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HomeMy WebLinkAboutF2022-0189 - Permitsa Wno?r City of Newport Beach IIIII I I II I III III IIIIII IIIIIIIIIIII I I I II COMB Permit : F2O22-01 89 o� Community Development Department- Building Division F 2 0 2 2 0 1 8 9 F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0942-2022 u $ Permit Counter Phone: (949) 718-1888 Issued Date : 04/07/2022 new ortbeachca ov/civic � P 9 Final Date: q<FFonN`P Combination Type - Permit Status: Issued Work Class - New 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 RELA FED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 707 ST JAMES RD Legal Desc : N TR 1218 BILK LOT 11 Description : SFR FIRE SPRINKLERS (X2020-2398) 62 HEADS Owner: IRWIN ROBERT TR R & J Address : 707 SAINT JAMES RD NEWPORT BEACH, CA 92663 Phone: (714)423-2136 Applicant: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: Contractor: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Con State Lic : 876004 Lic Expire : 04/30/2024 Bus Lic : BT30040107 Bus Lic Expire : 07/31/2024 Workers' Compensation Insurance Carrier: NATIONAL CASUALTY COMPANY Policy No: SWC1373758 W. C. Expire : 2/15/2024 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories SPECIAL CONDITIONS: *PERMIT REVISED 08/16/2023, 3 ADD'L HEADS* E� vim! wq. Architect Address Phone: State Lic Engineer Address Phone: Designer: Address Phone: NO Construction Valuation : NO Added/New/Ti sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : 0 I hereby affirm under penalty of perjury that f ant exempt from the Contractors' State License Law for the reasons) indicated below by the cheokmarkis) I have placed next to the applicable iteni (Section 7031.5, EhIsIcOSS 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 the permit to fife a signed statement that he or she is liconssd 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 ($500). ❑ 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, BUairl"A 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 impi ovement 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). © I, as cmier of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law). 10 1 am exempt from 11CenSUra under the Contractors' State License Law for the following reason By my signaluro 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 it has not been constructed in its ontirety by licensed contractors. I understand that a copy of the appticabic 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:bWww.legmfo.ca.gov7Calavchtml. Signature of Property Owner or Autharized Agent _ _ Date ''..LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under proViSlDna of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, and my license is In fulf force and affect. License Class License. No Data Contractor Signature COMPENSATION DECLARATION : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UN6AWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS f5100,000), IN ADDITION TO THE COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, Ann ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a cerltlicate 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 this permit Is issued Policy No.._,. mm______ 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 worke(s' Compensa trance camoi .and pol.: y number are Policy Number Expiration Date of -gent T _ _ .__._ Phone # — csnif, that, in th-^ 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 su6lect to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ynnlure of Applicant Data_ DECLARATION Ktv:a SIDING CCiNSTRUCTi(JN LENDING AGENCY hereby , lfirm order pr^natty 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). ergiA, s Name, Lenders Address ..Dy elr.natura b0lQW, I certify to each of the following I am .he. prof.env awoer or authorcred to act on the property owner's behalf, I t,sr_ read this application and the Information I have provided is correct. I eg:ee to co.Tlp'y wif'1 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 -identified property for inspection purposes. Signature of Property Owner or Authorized. Agent Print Property Ownaf's ar Authorized Ag ACTION ( DATE I BY DECLARATION OF COMPLIANCE WIT14CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS FARM 61 OF TITLE 40 AND ACtMD RULE PERMIT CANCELLED rIJtEPA PERMITEX7ENOED r LJAQMD WRN07'FINAI rJ ASNESEO!r NOTiFiCANON IS NOf APPLICABLE 10 CERTIFICATE OF O PROPOSED DEMOLITION OCCUPANCY ISSUED 3 SIGNATURE: