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Home My WebLink AboutF2022-0475 - Permits�gWPO�T City of Newport Beach II II I I II I II I II II II IIII II COMB Permit: F2022-0475 04 ri I Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2290 u Nr, s Permit Counter Phone: (949) 644-3288 Issued Date : 09/13/2022 n:Inspection Requests Phone: (949) 644-3255 Inspection Area : 3 c9VFppN�N newportbeachca.gov/inspections Combination Type - SFP Work Class - New 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 : 1732 CANDLESTICK LN Legal Desc : N TR 3763 BLK LOT 33 Description : SFR FIRE SPRINKLER SYSTEM 56 HEADS (X2021-2012) Owner: JEFFREY CLARK Address : 1732 CANDLESTICK LN NEWPORT BEACH, CA 92660 Phone Applicant: KELLY FIRE PROT INC Address: 10141 THESEUS DR HUNTINGTON BEACH, CA 92646 Phone: (714)907-7586 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups; R3/U Bldg Height: Contractor : KELLY FIRE PROT INC Architect Address : 10141 THESEUS DR Address HUNTINGTON BEACH, CA 92646 Phone: (714)907-7586 Phone: Con State Lic : 878823 State Lic Lic Expire : 08/31/2023 Bus Lic: BT30070761 Engineer: Bus Lic Expire : 01/31/2023 Address : Workers' Compensation Insurance Phone Carrier: AMERICAN+FAMILY+HOME+INSURANCE+C OMPANY+DBA+AFH+INSURANCE+COMPAN Y Policy No : 2EA5WC0000246 Designer: KELLY FIRE PROT INC W. C. Expire: 4/11/2023 Address : 10141 THESEUS DR HUNTINGTON BEACH, CA 92646 Phone: (714)907-7586 Fire Sprinklers : YES Construction Valuation : $3,490.00 Fire Hazard Zone : NO Added/NewITI sq. ft. Bldg : 0 No of Units : 1 Alteration sq. ft. Bldg : No of Stories : 2 Added/New sq. ft. Garage: 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:SO SPECIAL CONDITIONS: DECLARATION I hereby affirm under penalty of perjury Lhal I are exempt from the Contractors' State License Law for the reasons) indicated below by the checkrnarkis) 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, altar, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for .ho permit to file a signed statement that ho 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 not more than five hundred dollars ($500), 71 I, 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 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). ❑ 1. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not a ply 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 licensors under the Contractors' State 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.html. Signature of Property Owner or Authorized Agent _ _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 f D}}',,vision 3 of the Business and ProValera de, and y license is In full force and effect. License Class License No Dat f J" Y% Contractor Signature , WORKERS' COMPENSATION DECLARATION ✓YARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 1 have and will meintoin 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 th, ptlffoujance of the work for which this permit is issued. Policy No. wave 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' compensatio nsvra a carrier and policy number are 3arrier Policy Number Expiration Date Jame of Agent -Phoreff :1I certify that. in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and ogre hat, if I should deco s "Fact the workers compensation provisions of Section 3700 of the Labor Code; shall Forthwith comply with those provisions. 3ynalure of HUPlicant_ Date 13 2 )_ XCLARATION REGA I CONSTRif LENDING AGENCY' hereby affirm under. nalry of perjury ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, vil ode). _endP,f's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with ail applicable city and un ordinances and state taw relating to building construction. I authorize representatives of this city or count t enter th above-identifle property for inspection purposes. c 3i nature of Propett Owner or Authorized Agent P)3nLP-ro arty Owner's or Authorized A ent's Name ACTION DATE BV € DKILA,1I OF COMPUANC HCODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF D AQMD RULE PERMIT EXPIRED LJ , SUBINITTED Aa6ES rOS NOTI FICATION TO PER6AIT CAhCF.LEEO CPA PERhA1T EXTENDED PCRMITWI i tJ LAJSBFES105 NOTIFICAIDN 15 NOT APPLICABLE TO CERTIFICATE OF 'I�' {'/ PROPOSED DEMOLITION OCCUPANCY15SUED p SIGNATURE: