HomeMy WebLinkAboutF2023-0050 - PermitsCity of Newport Beach
0 Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u s Inspection Requests Phone: (949) 644-3255
C9G�FORN`p newportbeachca.gov/inspections
Combination Type - SFP
Work Class - New
COMB Permit : F2023-0050
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Plan Check No : PC2023-0200
Issued Date : 01/30/2023
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 RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1124 ESSEX LN Legal Desc : N TR 3000 BILK LOT 50
Description: SFR FIRE SPRINKLER SYSTEM 45 HEADS (X2022-0517)
Owner: HEINKE KEITH L TR
Address : 1124 ESSEX LN
NEWPORT BEACH, CA 92660
Phone : (949) 233-6931
Applicant: ALL STAR PLUMBING & FIRE
Address: 22672 LAMBERT ST#619
LAKE FOREST, CA 92630
Phone: (949)470-0072
Owner/Builder :
Address :
Phone
Contractor: ALL STAR PLUMBING & FIRE
Address : 22672 LAMBERT ST #619
LAKE FOREST, CA 92630
Phone:
(949)470-0072
Con State Lic:
715588
Lic Expire :
08/31/2023
Bus Lic:
BT30059737
Bus Lic Expire : 07/31/2023
Workers' Compensation Insurance
Carrier: FALLS LAKE FIRE AND CASUALTY CO
Policy No : FLA01837500
W. C. Expire: 2/7/2023
I/1 A
n
Architect
Address : v
Phone:"
State Lic
Engineer:
Address
Phone
Designer: ALL STAR PLUMBING & FIRE
Address: 22672 LAMBERT ST #619
LAKE FOREST, CA 92630
Phone: (949)470-0072
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation :
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage:
TOTAL 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:
SPECIAL CONDITIONS: =
$15,000.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s)
(Section 7Q31.5, 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 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).
El 1, 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),
El 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).
❑ 1 am exempt from Iicensure 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 as an owner -builder if it 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 site:http:liwww.leginfo.ca.govlcalaw.btml.
Signature of Property Owner or Authorized Agent A_ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 0 ) of Division 3 of the Business and Prom, ens e, and. my license is In full force
and effect. License Class License. No Date Contractor Signature'( i/ F
WORKERS' COMPENSATION DECLARATION v\
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ST00v00), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR UN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 IN
performance of the work for which this permit is issued. Policy Nc.
I�QI 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 workers' Compensator
Sur nce carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
DI Certify that, in the pe rmande of the wank for which this permit is issued, shall not. employ any parson in any manner so as to become subject to the workers' c mp nsalEon laws of California, and agree
that, if I should become bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Signature of Applicant Date a
DECLARATION REGAk�1�1111N_r RUCTION LENDING AGENCY I hereby affirm under p of perjury that there is a construction landing agency for the performance of the work for which this permit is issued IS Sell o n 3097, CI I C de).
Lender's Name Lenders Address
By my signature below, I Certify to each of the following:
I am the property owner or authorized to Not on the property owner's behalf.
I have read this application and the Information I have rovided is correct.
I agree to comply with all applicable city and county G inances and state laws relating to building construction.
I authorize representatives of this city or county o e ter th ve entifte be for inspection purposes.
Signature of Property Owner or Authorized A enl Print Property Owner's or Authorized A ent's Nam I Lk-16I, Gw-f . D l e�o
ACTION DATE BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REG ATIONS PART 61 OFTITLE 40 AND AOIVID RULE
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PERMIT EXPIRED ' SUSMITT_D AS&ESTOS NOTIFICATION TO
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OCCUPANCY ISSUED SIGAATUSE: