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Home My WebLink AboutF2023-0003 - Permitso��EWPoRr City of Newport Beach Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u tea.. Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Addition/Alteration COMB Permit : F2023-0003 F�� I� Plan Check No: PC2022-2290 Issued Date : 0110312023 Inspection Area : 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 SPRINKLERS (DELTA 1-REV2023-0002) ADD'L 26 HEADS Owner: JEFFREY CLARK Contractor: KELLY FIRE PROT INC Address : 1732 CANDLESTICK LN Address : 10141 THESEUS DR NEWPORT BEACH, CA 92660 HUNTINGTON BEACH, CA 92646 Phone: Applicant: KELLY FIRE PROT INC Address : 10141 THESEUS DR HUNTINGTON BEACH, CA 92646 Phone: (714)907-7586 Owner/Builder : Address : Phone: Phone: (714)907-7586 Con State Lie : 878823 Lie Expire: 08/31/2023 Bus Lie: BT30070761 Bus Lie Expire : 01/31/2023 Workers' Compensation Insurance Carrier: AMERICAN FAMILY HOME INSURANCE COMPANY Policy No : 2EA5WC0000246 W. C. Expire : 4/11/2023 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 : 2 Building Setbacks : Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone : r1 State Lie ee Engineer: Address: Phone Designer: KELLY FIRE PROT INC Address : 10141 THESEUS DR HUNTINGTON BEACH, CA 92646 Phone : (714) 907-7586 Construction Valuation : $2,600.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New, sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 itemis) ;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 :he 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 yrofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.E by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500), I, 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 Sole) - El I, 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 apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 71 1 am exempt from licensure 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 ithas not been constructed in its entirety by licensed Contractors. I understand that a copy of theapplicable 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:tiw .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 7000) of_0j fsion 3 of the Business and Profes ions Code, and m I license is In full force and effect. License Class License. No Date 22— Contractor Signatur < ✓PORKERS' COMPENSATION DECLARATION NABBING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND Doi. DD.00Dj. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure tot workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth, ,performance 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 permit is issued. My workers' carder and policy number are: tar Policy Number Expiration Dale ie of Agent Phone # 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 taws of California, and agre if I should become;ubject)0 the workers' corppensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Of Date hereby affirm under penalty of perjury thaf'tfierais-e�onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name, Lenders Address ly 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 all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this City or county to enter the above -Identified property for inspection purposes. ) ACTION I DATE I BY k REGULATOECLARATIONS PART SI 4P TITE407AND AQVID RULEH CODE OF FEDERAL FOR OFFICE USE ONLY PERMIT EXPIRED l_-I I SUBMITTED ASBESTOS NOTIFICATION TO PERMIFCANCELLED PERMITEXTENDED —•''OEPA LJAQMD PERM7TPINAL CERTIFICATE OF MASBES105 NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: