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HomeMy WebLinkAboutF2023-0244 - PermitsSEW PO?T City of Newport Beach II IIIIIIIIIII�IIIIIIIIIIIIIIIIII II COMB Permit: F2023-0244 ' A Community Development Department- Building Division F 2 0 2 3 0 2 4 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1257 Permit Counter Phone: (949) 718-1888 Issued Date : 05/25/2023 u « newportbeachca.gov/civic Inspection Area : 8 C .w, iNi, 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 : 1618 HIGHLAND DR Legal Desc : N TR 3800 BLK LOT 7 Description: SFR FIRE SPRINKLER SYSTEM (48) HEADS (XR2022-2117) Owner: CALIE FAMILY TRUST Contractor: FIREGUARD SPRINKLER SYSTEMS Architect Address : 1600 DOVE ST STE450 Address : 7907 LEEDS ST Address NEWPORT BEACH, CA 92660 DOWNEY, CA 90242 > ' Phone: Phone: (714)310-0194 Phone: Con State Lie : 992002 State Lie Lie Expire : 04/30/2024 Applicant : FIREGUARD SPRINKLER SYSTEMS Bus Lie: BT30078648 Engineer Address : 7907 LEEDS ST Bus Lie Expire : 05/31/2023 Address : • • > > DOWNEY, CA 90242 Phone: (714) 310-0194 Workers' Compensation Insurance Phone: Carrier: FALLS LAKE FIRE & CASUALTY CO Owner/Builder : Policy No : FLA008008 Designer: FIREGUARD SPRINKLER S ySTEMS Address : W. C. Expire : 12/29/2023 Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: Phone: (714) 310-0194 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $9,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R3/U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-11-66/00000j�- Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: R ! M7.'4n M.✓ �,�;F3 v�. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) Indicated below by the checkmark(s) I have placed next to the applicable ftem(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 :he 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). 71 I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 [hat 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 improvesthereon, and whe contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). L-.l I am exempt from licehsureunder 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 la completion of the improvements covered by this permit, I Gannet legal sell a structure that I have built as an ovmor-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''Neb site:httprl/www.teginfo.ca.gov/calaw.tltml. Signature of Property Owner or Authorized Agent __.�. at _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 ) f Ivi " the Business and Prof sin Cod my license is In full farce and effect. License Class License. No Date Contractor Signature JJORKEPS' CCIA PEN SATION DECLARATION NARJING: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 (S100,000), IN ADDITION TO TH COST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEy's FEES. hereby affirm under peoHlty of perjury one of the following declarations: I.I-Hcsa 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 if bo fnrn nce of thr work for which this permit is issued. Policy No- 6 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' M1 arrier and policy number are: ".c Lf Agent __ cenity that, in the re . if I should become Policy Number Date 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 agre the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date _.1 (__/_ [_ [................... . CLARATIpN REGA ONSTRUCTI LENAING AGENCY areby 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). ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the proowner's behalf. I have read this application and the information I have PrcvNed is correct. I agree to comply with ail applicable city and county or inan es and state laws relating to building construction. r I authorize representatives of this city or county to ont r the ve-Idefied property for inspection purposes. ACTION DATE. BY ' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED (SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLER EPA PERiYRTFINAL W I U ASBESTOS NOII FICATION IS NOT APPLICABLE TO CERTIFICATE OF Z I PROPOSER DEMOLITION OCCUPANCY ISSUED F SIGNATURE: