HomeMy WebLinkAboutF2023-0403 - Permits�EWPo�T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2023-0403
D� A Community Development Department- Building Division F 2 0 2 3 0 4 0 3
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2083
r Permit Counter Phone: (949) 718-1888 Issued Date
.�., newportbeachca.gov/civic Final Date:
cqC/FpAN�P Combination Type - SFP Permit Status: Applied
Work Class - Alteration Inspection Area: 1
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 : 44 BALBOA COVES Legal Desc : N TR 1011 BILK LOT 44
Description: SFR FIRE SPRINKLER SYSTEM 4 HEADS (XR2023-0911)
Owner
Address :
Phone :
CARLOS JOSEPH SANCHEZ SEPARATE Contractor: FIREGUARD SPRINKLER SYSTEMS
PROPERTY TRUST
210 40TH ST
NEWPORT BEACH, CA 92663
Applicant: FIREGUARD SPRINKLER SYSTEMS
Address : 7907 LEEDS ST
DOWNEY, CA 90242
Phone: (714)310-0194
Owner/Builder :
Address :
Phone
Address :
7907 LEEDS ST
DOWNEY, CA 90242
Phone :
(714) 310-0194
Con State Lic
: 992002
Lic Expire :
04/30/2024
Bus Lic :
BT30078648
Bus Lic Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: FALLS LAKE FIRE & CASUALTY CO
Policy No : FLA008008
W. C. Expire : 12/29/2023
Code Edition : 2022
Fire Sprinklers :
YES
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : R3/U
No of Units :
1
Bldg Height:
No of Stories :
3
Building Setbacks : Front: 5, Front: 15, Side: 3, Side: 3
Flood Zone : AE, 8 FT; X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone:
Designer: FIREGUARD SPRINKLER SYSTEMS
Address : 7907 LEEDS ST
DOWNEY, CA 90242
Phone : (714) 310-0194
Construction Valuation :
Added/New/Ti sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
$2,000.00
0
0
0
f ->
rn
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt Irom the Contractors' State. License Law for the reasorl indicated below by the checkmark(s) I have placed next to theapplicable items)
(Section 7031.5, Business and Professions pode: 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 perrnit to fiIa 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 ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended oroffered 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
improvemants 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).
❑ 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).
J I am exempt from licensure under the Contractors' State License Law for the following reason:.
1y my signature belowI acknowledge that, except for my personal residence in which I must have resided For at least one year prior to completion of lire in
ell 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 app
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liw Ny.leginfo.ca.govlcalaw.titml.
lignmure of Property Owner or Authorized Agent
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 ' 's ej 271E the Business and
nd effect. License Class License No Dot [. % Contractor Signa
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIVI AL PENALTIES All CIVIL FINES UP To. ONE HUI
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYe FEES.
hereby affirm under penalty of perjury one of the following declarations,
merits covered by this permit, I cannot
law, Soclioryj044 of the Business and
license is In full force
($100,0001, IN ADDITION TO THE
have and will maintain a cerlill of consent to self-inaure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
rrhance of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. My workers'
carrier and policy number are:
Policy Number
as of Agent _
Date
JI certify that, in the perfor arc of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
tat, If I should become ubj ct tv e workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant _ ._ _ _ Data
ECLARATlON REG iN _ 0 S. 11CT[ON LENDING AGENCY
hereby affirm under enalty o rjury that there is a construction lending agency for the performance of the work for which this parmlt is issued (Section 3097, Civl Code).
ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the arty owner's behalf.
I have read this application and the information I he e p ovided is correct.
I agree to comply with all applicable city and cowrly ordi noes and state laws relating to building construction. /� /.( /////
I authorize repr rienlatives of this city or nountyRc ter- a above identified property for inspection purposes.
9 �/ J� n 1 1/ /r1n)n
nature of Property Owner or Authonzed Arrant j� ^i Print Prooertv Owner's or Authorized Aaeno t's Nma X / h an
DATE I 13Y )y T-DE�LAItATION.. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I I. RE DONS PART al OF TITLE. 40 AND AQMD RULE
PERMIT EXPIRED ,,, 0 1 ° jBr n7rFO ASP _RTCS NOTIFICATION TO
PERMIT CANCE4FED " Wry�� - -- —
EPA
rexmn "NPL ^ I WA$BE5705 NOTIFICATION 15 NOl' APP41CAHLE TO
CERTIFICATE OF ,' `�� PROPOSED DEMOLITION
OCCUPANCYISSUED �� SIGNATURES