HomeMy WebLinkAboutF2023-0563 - Permits�EWPdRr City of Newport Beach
�� r Civic Center Drive, ee Nent Department - wport Beach, CA 926 Dng ivision
r n` Permit Counter Phone: (949) 718-1888
o S newportbeachca.gov/civic
°911F09N`" Combination Type - SFP
- Work Class - Addition/Alteration
COMB Permit : FL023-0563
F 2 0 2 3 0 5 6 3
Plan Check No : I'C2023-3743
Issued Date : 11/15/2e23
Final Date:
Permit Status: Issued
Inspection Area : 4
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 AREA S
Job Address : 8 LEESBURY CT Legal Desc : N TR 11605 BILK LOT 4 TRACT NO 11605 LOTS 4 AND A P
Description : SFR FIRE SPRINKLERS (50) HEADS (XR2023-0795)
Owner: MATTHEWS CHRISTOPHER L TR
Address : 8 LEESBURY CT
NEWPORT BEACH, CA 92660
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
Can State Lic
: 876004
Lic Expire :
04/30/2024
Bus Lic:
BT30040107
Bus Lic Expire : 07/31/2024
Workers' Compensation Insurance
Carrier: NATIONAL CASUALTY COMPANY
Policy NO: SWC1373758
W. C. Expire : 2/15/2024
2022
Fire Sprinklers : YES
Code Edition :
Fire Hazard Zone : NO
Type of Construction : V-B
No of Units : 1
Occupancy Groups :
No of Stories :
Bldg Height
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10
Flood Zone: X
Use Zone: PC - Aeronutronic Ford
PROCESSED BY: —
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
Address :
Phone
Designer: FIREPROOF FIRE PROTECTION
Address: 1101 KINGSTON DR
LA HABRA, CA 90631
Phone : (714) 476-5370
Construction Valuation : $5,000.00
Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
OWNER-BUILDEF< DcGLF.RaTSON �'
I hereby affirm under penally opr:rjury that I am e.:empt from the ConUaclors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Pr�fesiEns:.CD:de<--Any city or county that requires a permit to consWct, 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 sne iS 6densed 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 hlmdred dollars (5500).
❑ 1, as owner of the. property, nr my employees wit:1 wagoc as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Codes TI.e CDntracors' Sate L^ense Law does not apply to an owner or property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are rid improved for the purpossee of
sale). cd or ofrsre� fnr sale. I�, 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
f
❑ I, 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
❑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).
1 am exempt from licensure under the Contractors' Slate License Law for the following 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 legal)
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:llwww.leginfO.ca.gov/calaw.htmi.
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 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date ` / I AC 1 1^ Contractor Signature ham►
WORKERS' COMPENSATION DECLARATION T �—
WARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 lh
performance of the work for which this permit is issued. Policy No.
have 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' compensatio
insurance carrier and policy number are:
Cartier Policy Number Name of Agent Expiration Date
Phone #
❑I certify that, in the performance 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 laws of California, and agre
that, if I Should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
Signature of Applicant __}� Date_I 1. I 1 1 1
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I
I herebLLender'sName
affirm under penalty of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
me Lenders Address
ture below, certify to each of the followinge property owner or authorized to act on the property owner's behalf.
ead this application and the information I have provided is correct.
to comply with all applicable city and county ordinances and state laws relating to building construction.
ze representatives of this city or county to enter the above -identified property for inspection purposes.
f Pro arty Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REG ULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED QMD
PERMITFINAI /,1 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF Y/"/S/ PROPOSED DEMOLITION
OCCUPANCY ISSUED h� SIGNATURE:
ip
J
3 lea
1v
oI ❑ X ❑ ❑ !El El ❑ ❑
❑ ��i� ckz
d
m
,
a
0
m
�
Cc
m
a
C
.0
y
iq
L
Y
yg
N
Uf
0
>
>
E
R
N
m
W
u_
>
U
O
U
ZIEv
m
w
N
>
U
d
V
n
y
m
C
L
y
i
d
ma
C
N
n
v
U
L
C
3
o
m
c
a
m
cV
cd
tl'
4
6
f,:
m
6
❑ ❑ ❑ ❑
F�
1=
0
0
M
lino
C)
Z
m
a
x
N
0
N
O N
73
El
Q n
Er
ryp
m G�
a
m
10, n
Tr
CO,
m
a
wv'ma
_
n
4
�1
a
d�
o
cQ
"
oJD
a. mG
vQ
_m
CD
El El ❑ ❑❑❑
I
U
W
■■
N
m a 0 O m
❑❑❑❑ lvb
y7
/�
Z
O
a
a
J
U
W
0
Z f-
O W
aLU
U W
LL U
a
w a
U w
J W
LU =)
U) H
X
W LL
Z
Z
O Op
H2
W J
O�
0�O
aLL
O
F-
L)
a
F-
Z
O
U
N
N
n
N
w Y
7
m m
o
n
m
o
o
E
f m
m°
a
Z
m
U a
d
'y
m °> c m
m
a
a o o -
n
m
E
c
w
N
m
O
ay y U
m
M
m E
O
y
c C m
°
0
w
m
M
E
p
°
m° o
E
w
�O N
E, m 0
u
C
m
O_ N
m
E
y w
m
O
M O
O
° O
N
O
O
N
W
'p
ng
a
m
L
c o
r
N
O
U
tII
-3
N `-
'�
m
N
n U r
N
-
Im'm
N LO
W
D-
N
N
r
O
m
u
° E
n
O
Q
�:..
E
C
d m
n
i0" y
.�
M
W 7
cc
f
3
ai
rnrn
O
U
L
-
U y
:n
IL
LL
m
E
mL
E°>
`gym
m>
O
m
C
Ni
ro0
1
°
2
O N
N
y
EO
�-OL
-O
cm
c ik
u
w 6
A
X
m E
j U
N m e
C
O
O X
L m
i
c�D
E
Cm
N
m
E D
> m m
CL
LLLL
m
V
O°
G
N'
w 0 a)
Z
�o
a
U
m
Q m
M-°
>- 3 m
o y
a
s
a
m�
oM
N
lim
ZEm>.
C
C
U
m
m m Z
E
U
m
O.
M
m
N O° C
w
E
v
m n
O
N
C
0L+
O EL
.E LO
4.
L
m O
c C U
y
w a
c
Z
N N
Y
m❑
N
N y
❑
m
•10 w
a� C
m
-`°cad
_
m
2
c
19
(� N
N
>
U
C
O^
UN
-O
C
r=
L m
N LL
E
0
E
o
m
-° U m
m
a
m
g
m m m .°
d
d .v.
° n
< m
L-'
E
Um
d
oOt
co
Nm
Nw
9c
'
VN Nm3a)N
N
U
9
O
Z c
O m
�a
-
2
'C
coa
O`n
E
0
in
y
❑
a
m
>>
oa
m m
O
X
XCO
a)
ES a)
�
o t
ELLm
>
OC
a)
vm°�do
E
o f
omO
o
°
Em
3
m
,y=0`omv
YO w
m
N
:r
`v
m°0
�dym
0oE2E
m
Ecmi
mmN
mE�-
-
z:m�
wE
°aw
o�
`Y
mCm
�m0
0
a
EcE
c�
N
N
m
2
m 0
W
N
0Nom
U
U
0
Yd
E m
m
N
m
:4:a
N
m
OE
in
r
z 0
aQLL as
O
4_
LL