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Home My WebLink AboutF2023-0176 - Permits�eWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2U23-0176 Community Development Department- Building Division F 2 0 2 3 0 1 7 6 F, 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0927 i Permit Counter Phone: (949) 644-3288 Issued Date : 04/24/2023 >r .a. Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 CgC�FOAN�P newponbeachca.gov/inspections 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 : 1763 OCEAN BLVD Legal Desc : N TR 518 BLK C LOT 16 Description: SFR - INSTALL (45) FIRE SPRINKLER HEADS (XR2022-2189) Owner: CONTESSA II LC Contractor: FIREGUARD SPRINKLER SYSTEMS Architect Address : 19262 MESA DR Address : 7907 LEEDS ST Address VILLA PARK, CA 92861 DOWNEY, CA 90242 • _, Phone: Phone: (714)310-0194 Phone: •, Con State Lic : 992002 State Lic Lic Expire : 04/30/2024 Applicant: FIREGUARD SPRINKLER SYSTEMS Bus Lic : BT30078648 Engineer: ' Address : 7907 LEEDS ST Bus Lic 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 SYSTEM.}' • • ; Address : W. C. Expire : 12/29/2023 Address : 7907 LEEDS ST DOWNEY, CA 90242 , Phone: Phone: (714) 310-0194 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $7,000.00 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 : 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side:4, Side: 4, Rear: 0o CONSTRUCTION NOISE Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: ce (')N THE WEEKEND SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE OWNER -BUILDER DECLARATION 1 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 Items) clan 7031.5, Business and Professions Code; Any city or county chat requires a permit to construct, alter, improve, demolish, or repair any structure,. prior to its issuance, also requires the applicant for 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 fessions Code) or that he or she is exempt from licepsure 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 more than file hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, .mess end 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 rovements are not Inteatded 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 roved for the purpose of sale). 1, 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 ly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J I am exempt from licepsure under the Contractors' State License Law for the following reason: ,y my signature below l 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 all a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 71 'rofessions Code, is available upon request when this application is submitted or at the following Web site: http:/I w .leginfo.ca,gov/calaw.htmi. signature of Property Owner or Authorized Agent 0 _ ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commera Dg with Section 70 ) I I. 7 v igrr9of the Business and Professio s C nd effect, Licence Class License No Data Contractor Signature VORKERS' COMPENSATION DECLARATION rmit, I cannot Business and license is In full force ^P9'S3 rAILURE L _EdURE VIORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADD rrION TO THE EST OF COMPENSATION nAMAGES AS PROVIDED FOR IN SECTION 3TOE OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he.ebyaffirm underpenalty of perjury one of the following declarations: I I have and will mai,ttain a Certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided tar by Section 3700 of the Labor Code, forth erformance of the work for which this permit is issued. Policy No. have and will rao,Itain workers' compensation insurance, as required by Section 3700 of the Labor Code.. for (he performance of the work for which this permit is issued. My workers' rance ^arrier and fc:i-y number are: le of Agent cerafu thal. in the pen if I should become s Iature of Applicant __ Policy Number Date 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 kerscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q Data,_��2� Z� ICTION LENOINC AGENCY uriby 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). tdee$ Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the p pe owner's behalf. 1 have read this application and the Information I hav pia tled G correct. I agree to aompiY with all applicable city and oowlty rdlna. cos and state Iaays relating to building construction. I authorize representatives of this city or county to e ter t abo -identified property for inspection purposes. 1 �q �/l /� pal. i _f P,nnaN n . ,,, a, AMnr..e.l A-. , /� Pnnr P,nn , nwnar a nr AulHnlivnA &n .Vc. Name T I _r r • I h y ACTION DATE BY 'f DECLUAT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND ACtMD RULE 1403 PERMfT EXPIRED_ SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED rI [PiJ A PERMIT EXTENDED 1 �n[iMO PERMIT FINAL ASBESTOS NID (CATION 15 NOT APPLICABLE TO CERFIFfCATEOFOCCUPANCY �^ y . K,I Z ` PROPOSED E OLIT ISSUED 9 GNATURE