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HomeMy WebLinkAboutF2023-0272 - PermitsSavo City of Newport Beach III���I�II�II��II�II���IIIIIIi�llll�l�lll��l�lll�l��lll9lll �' Rr y p COMB Permit:F2023-0272 D @ Community Development Department -Building Division F 2 0 2 3 0 2 7 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1386 = Permit Counter Phone: (949) 718-1888 Issued Date : 06/07/2023 en newportbeachca.gov/civic Inspection Area : 8 Combination Type - SFP Work Class - New 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 : 427 SANTA ANA AVE Legal Desc : N TR 27 BLK 12 LOT 6 TR 27 LOT 6 BILK 12 SELY 72 FT(AND SELY 72 FT LOT Description: SFR FIRE SPRINKLERS (X2021-2994) 42 HEADS Owner: FAZIO INVESTMENTS LLC Address: 420 CATALINA DR NEWPORT BEACH, CA 92663 Phone: (714)376-3221 Applicant: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Contractor: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Con State Lic : 992002 Lic Expire : 04/30/2024 Bus Lic : BT30078648 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: FALLS LAKE FIRE 8 CASUALTY CO Policy No: FLA008008 W. C. Expire: 12/29/2023 2022 Fire Sprinklers : NO V-B Fire Hazard Zone : NO R3/U No of Units : 1 No of Stories : 2 Building Setbacks : Front: 5, Side: 4, Side: 4, Rear: 10 Flood Zone: X Use Zone : R-1 - Single -Unit Residential Jq PROCESSED BY: SPECIAL CONDITIONS: 1 w'y Architect Address Phone: State Lic Engineer: Address : Phone Designer: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Construction Valuation : $8,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicableitem(s) Section 7031.5, Business and Professions Code: Arty 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 (dessions 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 civic penalty of of more than five hundred dollars ($500). 1, 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, usiness 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 builtor it roved for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business end Professions Code: The Contractors' Stale License Law does not pply 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). J I am exempt from Iicensure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior [0 completion of the Improvements covered by this permil, I.cannot legal],, all a structure that I have built as an owner -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 rofessions Code, is available upon request when this application is submitted or at the foifoWng Web site:httpllwww.teginfo.ca.govicalaw.hhnl. Ignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) - the Business and Prof Code, my licenseisIn full force nd effect. License Class License. No Data Contractor Signatu IIORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIYIL FRIES UP TOONE HUNDRED TNOUSANlYbOLLARS IS1DICAM, IN ADDITION TO THE AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STII OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES, hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will maintain a certificate of consent to seiNnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth( ���0{{{..���fff000rmance of the work for which this permit Is issued. Policy No. I cave 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' compensation i rance carrier and policy number are: artier Policy Number Expiration Dale Jame of Agent Phone # 71 certify that. in th=peduhat rk for which this permit is Issued. I shelf not employ any person in any manner so as to become subject to the workers' compeennsaatioonn laws of California. and agier hat, if I should beco' co satlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % Signature of Applicav )ECLARATION ICENOCTION LENDING AGENCY hereby affirm undehet there is a construction (ending agency for the performance of the work for which this permit is issued (Section 3097, Vil Code). .enders Name Lenders Address l y my signature below, I certify to each of the following: I am the property owner or authorized to act on the pfdinance y o ner's behalf. I have read this application and the Information I havvide I is correct. I agree to comply with all applicable city and county and slate laws relating to building construction. I authorize representatives of this city or coup to ane o -identified property for inspection purposes. ii nature of Property Owner or Authorized A e: Pont. Prooerly Owner's or Authoized A ent's Name g, i, & Date ACTION DATE BY DEOLAR ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULA IONS PART 51 OF TRLE 40AND AQMD RULE 1403 _ PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICA'104 TO PERMITEXTENDED L..14QMD PERMIT FINAL �y(! �[jS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OE / Y PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: