HomeMy WebLinkAboutF2023-0426 - PermitsCity of Newport Beach
e :
Counity Development Department- Building Division
mm
100 Civic Center Drive, Newport Beach, CA 92660
permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Combination Type -
Work Class - Alteration
COMB Permit:F2023-0426
F 2 0 2 3 - 0 4 2 6��II�II
Plan Check No : PC2023-2187
Issued Date : 09/07/2023
Final Date:
Permit Status: Issued
Inspection Area: 5
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 : 3221RIS AVE
Legal Desc
Description : MFR FIRE SPRINKLER (38 HEADS)-X2022-0514'
Owner: TLC CONTINUUM LLC
Address 459 PANORAMA DR
LAGUNA BEACH, CA 92651
Phone :
Applicant: RESIDENTIAL FIRE SYSTEMS INC
Address : 8085 E CRYSTAL DR
ANAHEIM, CA 92807
Phone : (714) 666-8450
Owner/Builder
Address :
Phone:
Code Edition :
Type of Construction : V-B
Occupancy Groups:
Bldg Height :
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY: \ 11
SPECIAL CONDITIONS:
Contractor
Address :
A TR CORONA DEL MAR BLK 236 LOT 24 CORONA DEL LN 0 % t l
RESIDENTIAL FIRE SYSTEMS INC
8085 E CRYSTAL DR
ANAHEIM, CA 92807
Phone : (714)
666-6450
Con State Lie :
786965
Lie Expire :
11/30/2024
Bus Lie :
BT30003809
Bus Lie Expire
: 04130/2024
Workers' Compensation Insurance
Carrier: PACIFIC COMPENSATION INS CO
Policy No: 1024785
W. C. Expire : 9/1/2024
Fire Sprinklers : NO
Fire Hazard Zone : NO
No of Units : 2
No of Stories
Architect
Address
Phone :
State Lie
Engineer:
Address
Phone :
Designer: RESIDENT ImL F,RE SYSTEMS INC
Address: 8085 E CRfSTA� DR ,
ANAHEIM, Cf. 32807 , ,
Phone : (714) 666-l1450
Construction Valuation , ' $8,630-b,31
Added/New/Tl sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
NO CONSTRUCTION WORK
ON SATURDAYS
! hereby eflem under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the chackmark(s) I have placed next to the applicable terms)
(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
this permit to file a signed statement that lie 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 lioensure 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 ($50D).
111, 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
Improved for the purpose of sale).
❑ I, as owner of the property, ant exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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' Stale License Law for the following reason:
y ignature below: I acknowledge that, except form e -lonst -ear pri-
B m • s g p y personal residence in which I must have resided for at least one year prior to completion h the improvements covered by thfs pe Business
1 cannot Iegail�
sell e structure That I have butyl as an equ ert when t if it has not been constructed is its entirely i g licensed contractors, I understand that a copy of the applicable law, Section 7044. of the Business and
Professions Code, is available wro upon request when this application is Submitted or at the following VVed site;hltp:livrM'w.leginfo.ca,govdcalaw.html,
Signature of Property Owner Or Authorized Agent -_ _
LICENSED CONTRACTOR'S DECLA..RATION �—'-- _ - ��--`-----�'--"-`—"-------------- _ Date
I hereby affirm under penalty of perjury Inal am licensed Under provisions of Chapter 9 (commencing with coon 7 0) of Div, Pon 3 of th T s ass and Professiopa^�or q ..rrfy pcensa is in full force
and effect. License Class License No '�! J✓ORKERS' COMPENSATION DECLARATION a �%-%� Conti for Signature
NARKING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO RIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IE100,006), IN ADDITION TO THE
]DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY FEES -
DAMAGES affirm under penalty Of pe,July one of the following declarations:
I have and vlll r rita:n a cerpfGcete 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 this
or The It of the wri, far whlL`u this permit is issued. Policy No.
�e and will maintain workerich s' compensation msuranCe. as required by Section 3700 of the Labor Code, for the performance of the work for whthis permit is issued. My workers` compensation
r nee carrier and policy numher are'.
e of Agent __f
emly that, in the
if I shouiht becorn
of
Policy Number
Date
or Ine 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 Cafiform ia. and
h,kers' comper.sahon provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions. I
ItULAfkATtWRE'iAF2Dl'JG (:r,) 01 UCTION LENDING AGENCY _
hereby affirm under pel-afty of peizury that there Is a construction fending agency for the performance of the work for which this permit is issued (Section !
Finder's Name Lender Address
ly my signature below, I cartLfy to each of the following: —
I am the property owner or authorized 10 act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to cohlply with all applicable city and county ordinances and state laws relating to building construction,
I authorize representatives of lhi city .county t2jeala
irth tified property for inspection purposes. ignature of Property Owner or Aufhnr d A—,, \X
- - rlml I-ro eny owner s or Authorized A ACTION DATE BY777777
ITH CODE OF FEDERALAO AND AGMD RULE. FOR OFFICE USE ONLY
PEP14 FXPtREO LJ MITTED ASBESTOS NOTIFICATION TO
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CERTIFICATE OF �� yr[ ZIASBESTOS NOl'IPICA fiON IS NOl APPLICABLE TO
OCCOPANCY ISSUED P ROP OSED_DEMOLI7iON
Civil Code).