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Home My WebLink AboutF2023-0485 - Permitso City of Newport Beach SEW Community Development Department- Building Division t 100 Civic Center Drive, Newport Beach, CA 92660 fit. n Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic °9c Combination Type - MFP FoaN`"d' Work Class - New COMB Permit : F2023-0485 iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii Plan Check No . PC2023-2455 Issued Date Final Date: Permit Status: Applied inspection Area ;>,�M 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 TR 456 LOT 5 POR OF LOT Job Address Description : 20462 SANTA ANA AVE Legal Desc : N TR 456 BLK LOT 5 MFR INSTL SPRINKLER MONITORING SYSTEM 4 DEVICES (WEST BLDG X20al005) Owner: BACK BAY BUNGALOW LLC Address : 3183 AIRWAY AVE COSTA MESA, CA 92626 Phone: Applicant: Address: SMART SYSTEMS TECHNOLOGIES INC 9 GOODYEAR IRVINE, CA 92618 Phone : (949) 367-9375 owner/Builder: Address : Phone: Contractor: SMART SYSTEMS TECHNOLOGIES INC Address : 9 GOODYEAR IRVINE, CA 92618 Phone: (949)367-9375 Con State Lic : 766364 Lic Expire : 07/31/2025 Bus Lic: ST20100934 Bus Lic Expire : 09/30/2024 Workers' Compensation Insurance Carrier: STARSTONE NATIONAL INSURANCE COMPANY Policy No : T10231322 W. C. Expire : 4/1/2024 Fire Sprinklers : YES Code Edition: 2022 Fire Hazard Zone : Type of Construction : V-A No of Units: 4 4 Occupancy Groups : R2 No of Stories : 4 Bldg Height : Building Setbacks : Flood Zone: X Use Zone : RMD - Medium Density Residential PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone : State Lic Engineer Address Phone Designer: SMART SYSTEMS TEGHN1 LOGIES' INC Address: 9 GOODYEAR IRVINE, CA 92618 1 - Phone: (949)367-9375 Construction Valuation : $6,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : U TOTAL sq. ft. uwrvEft-BUILDER DECLARATION I herehy affirm under penalty of perjury that 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.I' Business and Professions Code: Any city or county that requires a permit to conduct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that ho 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 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 not 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 U portions of the work, and the structure is notintended Proffered 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 pP.fspna) P,ffntt, builds or improves the property, provided Ihat the Improvements are not intended or offered for sale. If. however, the building orlmprovement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). El I. as owner of the property, all, exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State 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). am exempt from licensure under the Contractors' State License Law for the following reason! _., -By my signature below I acknowledge that, except for my personal residence in which I must have roslded foral least one year pntlr to completion of the Improvements covered by this permit, I cannot le Ib sc I a structure that I have built as an ownor-builder if It has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 704A of the Business and gz Professions Coda, is available upon request when this application is submitted or at the followinc�''Areb site;http:!ectors. I understand that a coml. Signature of Property Owner or Authorized Agent ,_-.,_�_ LICENSED CONTRACTOR'S DECLARATION �'��—v—'-"�"—"-------------Date I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7 of,qiv" ' 3 of the Bu as and Profes s ode, n¢�rgy license is full force and effect. License Class License No /� - (I - �Y � ;i9r+_ J WORf(ER5 CGb1:Tc`wSATIONDlCLARATION r Contra3(S\ignature f UYi7 d /f/r NARNING- F AILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOY ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS III -D—Q000), IN AOa1TION TO THE CGS r O> COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES_ hereby affirm under penalty of perjury one of the following declarations: ' 11,.I s and Wrll maintain a Certificate of consent in self -insure for workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Cade. for this )erforrnrnce of tM! w^ r "if which this permit is issued. Policy No. `rfia,.e 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 ur.d -0-y number are: "'Lr Policy Number ..L J F,gent _ _ Expiration Date certify that, in M(' per'or i, , should become sub R71 lanoe he the work for which this permit is issued, I shall not employ any person in any manner 50 as to become subject to the workers' compensation laws of California, and ct fo_the wor�.,rs' mpensatfon provisions of Section 3700 of the Labor Code, I shall forthwith comply wfth those provisions. _X/ i COONS`I RUCTIO. ENf? oafs r�B-1 "L .�i areby affirm under penalty of perjury that (hare is a construction lending agency for the performance of the work for which this permit is issued (Section 309977, Civil Code). Tier i Name Lenders Address nay signature below, certify to each of lire 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 Io comply With all applicable city and county ordinances and slate taws relating to building construction. I authorize representatives of this r: y or county topntW the a ov i entitled property for inspection purposes. { // nature of Pro erty Owner or Authonz Agent r Print Pro ert Owner's or Authorized A Name I(�t S CGYf 'C i1oN E DATE. I BY DF. ClARATkONO COA^IP IANf_F. WITIi CODE. OF FEDERAL ! REGULATIONS PART 61 DF TITLE. 40 AND AQMD RULE FOR OFFICE USE O 1403 7M17 EXPIRED I SUBMITTED ASBESTOS NOT]FICATION TO PERMIT FINAL ]�I .... ._..._._... y �.� S CERTIFICATE Of UtJi zi� LIASREST05 NU11FICAUON IS NOT APPLILAeLE 10 OCCOPANCYLSSUED I PROPOSED DEMOLITION !e I 11