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HomeMy WebLinkAboutF2023-0579 - Permits�EWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0579 I, Community Development Department- Building Division F 2 0 2 3 0 5 7 9 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2897 u r+► = Permit Counter Phone: (949) 718-1888 Issued Date : 11/30/2023 .y„ newportbeachca.gov/civic Final Date: C4</FpftN�P Combination Type - SFP Permit Status: Issued Work Class - Other Inspection Area : 5 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 : 8 SIDNEY BAY DR Legal Desc : N TR 15445 BLK LOT 21 Description : SFR - FIRE SPRINKLER SYSTEM. 39 HEADS (XR2022-2778) Owner: DANIEL ROBINSON Address : 8 SIDNEY BAY DR NEWPORT COAST, CA 92657 Phone Applicant: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Owner/Builder : Address : Phone Contractor: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Con State Lie: 876004 Lie Expire : 04/30/2024 Bus Lie: BT30040107 Bus Lie Expire : 07/31/2024 Workers' Compensation Insurance Carrier: NATIONAL CASUALTY COMPANY Policy No: SWC1373758 W. C. Expire: 2/15/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : YES Occupancy Groups : No of Units : 1 Bldg Height: No of Stories Building Setbacks Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: /Ijo .. SPECIAL CONDITIONS: Architect Address Phone: State Lie: Engineer: Address Phone Designer: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Construction Valuation : $3,900.00 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 penalty of perjury that I am exam at from the Contractors' State License Law for Ilia reasons) indicated below by the checkmark(s) I have placed next to the applicable item{s) (Section 7031.5. BUSlltesa end Professions Code: Any city or county that Requires a permit to construct. alter, Improve, demolish, or repair any structure, prior tG its issuance, also requires the applicant for the pormit to file a signed statement that he or she is licensed pursuant to Ilia 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 licensum and the basis for the alleged exemption. Any violation of Section 7031 S by any applicant for a permit Subjects the applieantto 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 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). ❑ 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). 0 I am exempt from licensors under the Contractors' State License Law for the following reason: By my signature bedovu I acknowledge that, except for my personal residence in which I must have rosfdad fora; least one year prior to completion of the improvements covered by this permit, i cannot Iegali, gall a structure that I have bu1ll 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 vYeb site;htip:liLhmvr.leginfo.ca.gav(calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION -- I hereby affirm under penaltyof perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000). f Division 3 of the Business and Professi�o ms C�ode, and''. my license is In full force and effect. License Class License No +'37ata; - 0 t Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: 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), 1N ADDITION TO THE nOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, Me ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 th )erformance, 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 Expiration Date of Agent JI certify that, in the performance of the work for which 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 agro iat, if I should become subject to the workers' compensation provisions or Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0gnatureof.Applicant ,._ _ '�� _ �.t .�..• �, `, 30,� 1> IECLARATION RE'.GAROI G GONS uCTION LENDING AGENCY ^` hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature below, I Certi6y tG 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 dty and county ordinances and state laws relating to building. construction. I authorize representatives of this city or county to enterthe above -Identified property for inspection purposes. ACTION GATE I BY °. DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 51 OF TITLE. 40 AND AQMD RULE 1403 _. FOR OFFICE USE ONLY PERMiTEXPIRED SUBMITTED ASBESTOS NOTIFICATION TO _ PERITIFCANCR ED T __ —jk�— —� tP ....... ,I P€RVItFEXTFND€D _ FF -- _ LJAQMb� ....... (,J �t ASBESTOS NOTJHCAIiON IS NOTAPPLICABLE TO CER7IF CA�e OF l—� 1'Z+ PROPOSED DEMOLITION OCCUPANCVISSUEU SIGNATURE: