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Home My WebLink AboutF2023-0592 - PermitsaEwvoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2U23-o592 �� em Community Development Department - Building Division F 2 0 2 3 0 6 9 2 y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2972 Permit Counter Phone: (949) 718-1888 Issued Date : 12/12/2023 U r newportbeachca.gov/civic Final Date: CgCIF00.�`P Combination Type - SFP Permit Status: Issued Work Class - Addition/Alteration 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 : 1915 SANTIAGO DR Legal Desc : N TR 4709 BLK LOT 6 Descriptowl : 3FR FIRE SPRINKLERS 33 HEADS (XR2023-0891) Owner : MICI IAEL KANE FAMILY TR Contractor: FIREPROOF FIRE PROTECTION Address : 1915 SANTIAGO DR Address : 1101 KINGSTON DR P'EWPORT BEACH, CA 92660 LA HABRA, CA 90631 Hhore: (049)246-4817 Phone: (714)476-5370 Con State Lie : 8760D4 Lie Expire : 04/30/2024 Applicant: FIREPROOF FIRE PROTECTION Bus Lie : BT30040107 Address : 11.01 KINGSTON DR Bus Lie Expire : 07/31/2024 LA HABRA, CA 90631 PhnnA : (714)1176-5370 Workers' Compensation Insurance Carrier: NATIONAL CASUALTY COMPANY Owner/Builder : Policy No : SWC1373758 Address : W. C. Expire: 2/15/2024 Phone: 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 -,dingle-Unit Residential (6000 indicates minimum lot area) PROCESSED BY 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 : Added/NewITI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 t 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 tennis) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernelish, or repair any structure, prior to its Issuance, also requires the applicant for the 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 not more than five hundred dollars ($500). 0 1, 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, 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). 13 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 properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). 0 I 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 bythis 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 copyof 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:(JviAw.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 700,of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date • 1 Contractor Signature WORKERS' COMPENSATION DECLARATION NANNING! FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. PINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,0001IN Ail0n10N TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury 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 Sode, for ormanee 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 worriers' carrier and policy number are: Policy Number Expiration Date of Agent Phone ff _ JI certify filet. 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 age rat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �I signature of Applicant_ �_ _ Dale tECLARAT€ON REGARDINIGUCTION LENDING AGENCY -�—r-- ---- 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). adder's Name Lenders Address ly my signature below, I certify to each of the following:—'� I ant 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. Ilenature Of Property Owner or Authorized Agenl ).�\— Pool Property Owner's or Authorized Aoents Name Date lv ACTION DATE RY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 51 OF TITLE 40 AND AQMD PULL 1403 PERMIT EXPIRED El I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED --- r1CPA PERNIITFINA! ' U ASBESTOS NOt IFICA'TION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED 1A I SIGNATURE;