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Home My WebLink AboutF2023-0486 - Permitso�'� City Ofy Development t Department cBeach nt- Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit : F2023-0486 Plan Check No: PC2023-2459 too Civic Center Drive, Newport Beach, CA 92660 Issued Date : 10/1112023 Permit Counter Phone: (949) 718-1888 Final Date: newportbeachca.gov/civic Permit Status: Issued "vciF�nN�P Combination Type - MFP Inspection Area rl 2� 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 Description : Owner: BACK BAY BUNGALOW LLC Address 3183 RWAY AVE COSTA MESA, CA 92626 Phone Applicant: SMART SYSTEMS TECHNOLOGIES INC Address: 9 GOODYEAR IRVINE, CA 92618 Phone: (949)367-9375 Owner/Builder : Address: Phone 20462 SANTA ANA AVE Legal Desc : N TR 456 BLK LOT 5 TR 456 LOT 5 POR OF LOT MFR INSTL SPRINKLER MONITORING SYSTEM 3 DEVICES (EAST BLDG X202$-1006) Architect Address Contractor: SMART SYSTEMS TECHNOLOGIES INC Address: 9 GOODYEAR IRVINE, CA 92618 Phone: (949)367-9375 Con State Lie : 766364 Lie Expire : 07/31/2025 Bus Lie: BT20100934 Bus Lie Expire: 09/30/2024 Workers' Compensation Insurance Carrier: STARSTONE NATIONAL INSURANCE COMPANY Policy No : T10231322 W. C. Expire : 4/1/2024 2022 Fire Sprinklers: Code Edition: Fire Hazard Zone Type of Construction : V-A No of Units Occupancy Groups : RZ No of Stories Bldg Height: Building Setbacks : Flood Zone : X Use Zone : RMD - Medium Density Residential PROCESSED BY: �^ SPECIAL CONDITIONS: Phone: State Lie Engineer: Address Phone: Designer Address Phone: i t' 3-3 SMART SYSTEMS TEC.HNOLDGIE-E INC 9GOODYEAR IRVINE, CA 92618 - (949)367-9375 YES Construction Valuation : NO Added/New/TI sq. ft. Bldg 4 Alteration sq. ft. Bldg : 4 Added/New sq. ft. Garage TOTAL sq. ft. : $6,000.00 0 0 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasonark(s) s) indicated below by the checkmI have placed next to the applicable nemfs) (Section 7031 5, Buslness 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 ha at' 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 fora permit Subjects the applicant to a civil penalty of not more than five hundred dollars ($50D). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 that 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 riot built or improved for the purpose of sale). I❑ 1, 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from llcensure undo.; the Contractors' Stele License Law for the following reason: By my signature below I acknowledge that, except for m - --- _ y personal residence in which i must have. resided For at least one year prior t0 completion of the Improvements coven soil a structure that I have built as an Owner if it has not been constructed in its entirety by licensed contractors. I undorstend that A copy of the applicable law, Section Professions Code, is available upon request When this application is submitted or At the followln8 Web site:http:lfwww.leginfo.ca,govlcalaw.htmL Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATIONYss Date I hereby affirm Under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bud Professions Code, and effect. License Class License No o .,!NORKERS'CCf1?SNSATION DECLARATION Dal��tt�-L Contrature �r'S'r,Gtg/ WANING: rk LURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SOe3ECT AN EMPLOYER TO CRIMINAL PENALTIES CS. a:- _,UMPENSAI.O 4, LAMAGES AS PROVIDED FOR IN SECT this permit, I cannot of the Business and ION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES" AND LIWI- FINES UP T ONE HUNDRED THOUSAND DOLLARS 15700,0001, IN ADDITION TO THE hereby affirm und„v penalty of perjury one of the following declarations: T r"we and Will reinter a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as Provided for by Section 3700 D! the Labor Code, for (hI rfoonanca of the; work or which this permit is issued. Policy No. 'cc 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' dom pensatior i cat carrier -Ind maintain y number are: rr Irr 1! Pgent Policy Number Date I certifythat In'tha' en Phone tF p orm once 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 taws of Califomia, and I.ould become subject to the we am' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions" nature of Appl?'.(/,rr'nf CI,ARATION, ARD1N6 CONSTRUCTICt4 LENDING AGBNCY�� — --"—'� ---------__".__ _ 'r�'j'(\L'/ 10 -i ( ' C J 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). ilex's Name Lender's Address IT- signature below, certify to each of time following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct, I agree 10 comply with all applicable city and county ordinances and state taws relating to building construction. I authorize representatives of this city or counN'qr to enter iltita ALONE entified property for inspection purposes. iature of Property Owner or Authoriced anon \ �.iAn✓!9i/ Ali i /! I ACTION GATE B vw ar s or Authorized A OF I DECLARATCONO CO LANCE WITH CODEE OF FEDED ERAL FOR OFFICE USE ONLY BF.G ULATIONS PART 61 OF TITLE 40 AND AQNNJ RULE PERK 7fXPIgEO 4D3 ...... ...... ._. tt[[ff I SUBMITTEDASBFSTOS NOTIFICATIONTO PERMIT CANCELLED .....� _. -"-" -- PERMIT EXTENDED 1EPA � .""."' '" "QM .. ....._"__ PERMIT FIAlAL CERTIFICATE OF i P 3 1 _.. �(�?'(S ""- dASBE5T05 NOl IFiCA14ON 15 NOl'APPLICAtlLE TO OCCOPANCY ISSUED PROPOSED DEMOLITION