HomeMy WebLinkAboutF2022-0494 - Permits4 a�WPpRr City of Newport Beach
o p Community Development Department - Building Division
�q 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
U o- r Inspection Requests Phone: (949) 644-3255
C9bpe0.N�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Addition/Alteration
II II I I II I II I II II IIII COMB Permit: F2022-0494
Plan Issued e0912112022
�
Check
ckNZ /2 C2022-2365
Inspection Area .
p
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
: 950 SANDCASTLE DR
Legal Base : N TR 6228 BLK LOT 67
Description;
SFR FIRE SPRINKLER SYSTEM W/ (29) HEADS (X2021-3370)
Owner:
WESLEYGEORGE
Contractor: FIRE SAFE GROUP
Address :
950 SANDCASTLE DR
Address : 1310 KINGSDALE AVENUE
NEWPORT BEACH, CA
REDONDO BEACH, CA 90278
Phone
Applicant: FIRE SAFE GROUP
Address : 1310 KINGSDALE AVENUE
REDONDO BEACH, CA 90278
Phone: (310)9B2-2703
Owner/Builder
Address :
Phone
Phone: (310)982-2703
Con State Lie :
566913
Lie Expire:
12/31/2022
Bus Lie:
BT3D079734
Bus Lie Expire :
09/30/2023
Workers' Compensation Insurance
Carrier: BERKSHIRE HATHAWAY HOMESTATE
INSURANCE COMPANY
Policy No : FIWC218254
W. C. Expire: 12/1/2022
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone
Designer: FIRE SAFE GROUP
Address: 1310 KINGSDALE AVENUE
REDONDO BEACH, CA 90278
Phone: (310)982-2703
Code Edition :
2019
Fire Sprinklers :
YES
Construction Valuation : $2,500.00
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: 10, Side: 6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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 itern(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
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato 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).
111, as owner of the property, or my employees with wages as their sole compensation, Will do L) ell of or L) 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, fL 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
1proved for the purpose of sale).
t.,7 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
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' Stale License Law).
❑ 1 am exempt from licensure under the Contractors' Stale License Law for the following reason
By my signature below 0 acknowledge (hat, 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 legall7
sell a structure that I have builtas an owner-bullder if it has not been constructed in its entirely 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:htip:liwww.leginfo.ca.govlcalaw.html.
Signature of Properly Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (oommenetng with Section 70D0) f Divy iy;ion 3 of the Business and Professio Code, arf�my license is in full force
and effect. License Class License No Date /7/ �22 Contractor Signature
NORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS 1E100,000), IN ADDITION TO THE
COST OF COMPENSATION. DAMAOESAS PROVIDED FOR IN SECTION =6 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations-
-1 1 have and will maintain a certiftca€e 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
)erformance of the work for 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 whichthis permit is Issued. My Workers'
ranee carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance of the work for which this permit is issued,. I shot[ 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 thhe, workers+ comppees�ation provisions of Section 3700 of the Labor Code, I shall forthwith Comply Win those provisions.
ralure of Applicant
non rims oenn onlw_"r`n"'L"+"c'ton rrrn�i r di'I"ri`+_LTn' nr cony
hereby 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).
enders Name _ Lenders Address
y my signalu:e belov., I certify to each of the following:
I e.m the properly owner or authorized to act on the property owner's behalf.
I have read thir application and the Information I have provided is correct.
! agree to comply with all applicable city and county ordinances and slate laws relating to building construction.
I authorize representatives of this city or county to en the aboveWdenlified property for inspection purposes.
ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Aaent's Name �%/4pP� [T ul; ram✓
iERM;T CANCELLED
PERMIT EXTENGZJ
PERNa i FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE ( BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
RFCULATIONS PART 51 OF TITLE 40 Ann AOMD RULE.
TO
ASBEST05 NOTIFICATION 15 NOT APPLICABLE TO