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Home My WebLink AboutF2023-0212 - Permits (3)a wao w City of Newport Beach �T y P COMB Permit: F2023-0212 Community Development Department- Building Division F 2 0 2 3 0 2 1 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1079 Permit Counter Phone: (949) 718-1888 Issued Date : 05/11/2023 newportbeachca.gov/civic Final Date: '`vc„'�4coaN`P Combination Type - SFP Permit Status: Issued :. Work Class -Addition/Alteration Inspection Area : 8 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 : 1600 ANITA LN Legal Desc : N TR 3800 BLK LOT 27 Description: SFR INSTALL FIRE SPRINKLER SYSTEM WITH 34 HEADS. (X2022-0783) Owner: MATTHEW SHAW Contractor: CRAIG FIRE PREVENTION INC Architect Address : 1600 ANITA LN Address : 122 W POMONA AVENUE Address NEWPORT BEACH, CA 92660 MONROVIA, CA 91016 Phone: (949)720-6000 Phone: (626)357-4045 Phone: Con State Lic : 1037827 State Lic Lic Expire : 04/30/2024 Applicant : CRAIG FIRE PREVENTION INC Bus Lic: BT30048335 Engineer Address : 122 W POMONA AVENUE Bus Lic Expire : 08/30/2023 Address MONROVIA, CA 91016 Phone: (626) 357-4045 Workers' Compensation Insurance Phone: Carrier: AFH INS CO Owner/Builder : Policy No: 2EA5WC900091801 Designer: CRAIG FIRE PREVENTION INC Address : W. C. Expire: 2/11/2024 Address : 122 W POMONA AVENUE , MONROVIA, CA 91016 . . Phone: Phone: (626) 357-4045 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $B4OoU.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 : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 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: *PERMIT REVISED, 5 ADD'L HEADS REV2023-1623* OWNER -BUILDER DECLARATION I hereby afllnn under penally of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ilem(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 rc 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 'rofessions 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 of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do ( ) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 properly, provided that the nprovements 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 nproved for the purpose of sale). D I, 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 ppiy 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 I am exempt from licansure under the Contractors' State License Law for lire following reason iy 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 legal ell a structure that I have built as an owner -builder 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site;http:/I ww.leginfo.ca.gov/calaw.html. iignature of Property Owner or Authorized Agent Dale .ICEN'.SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force nd effect. License Class License. No Date Contractor Signature 'COMPENSATION DECLARATION ING: FAILURE To gFCIJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU03ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN AODmON TO THE OF COMPENS.'TION, OP MAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I.ereby affirm under penalty of perjury one of the following declarations: I have and will maima n a certificate of consent (o 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 tha work for which this permit is issued. Policy No. have and will maintrin 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' compensa rmnCP carrier and pokey number are: Policy Number of Agent ;. Date certffv that, in lh-1 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 s`rould be-ome ^object to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wrth those provisions. ns'u•r of Applicant .. .. Date— CLING A ARATION REGARDING CONSTRUCTION LENDGENCY o-eby affirm u, leer 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). rder's Name _ _ _ _ Lenders Address my signature below, I certify to each of the following: �� M I am the property owner or authorized to act on the property owner's oehalf. I have read this application and the information I have provided is correct. I agree to comply'with all applicable city and county ordinances and state Paws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. vner's or Authorized Adept Name ACTION i DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 51 OFTITLE 40 AND AQMD RULE I 1403 FOR OFFICE USE ONLY PERMIT EXPIRED 1 I SURNIITTFD ASBESTOS NOTIFICATION TO PERMIT CANCFLIED �q L1CPA PERMIT EXTENDED PERMIT FINAL jyR/— S ❑ ASbhST05 NO11FICAfION IS NOT APpUCABLE 'I'O CERTIFICATE OF .r PROPOSED DEMOLITION OCCUPANCYISSUED'; SIGNATURE: