HomeMy WebLinkAboutF2023-0074 - Permits��EWPOR� City of Newport Beach
p d Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
o- s Inspection Requests Phone: (949) 644-3255
CgG�pp0.��P newportbeachca.gov/inspections
COMB Permit : F2023-0074
F 2 0 2 3 0 0 7 4
Plan Check No : PC2023-0304
Issued Date : 02/09/2023
Inspection An6a : 3
Combination Type - SFP
Work Class -New
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK
Job Address : 1423 MARINERS DR Legal Desc : N TR 3004 BLK LOT 35
Description: SFR FIRE SPRINKLER SYSTEM W/ 46 HEADS ***X2022-1241***
Owner: Thomas James Homes
Address : 26880 Aliso Viejo Pkwy #100
Phone: (949)293-3018
Applicant: MANUEL DE JESUS LOPEZ
Address : 38753 E 26TH
PALMDALE, CA 93550
Phone: (818)575-0643
Owner/Builder
Address :
Phone:
Contractor: MANUEL DE JESUS LOPEZ
Address: 38753 E 26TH
PALMDALE, CA 93550
Phone:
(818)575-0643
Con State Lic
: 1026078
Lic Expire :
09/3012024
Bus Lic:
BT30067611
Bus Lic Expire : 06/30/2021
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No : 9239514
W. C. Expire : 10/4/2023
i FROM ORIGINAL ISSUANCE DATE
SUNDAY AND HOLIDAYS IN ALL AREAS
Lic :
gner : MANUEL DE JESUS LOPEZ
'ess : 38753 E 26TH
PALMDALE, CA 93550
1e : (818) 575-0643
Code Edition :
2022
Fire Sprinklers :
YES
Co
Instruction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
No Units :
NO
1
Ad
Alt
led/New/Ti sq. ft. Bldg ;
oration sq. ft. Bldg :
Occupancy Groups :
R3/U
of
No of Stories :
3
Added/New
sq. ft. Garage
Bldg Height :
TO
7AL sq. ft.
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:
19 J
SPECIAL CONDITIONS
$4,600.00
0
0
0
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)
(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' 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 licensure and the basis ferthe 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 U all 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. 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).
13 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' State License Law).
I am exempt from fjcensure under the Contractors' Slate License Law for the following 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 asan owner -builder if ithas 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, isavailable upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATIION.
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TWO of iv ion 3 of the Business and Profe ions Cade, and my license is in full force
and effect. License Class License No Dale Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRA..MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLLARS (S11A),000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR LODE,INTEREST, AND ATTORNEY'S FEES.
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(
)erff5rmance 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'
rance carrier and policy number are:
Policy Number
Date
ae of Agent Phone #
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.
of
areby 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
ider's Name Lender's Address
my signature below, I certify to each of the following:
I nm the prope, ty owner or authorized to act on the property owner's behalf.
t nave read this a0plication 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 n.presentatives of this city or county to enter the above-iglerr ified property for inspection purposes.
of
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
l REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
i PERMIT EXPIRED € LJ I SUBMITTED ASBEST05 NOTIFICATION TO
fRr eiT CANCF'LFD — E-Q pp
PE.RfA1T FXTENCtiED - -QAOMD
PERf.'ITFINAIif
11,3 ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CEHTfFICATF!IF PROPOSED DEMOLITION_
OCCUPANCY ISSUED crrivamRF. 1-1-
Civil Code).
Date