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Home My WebLink AboutF2022-0602 - Permitsk�E�PoRr City of Newport Beach C Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ' n Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq</FppN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - New COMB Permit : F2O22-0602 Plan Check No: PC2022-2968 Issued Date : 11/2912022 Inspection Area : 2 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 : 434 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 488 TR 907 LOT 488 SELY 20 FT AND NWLY 10 F T LOT 489 Description : SFR FIRE SPRINKLER SYSTEM 31 HEADS (X2021-1915) Owner: NEWKIRK JAMES A TR Address : 245 CRESCENT BAY DR LAGUNA BEACH, CA 92651 Phone Applicant : Fireguard Sprinkler Systems, Inc. Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Owner/Builder Address : Phone Contractor : Fireguard Sprinkler Systems, Inc. Architect Address : 7907 LEEDS ST Address DOWNEY, CA 90242 Phone : (714) 310-0194 Phone Con State Lic : 992002 State Lic Lic Expire : 04/30/2024 Bus Lic: BT30078648 Engineer: Bus Lic Expire : 05/31/2023 Address Workers' Compensation Insurance Phone: Carrier: FALLS+LAKE+FIRE+AND+CASUALTY+COMP ANY Policy No: FLA008008 Designer W. C. Expire: 12/29/2022 Address Phone: Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : No of Units : Bldg Height : No of Stories Building Setbacks : Front: 4, Front: 0 Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: Fireguard Sprinkler Systems, Inc. 7907 LEEDS ST DOWNEY, CA 90242 (714)310-0194 YES Construction Valuation : $6,000.00 NO Added/New/Tl sq. ft. Bldg: 0 1 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 rot the permit to rile 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 (S500).. 1, as owner of the property, or my employees with swages as their sole compensation, will do L) 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. 11, 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 thepurpose of sale). El 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 owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from Bcensure 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, I cannot legall, sell a structure that I have built as an ownor-builder if it has not boon 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:l wwvr.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent - to LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter S (commencing with Section 0 f i ' ' �, J lie Business and Pro si s Co , and. my li ense is in full force land effect. License Class License No Date I- tZontractor Signature COMPENSATION DECLARATION ING; 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 (S100,0001, IN ADDITION TO OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3T030F THE LABOR Coo€, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 mlanc , of the work for which this permit is issued. Policy No. ItTSLwill 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 p arm n e of th work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers rupensafloD laws of California, and agre t, if I should become ct the w kers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q r� nature of Applicant Date z 1 L CLARATION REGA.' ING CC R CTION LENDING AGENCY Ieby affirm under penalty of perj at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,. ivl Code). Ider's Name Lender's Address my signature below, I Darllfy to each of the following: 1 am the property owner or authorized to act on the grope Ids behalf. I have read this application and the niormaii n t ve pr irrect. I agree to comply with all applicable city and ordi anslate laws relatin to buildin construction. I authorize repesentatives of this city or countTj i enter heentified property for inspection purposes. ACTION DATE BY ✓ i BFGJt ATIO OF CO1 LI NCE AITACODE OF RULEAL FOR OFFICE USE ONLY PERMITEXPIREO - UI..GEMI7ED ASBFST11S NOTIFICATION TO PERMITCANCELLED M PA PERM)TFINAL ------ —Z-'g� �� L� ASBESTOS NOT IFICATION IS NOT APPLICABLE TO CERTIFICATE OF _!. a PROPOSED DEMOLITION DCCUPANCVISSUED 9 SIGNATJRE: AMINIMMEM I L4 1 Lin 11 0 I� MMA awl a apaI- 07 K" w Im wa�wim0 I� 0 El EJ El �3