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
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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:
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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: