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HomeMy WebLinkAboutF2023-0376 - Permits�W off: City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: F2023-0376 Community Development Department- Building Division F 2 0 2 3 - 9 3 7 6 Plan Check No : PC2023-1772 �n 100 Civic Center Drive, Newport Beach, CA 92660 Issued Date : 9B/09/2023 t n Permit Counter Phone: (949) 718-1888 newportheachca.gov/civic Final Date: �4(rpnpN�� Combination Type - SFP Permit Status: Issued Work Class - Addition/Alteration Inspection Area : 5 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 1. AREAS Job Address : 2630 SEAVIEW AVE Legal Desc : A TR CORONA DEL MAR BILK 232 LOT 1 CORONA DEL MAR I L �'wo, P Description: SFR FIRE SPRINKLERS *ADD'L SCOPE* - 15 ADD'L HEADS (XR2022-2518) R INC Architect : %J i t, Owner : SEPIDEH AMINDARI Address: 2630 SEAVIEW AVE CORONA DEL MAR, CA 92625 Phone : Applicant: KELLY FIRE PROT INC Address : 10141 THESEUS DR HUNTINGTON BEACH, CA 92646 Phone: (714)907-75B6 Owner/Builder Address : Contractor : KELLY FIRE PROT Address : 10141 THESEUS DR HUNTINGTON BEACH, CA 92646 Phone: (714)907-7586 Con State Lie: 878823 Lie Expire : 08/31/2025 Bus Lie: BT30070761 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: INSURANCE CO OF THE WEST Policy No : VVVE507050500 W. C. Expire: 4/11/2024 Address Phone: State Lie Engineer Address Phone: Designer: DAVEGRISSOM Address : 645 N ECKHOFF ST „ ORANGE, CA 92868 Phone : (714) 933-0089 Phone: YES Construction Valuation : $6,800.00 Code Edition : Fire Sprinklers : Addedsq. ft. Bldg : 0 /New/TI Type of Construction : Fire Hazard Zone : 1 1 Alteration sq. ft. Bldg : Occupancy Groups : R3/U No of Units: 2 Added/New sq. ft. Garage: 0 Bldg Height: No of Stories: TOTAL sq. ft. 0 Building Setbacks: Front: 15, Side: 3, Side: 3, Rear: 10 Flood Zone : Use Zone : X RM - Multiple Residential PROCESSED BY: _ SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) 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. dernolish. or repair any structure, prior to its issuance, also requires the applicant for lire permit to file a signed slatement that he or she is liconsed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 70Do) 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 ($50D). 11 1„ as owner of the property, or my employees vain 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, 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 mproved for the purpose of sale). 7 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for the projects wfth a licensed Contractor pursuant to the Contractors' State License Law). 1 an, exempt from IVeenSUra under the Contractors' Stale License Law for the following reason: y my signature t below acknowledge that, except fort h personas not be residence in which I must have resided For at least one year prior to completion of the Improvements covered by this permit, I cannot legal] :ell a structure that I have built as an qu e t when r if It has not hoer constructor a its entirety g licensed sod contractors. I understand that a copy of the applicable law, Section 7044 o€ the Business and °rofessle o Code, is available o aeon request when this application is submitted Drat Ire following'Neb silo;http:/iwww.leginfo.ce.gov/calaw.html. 'signature of Property Owner Dr Authorized Agent ,_-— _ICENSEO CONTRACTOR'S DECLARATION ---�— Date_ - hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sake o e70 of Div_ ision 3 of thee5iddsslness and Professions ode, and m license is in full force Ind effect License Class License No ��y % tO ONE HUNDRED THOUSAND DOLLAR 0 61, IN ADDITION TO THE Signature VORKERS' CC,MPENSATION DECLARATION IAR NI FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE5 UP 'PST Or Cr MPENSGTION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES_ he•ehy affirm under penalty of perjury one of the following declarations: er4I ha e, and will maintain a certificate of consent to sell -insure for workers' compensation. issued by the Direcfar of Industrial Relations as provided for by Section 3700 of the Labor Code, for (IT nwlce of tP_ Work 'or which this permit is Issued. Policy No. �ave 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' compensatior sur�,i,ca carrier and pokey number are: ly 0, ,gent —. certify that, In Nipp If I snould bPcry(nP lalure of Adrxicant Policy Number Expiration Date Ice of the work for which this permit is issued I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of California, and to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. >reby affirm under}cenalty of perjury th !ff I— is a construction lending agency for the performance of the work for which this permit Is issued' I mymy si Name signatu re below, I cerlify fo enof t eache follDwiag: Lender's Address -'- 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 to comply will, all applicable city and county, ordinances and state laws relating to building construction. I authorize representalives of this city or G n. ante he abov ntified properly for inspection purposes, nature of Pro art Owner Or Authorized Agee. Print Property Owner's or Authorized nt's Name TION DATE y J Dl.CLARATIOA OF COMPLIA14CEWTH CODE OF FEDERAL foR. OFFICE USE 0 Y RFISMATIONS PART lit .., 40 AND AQNID RUlE PERAVT EXPIRED ' (SUBMITTED RFSTOSNOTJFICATIONTO PEAMIT CARCF(LED ___ T ....- _......� __.._.—_.__.._..�... ._..... j...._ QCPA PEA; IrExTEwnED ... __.._. _. 1W4MD CEATLFlCATE OF `� C.(� I QASBESTOS DEMOLITION f1ON 15 NOT APPLICABLE TO OCCUPANCYaSUED 3 PROPOSED DEMOLITION 6 - 5 3097. Civil Cade).