HomeMy WebLinkAboutF2024-0071 - PermitsE iPgnT
City of Newport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Combination Type - MFP
Work Class - Alteration
11illillillillillillilliillillillillillillilliillillillillillijl COMB Permit : F2024-0071
Plan Check No: PC2024-0266
Issued Date : 02/1512024
Final Date:
Permit Status: Issued� i
Inspection Area/ f ` 2(r
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 : 111 VIA FLORENCE Legal Desc : N TR 907 BLK LOT 979 TR 907 LOT 979 NELY 20 FT THE
Description : MFR UNDERGROUND FIRELINE (X�2022-0804) - -.
Owner: MAKAREHCHI FAMILY TRUST
Address : 6155 E HENNING VIEW TERRACE
ANAHEIM, CA 92807
Phone: (310)591-9998
Applicant: BASE LINE FIRE PROTECTION INC
Address : 7911 IMPERIAL HWY, 2152
DOWNEY, CA 90242
Phone: (562)291-8252
Owner/Builder :
Address :
Phone
Contractor:
BASE LINE FIRE PROTECTION INC
Address :
7911 IMPERIAL HWY, 2152
DOWNEY, CA 90242
Phone:
(562)291-8252
Con State Lie
: 995049
Lie Expire :
07/31/2024
Bus Lie:
BT30083055
Bus Lie Expire : 11/30/2024
Workers' Compensation Insurance
Carrier: MARKEL AMERICAN INS. COMPANY
Policy No : MWC0100708
W. C. Expire : 9/26/2024
Code Edition : 2022
Fire Sprinklers :
YES
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : R2
No of Units :
5
Bldg Height :
No of Stories :
2
Building Setbacks : Front: 0, Front: 4, Side: 4, Side: 4
Flood Zone
Use Zone: R- �- Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone
Designer: BASE LINE FIRE PROTEU,,ON INC
Address : 7911 IMPERIAL r;vVY, 2152
DOWNEY, CA 60242
Phone : (562) 291-8252
Construction Valuatiol, . $5,000.0
Added/New/Ti sq. ft. Bldc • 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION I-
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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
: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
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
Tot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not Intended or offered for sale (Section 70",
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).
❑ 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
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).
❑ 1 am exempt from licensure under the Contractors' Slate 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://www.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 Sec'o Alof Divisign 3 f the Bu ess and Profession ode, an a is in full force
and effect. License Class License No D e <> ontra or Signature
COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO Of E HUNDRED THOUSAND DOLLARS ($100,000), 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 per°ury one of the following declarations:
I have and will maintain 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
formance of the work for which this permit is issued. Policy No.
and WEI maintain workers compensation insurance, as required
carrier and policy number are:
.Z f��`/ Policy Number_
by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers'
Date
m4 of Agent _ Phone #
certify that, in in edarmance of the work for w i h this permit is issued, I shall not employ any person in any manner so as to become subject to the worke s' compensaton laws of California, and agree
I, if I should bet; a ruble 1,10 the workers' mp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _
nature of Applic `--c+- Da S
CLARATION R wA DING CONSTRUCTION LENDING AGENCY
areby affirm under nPralty of pdrlury that there is a construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097, Civil Code).
1der's Name ° Lenders 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 slate 1 relating to building construction. / Y
I authorize representatives of this city or county to epter he above -id dl y perty for inspection purposes. • e—L.-
ACTION
DATE
BY
DECLARATION OF COMPLIANCErITH CODE OF FEDERAL
REGULATIO PART 61 T 40 AND AQMD RULE
1403 —
FOR OFFICE USE ONLY
PERMITEXPIRED
L3 I SUBMITTED ASBESTOS NOTI FICATION TO
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PERMIT EXTENDED
UAQVID
PERMITFINALVU(ML-IMSASBESTOS
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OCCUPANCYISSUEO
NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
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