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HomeMy WebLinkAboutF2022-0590 - PermitsNonT City Of Newport Beach k�e: p d Community Development Department- Building Division 1DO Civic Center Drive, Newport Beach, CA 92660 J Permit Counter Phone: (949) 644-3288 w Inspection Requests Phone: (949) 644-3255 cqC/FpR��P newportbeachca.gov/inspections Combination Type - Work Class - Other F 2 0 2 2 0 5 9 0II COMB Permit: F2022-0590 Plan Check No : PC2022-2881 Issued Date : 0210112023 Inspection Area : FIRE 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 goa50 l31t2G4 \ ST. Job Address: 2122,0 IARD DR Legal Desc : N TR 706 BLK LOT 131 TR 706 LOT 132 NWLY 67 FT SELY 233 FT & NWLY 67 FT Description : COMM FIRE SPRINKLERS 154 HEADS (X2021-1872) Owner: GFA PROPERTIES LLC Address : 600 ANTON BLVD STE1700 COSTA MESA, CA 92626 Phone Applicant: CAL -WEST FIRE PROT Address : 1113 N GATES STREET SANTA ANA, CA 92703 Phone : (714) 497-7227 Owner/Builder : Address : Phone Contractor: CAL -WEST FIRE PROT Address : 1113 N GATES STREET SANTA ANA, CA 92703 Phone: (714)497-7227 Con State Lie : 870249 Lie Expire : 12/31/2023 Bus Lie: BT30079401 Bus Lie Expire : 08/31/2023 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INSURANCE CO Policy No: SWC1382801 W. C. Expire : 2/27/2023 Architect Address Phone: State Lie Engineer Address Phone Designer: CAL -WEST FIRE PROT Address: 1113 N GATES STREET SANTA ANA, CA 92703 Phone: (714)497-7227 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $85,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg: Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : S -7 - Santa Ana Heights Specific Plan PROCESSED BY ` SPECIAL CONDITIONS: 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 Lem(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 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 libensure 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (-) all of or (_) 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 bullt 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), D I am exempt from licensure 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 fegall sell a structure that I have built as an owner-buildor 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 N'eb site:http:Jlwww.leginfo.ca,govlcalaw.htmL Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perju ", I I am licensed under provisions o�Cjaapter co>�m� ink with Section 7000) of Division 3 of the Business and Prate ions-E. &�rg_aftCan�e'is7a fail force and effect. License Class License. No `h L. c� le Contractor Signatur WORKERS' COMPENSATION D :Ct;PiRATION WARNING: 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 (E100,0001, IN ADDMON TO THE COST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: © I hav hd 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 IN Y ce 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` compensatio carrier and policy number are: Policy Number Expiration Date Name of Agent Phone N I certify that, inthe performance of the work for which this permit is issued, I shall nrs' riot employ any person in any manner so as to become subject to the workecompensation I ws of71forma. and agra that, If 'should become subject Li _ mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ - D 2 2 DECLARATION REG�r3 NS RUCTION DING AGENCY [hereby affirm under penal Df perju re is a construction lending agency for the performance of the work for which this permit is issued (Section 3091Vil Cade). Lenders Name Loner's Address By 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 andthe information I have provided is correct. I agree to comply with all applicable city and county ord'anances-6rrjAilate laws relating to building. construction. I authorize representatives of this city or Dount Io-erf.. .aaboGe-identified property for inspection purposes. 2 Signature of Propertyy Owner or Authorized Agent _ - Pont Property Owner's or Authorized Age nI's Name Date ACTION DATE By Jft AT' OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY BEG TIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 _ PERMITEXPIRED U I SUBMITTED A5BESTO5 NOTIFICATION TO PERMITCANCRLED EIEPA PERMIT EhTENDED T—�TII4QMD PERMITFINAL ASBELJ 5Tp5 NOTIFICATION IS NOTAPPCICABLE 'rp CERTIFICArf OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: