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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