HomeMy WebLinkAboutF2023-0236 - Permits�EvuaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2U23-0236
o� @ Community Development Department- Building Division F 2 0 2 3 9 2 3 6
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1201
Permit Counter Phone: (949) 718-1888 Issued Date : 05/22/2023
�s. newportbeachca.gov/civic Inspection Area : 3
cgCIFORN�P Combination Type - SFP
Work Class - Alteration
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 : 1746 TRADEWINDS LN Legal Desc : N TR 3082 BLK LOT 77
Description : SFR - FIRE SPRINKLER SYSTEM RELOCATE (3) HEADS (XR2022-2921)
Owner: KALATSCHAN JIM/KALATSCHAN STEPHANIE
Contractor : KELLY FIRE PROT INC
Architect
Address : 1746 TRADEWINDS LN
Address : 10141 THESEUS DR
Address
NEWPORT BEACH, CA 92660
HUNTINGTON BEACH, CA 92646
Phone : (714) 350-8900
Phone : (714) 907-7586
Phone
Con State Lie : 878823
State Lie
Lie Expire : 08/31/2023
Applicant: KELLY FIRE PROT INC
Bus Lie: BT30070761
Engineer
Address : 10141 THESEUS DR
Bus Lie Expire : 01/31/2024
Address
HUNTINGTON BEACH, CA 92646
Phone: (714) 907-7586
Workers' Compensation Insurance
Phone:
Carrier: INSURANCE CO OF THE WEST
Owner/Builder :
Policy No: WVE507050500
Designer
Address :
W. C. Expire : 4/11/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : NO
Added/NewITI sq. ft. Bldg:
Occupancy Groups : R3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
iNSi"EC R
$1,000.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason($) indicated below by the checkmark(s) I have placed next io the applicable items)
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
is 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 licensors 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
at more than five hundred dopers ($500).
3 L as owner of the property, or my employees with wages 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,
Iusiness 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
nprovements 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
nproved for the purpose of sale).
3 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
p€y 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).
I am exempt from licensum under the Contractors' State License Law for the following reason: _ _
iy 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,
all a structure that I have built as an owner -builder if it. has not boon constructed in its onfiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site;http:liwww.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penaltyof perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Of Division 3 of the Business and Professio o Code, a ry license is In full force
nd effect. License Class License No Date 1-1f2 —,;5 Contractor Signature
JORKERS' COMPENSATION DECLARATION `��"
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FRIESUP TOONE HUNDREO THOUSAND DOLLARl; , 11 IN ADDRION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TD6 OF THE LABOR CODE, INTERE$T', AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and wilt 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
erformanco of the work for which this permit is issued. Policy No.
and win 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'
carriLr Aau policy number Arai
Policy Number
of Agen _
Date
citify that, in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and
it I should becnm3 subject to the workers' conypensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date Jr- Pa'.?'3
!rahy affirm under penalty of perjury that there Sa traction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
odor's Name Co Lender's Address
my E'.gnature, oelow. 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 cjraply Rith all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to ee•r the above -identified property for inspection purposes.
nature of Property Owner or Authorized Agent 'e-, )� Print Prooerty Owner's or Authorized Aaent's Name
J2-J
ACTION
DATE
BY DKCLARA71ON OF CO PLIANCE WITH LODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PA . DF TITLE 40 AND AQMD RULE
t 1403
PERMIT EXPIRED
1 5U RMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
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PERit-fiT EXTENDED
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PEflMI7 FINAL
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PA1yES105 NOTIFICATION 15 NOT APPUCAdLE JW
CERTIFICATE OF
OCCUPANCY ISSUED
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