HomeMy WebLinkAboutF2023-0226 - PermitsEWpoR_ City of Newport Beach II' I IIIIII III II II II I II IIII II COMB Permit : F2023-0226
Community Development Department- Building Division F 2 0 2 3 0 2 2 6
>'g y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1124
Permit Counter Phone: (949) 718-1888 Issued Date : 05/16I2023
S
newportbeachca.gov/civic Inspection Area : 5
Combination Type - SFP
Work Class - Addition
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 : 552 SEAWARD RD
Legal Desc : N TR 1237 BLK LOT 178 TRACT NO
1237 LOT 178 AND TRACT NO 147 95 LOT 4
Description: SFR NORTH BUILDING; FIRE SPRINKLER SYSTEM (8) HEADS (X2021-1677)
Owner: BRYAN ROGERS CALIFORNIA RESIDENCE
Contractor: RESIDENTIAL FIRE SYSTEMS INC
Architect:
TRUST
Address : 552 SEAWARD RD
Address : 8085 E CRYSTAL DR
Address
CORONA DEL MAR, CA 92625
ANAHEIM, CA 92807
Phone:
Phone: (714)666-8450
Phone: - -
Con State Lic : 786965
State Lic:
Lic Expire: 11/30/2024
Applicant: RESIDENTIAL FIRE SYSTEMS INC
Bus Lic : BT30003809
Engineer:
Address : 8085 E CRYSTAL DR
Bus Lic Expire : 04/30/2024
Address
ANAHEIM, CA 92807
_
Phone: (714) 666-8450
Workers' Compensation Insurance
Phone:
Carrier: PACIFIC COMPENSATION INS CO
Owner/Builder :
Policy No: WA00712001
Designer: RESIDENTIAL FIRE S"STEMS INC
Address :
W. C. Expire: 9/1/2023
Address : 8085 E CRYSTAL DR
ANAHEIM, CA 92807
Phone:
Phone: (714)666-8450
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $4,018.00
Type of Construction : V-B
Fire Hazard Zone : YES
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R3/U
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks : Front: 5, 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:
I N vP LE: CTV 1
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 to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ie 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
'rofessions 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
of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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
nprovements 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
nproved for the purpose of sale).
I, 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
.poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
1 am exempt from licensure under the ContractorsState License Law for the following reason:
ly 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
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 applicable law, Section 7044 of the Business and
'rofessions Code, Is available upon request when this application is submitted or at the following Web site:hhp:llwww.leginfo.ca.govlcalaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section o ) of Division 3 of the Business and Professions_90dit.a -fY (IJIEense is in full force
nd effect. License Gass License No Date Contractor Signatum—,e C
VORKERS' COMPENSATION DECLARATION
IARNINr: -NLURE I SSCL'RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
.OAT OF CCAPENSA_ IOI:. DAI.AGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hher2by Tffirm under penalty of perjury one of the following declarations:
.Y I have and Will, maintein a certificate of consent to self -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for [IT
ertySma,lce of Iha .vu� k for which this permit is issued. Policy No.
and will mzlrt9in 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'
parrier end policy number are:
ie of Agent
certify that, in tha performance of the work for
it I should berome -ubjecl to the work Is'
Iature of Applicant
Policy Number
Date
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
stjon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
DaQ-0 - Z3 _. _- __
;reby affirm under penalty of perjury that there is a crInstmction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
lder's Name Lender s Address
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 entac4pe,aboye,-0entified property for inspection purposes. i
ACTION DATE i, BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATEOF
OCCUPANCYISSUED
�lZdrLN VQ
( i
DECLARATIO"F SOMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
EMULATIONS PART fit OF TITLE 40 AND AQMD RULE
TO
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION