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Home My WebLink AboutF2023-0016 - Permits4 a"Wpo", City of Communit r 100 Civic ( 0 z Permit Col .s+ Inspection CqC/pn pN�P newportbe Work PERMITS NO CONSTRI Job Address : 114 0CEA Description : SFR FIRE Owner: BLAND HE, DICKSON TR Address ; 14975 COROI PACIFIC PAL Phone: Applicant: XFIRE PROTE Address : 9182 ALWICK GARDEN GR( Phone: (714)231-510 Owner/Builder Address : ewport Beach ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllll �� COMB Permit: F2023-0016 Bvelopment Department- Building Division F 2 0 2 3 0 0 1 6 ter Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0057 �r Phone: (949) 644-3288 Issued Date : 01/10/2023 quests Phone: (949) 644-3255 Inspection Area : 1 Type - SFP New 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS E Legal Desc : A TR EAST NEWPORT BLK 11 LOT 20 :RS 29 HEADS (XR2022-3081) IER DICKSON TR JUDY Contractor: XFIRE PROTECTION DEL MAR Address: 9182 ALWICK CIR DES, CA 90272 GARDEN GROVE, CA 92841 Phone: (714)231-5108 Con State Lie : 1084661 Lie Expire : 12/31/2023 -ION Bus Lie: BT30077912 R Bus Lie Expire: 02/28/2023 CA 92841 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Architect : Address : Phone: State Lie Engineer: ANTHONYVU Address; 1621 W SUMAC LN ANAHEIM, CA 92802 Phone: (714)234-9633 Designer: Address : Phone: Phone: Code Edition : 20 Fire Sprinklers :` Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R3/ J No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks : Fro t: 1D, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential CONSTRUCTION NO �SE PROCESSED BY: SPECIAL CONDITIONS: $3,300.00 0 0 0 INZA C%i' 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 checkmark(s) I have placed next to the applicable items) ;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 the 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 fire 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). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do (_} all of or L) portions of the work, and the structure is notintended 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 that the Improvements are not Intended or offered for sale. 11, 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 bullt or improved for the purpose of sale). Ell, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply 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), 0 I am exempt tram licensure under the Contractors' Stale License Law for the fallowing 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 to completion of the improvements covered by this. permit, I cannot legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site'.http:liwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent �. _ Date _. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty Of perjury^ that I am licensed under provisions of Chapter 9 (commencing with Section 0 )y_ff Tel 3 of the Business d my license is In full force and effect. License Class License No Date C% C� �ntractor Si atur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, forth �ogmance of the work for which this permit is issued. Policy No. 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 is of Agent Date certify that, in the perf mane of lh 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 L if I should become s e w kern' compensaticn provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. �/o nature of Applica. _ _ _ A Va[e_.t.,a CLARATtON REGARD 1 CONST UCTION LENDING AGENCY areby affirm under penalty of perjury at there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil C de). ider's Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to eat on theLdnrlces ner s behalf. I have read this application and the information I his correct. I agree to comply with all applicable city and countan state laws relating to building construction. I authorize represenfalivas of this city or countyv Identified property for inspection purposes. C - �� • A ACTION DATE BY DffLARAT[ON (aF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS P RT 61 OF TITLE 40 AND AQMO RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO _ PERMIT CANCELLED__ FIEPA MI PERT EXTENDED _ 1 IeOMD PERMITFINAL — I�,Z --1 Ja € ASBESTOS NOI IL1CAIION IS N01 APPLICABLE 10 CERTIFICATE OF I PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE..