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Home My WebLink AboutF2023-0030 - PermitsD��EWPD�T City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r Permit Counter Phone: (949) 644-3288 e., Inspection Requests Phone: (949) 644-3255 cq</FORN�p newportbeachca.gov/inspections Combination Type - SFP Work Class - New F 2 02 3 0 0 3 0II COMB Permit: F2023-0030 Plan Check No : PC2023-0118 Issued Date : 01/18/2023 Inspection Area : 3 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 : 1227 BERKSHIRE LN Legal Desc : N TR 3031 BLK LOT 19 Description: SFR FIRE SPRINKLERS - 57 HEADS (X2021-3424) Owner: LLOYD RUCKER Address: 260 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: (949)463-4509 Applicant: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone : (714)310-0194 Owner/Builder : Address : Phone Contractor: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Con State Lie : 992002 Lie Expire : 04/30/2024 Bus Lie: BT30078648 Bus Lie Expire : 05/31/2023 Workers' Compensation Insurance Carrier: FALLS LAKE FIRE 8 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 : 2 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: Architect Address Phone: State Lie Engineer Address Phone Designer: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Construction Valuation : $10,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 t 7ry A 3 ^a `e.9 2 ® OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit t0 construct, alter, improve, demolish,or repair any structure, prior to its Issuance, also requires the applicant for the permit to file 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 licensure 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). LJ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code; The ContractorsState 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). 0 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 Omer of property who builds or improvesthereon; 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, 1 cannot legal 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 appl41aw, 70" of the Business and Professions Code, is available upon request when this application is submitted or at the following WebSignature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (oommencing with Section 7000) of i s ,Sya Business and and my license is In full force and effect. License Class License. No Date ontractor Signa WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS f6100,0061. IN ADDnION TO THI COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR GCDa. INTEREST, Me ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent (0 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tl pe rmance 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` carrier and policy number are: Policy Number of Agent Date certify that, in the perferma ce o the work for which this permit is issued. shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agre t, If I should become subjec. to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. nature of Applicant Da CLARATION REGARDI N CTIGN LENDING AGENCY—��—..�. areby affirm under penalty of a '. Iry that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Aer's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to Sol on the prop owner's behalf. I have read this application and the information have ovi d is correct, I agree to comply with all appllcat c cay Ji,d co.u.ty or cianc :end scale lades relating to ouildingconstruction.I authorize representatives of this c'y or county to entur the P r]`ve-idemified property for inspection purposes. Ip I/p // ��/y 1 i—f, ire of Prnne,4 i n mnar nr L, Ihn .. H Le b./ , 1Prrnl Prnnortv r']oJnare nr dulhnrioorl dnanPc Namara Ji II A) 1 ! C) fla}w I I � rl r L% ACTION PERMIT EXPIRED PERMIT CAIVCEldED P€RN11T EXTENDED PERW FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE. ` BY ; DECLNi,AytON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY Ih ' AEG"JliifIONS -AR' 61 OF TITLE 40 AND AQMD RULE [DEMOLITIONION IS NOT APPLICABLE TO PROPOSED