the life Of the pool, A€!7M77EXTENDED ----�f—F-t _--- r f iJF riM1 CJ PERMITFINAL. �, r�,�j r 11 1SBESI OS NOTIFICATION Is NOT APPLICABLE TO CERTIFICATE OF i1 ) 1 PROPOSED DEMOLITION OCCUPANCY ISSUED II SIGNATURE:----