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Home My WebLink AboutF2023-0377 - Permits04'. City of Newport Beach II �� II COMB Permit: F2023-0377 Community Development Department - Building Division F 2 0 2 3 0 3 7 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1919 Permit Counter Phone: (949) 718-1888 Issued Date : 0810912023 newportbeachca.gov/civic Final Date: Combination Type - SFP Permit Status: Issued Work Class - Addition/Alteration Inspection Area : 8 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 : 1226 BLUE GUM LN Legal Desc : N TR 9620 BLK LOT 7 Description: SFR FIRE SPRINKLERS- 27 HEADS (XR2023-0811) Owner: MICHAEL HOBSON Address : 19050 MT MCLOUGHLIN LN BEND, OR 97703 Phone: Applicant: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Owner/Builder : Address : Phone: Contractor: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Con State Lie : 876004 Lie Expire : 04/30/2024 Bus Lie: BT30040107 Bus Lie Expire : 07/31/2024 Workers' Compensation Insurance Carrier: NATIONAL CASUALTY COMPANY Policy No: SWC1373758 W. C. Expire : 2/15/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : r3/u No of Units : 1 Bldg Height : No of Stories : 1 Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Westcliff Grove PROCESSED BY: 46 SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer Address Phone Designer: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Construction Valuation : $2,700.00 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 I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable items) 'Section 7031.5, Business and Professions Cade: 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 ho permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 iot more than five hundred dollars ($500). I, 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, 3USIneSS 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 mprovements are not intended or offered for sale. IL 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 mproved 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 3ppVy 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). 1 am exempt from hcensure under the Contractors' State License Law for the following reason 3y 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 legally soil a structure that I have built as an owner -builder if it has not been constructed in its entirety by Ilconsad contractors. I undorstand that a copy of the applicable law, Section 70" of the Businoss and professions Code., is available upon request when this application Is submitted or at the following Web site:http:/Iyrow.leginfo.ca,govlcalaw.html. Signature of Property Owner or Authorized Agent�� ,,,___�.,,�._________ Date LICENSED CONTRACTOR'S DECLARATION yyyyyy I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)nivision 3 f the Business and Professions Code, and my license is In full force and effect. License Class License No Date // 13 Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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), nR ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: have 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 the 3grformance of the work for which this permit Is issued. PolicyNo. 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' carrier and policy number are: Policy Number of Agent Date 1 certify that, in the porfonnari 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 Agra at, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � � /F gnature of Applicant _,_�„__��„_,_,_, __ ,,,�„. Date., X... -�-r�'/ 11 ECLARATION RE RDING CONSTRUCTION LENDING AGENCY ``�� VV rereby 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). finder s Name Lender's Address it nay signature below. certify to each of the tbllowing: I am the property owner or authorized Io act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or Caudill to enterthe above -identified property for inspection purposes, ISIgnalu,e of Property Owner Or Authorized A 9e Print Property Owner's or Authorized Agent's Name ' L-r. Date L ACTION I DATE { BYV DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL fOR OFFICE USE ONLY f REGULATIONS PART 61 OF TITLE 40 AND AD RLI I,F. 1 1403 PERMIT EXPIRED PERMIT EMENDED PERNHT FINAL CERTIFICATE OF OCCUPANCY ISSUED I SUBMITTED ASBESTOS NOTIFICATION TO UASBESTOSNCTIHCArIONISN01'APPLICABLE 10 PROPOSED DEMOLITION