HomeMy WebLinkAboutF2023-0402 - PermitsPo?City of Newport Beach
IIIIIIIIIIIIIIIIIIII COMB Permit: F2023-0402
Tm community mnt-wading Di�i'I0III
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100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PC2023-2082
I u Permit Counter Phone: (949) 716-1888 Issued Date : 08128/2023
newportbeachca.gov/civic Final Date:
yvw'onN'P Combination Type - SFP Permit Status: Issued
Work Class - New Inspection Area : 2
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 : 748 VIA LIDO NORD Legal Dose : N TR 907 BLK LOT 40
Description: SFR FIRE SPRINKLER SYSTEM 39 HEADS (XR2022-3221)
Owner: GATES TRUST
Address : 1144 N EASLEY CANYON RD
GLENDORA,CA 91741
Phone: (626)695-2556
Applicant: FIREGUARD SPRINKLER SYSTEMS
Address : 7907 LEEDS ST
DOWNEY, CA 90242
Phone: (714)310-0194
Owner/Builder
Address :
Phone
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: R3/U
Bldg Height :
Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 3
Flood Zone: AE, 8 FT; X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: S 1l
SPECIAL CONDITIONS:
Contractor: FIREGUARD SPRINKLER SYSTEMS
Address : 7907 LEEDS ST
DOWNEY, CA 90242
Phone : (714) 310-0194
Con State Lie : 992002
Lie Expire : 04/30/2024
Bus Lie: BT30078648
Bus Lie Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: FALLS LAKE FIRE & CASUALTY CO
Policy No: FLA008008
W. C. Expire : 12/29/2023
Fire Sprinklers : YES
Fire Hazard Zone : NO
No of Units: 1
No of Stories :
Architect
Address
Phone:
State Lie
Engineer:
Address :
Phone
Designer: FIREGUARD SPRINKLER SYSTEMS
Address : 7907 LEEDS ST
DOWNEY, CA 90242
Phone : (714) 310-0194
Construction Valuation : $8,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
OWNER -BUILDER DECLARATION
I hereby afflrm under penalty of perjury that 1 am exempt from the Contractors' Stale License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
'.(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 licensors 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 (S500).
I❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not Intended cr 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 properly, provided that the
Improvements are not Intended or offered for sale. If, however, the building or Improvement Is sold Mill 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).
❑ 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' Stale License Law).
❑ I am exempt from itcensure under the Contractors' Slate License Law for the fallowing reason'
By my signature below) acknowledge that, except (or my personal residence in which I must have resided for at leas( one year prior to completion of the improvements covered by this permit, I cannof legally
'sell a structure that I have built as an owner -builder it 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 aaallabie open request when this application is submitted or at the following Web site:http:flwww.leginfo.ce.gov/calaw.html.
,Signature of Property Owner or Authorized Agent 4da
LICENSED CONTRACTOR'S DECLARATION
ll hereby affirm under penally of penury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of the Business and Profes' s;�m�ybcansa is In full farce
and effect. License Class License No Daia Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FDIES UP TO ONE HUNDRED THOUSAND DOLLARS 15100.0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY, FEES.
I hereby afflrm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to selr-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by 5ectlon 3700 of the Labor Code, for thl
par rmance of the work for which this permit is issued- Policy No.
I 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 woncers' compensatior
/isurafice carrier and policy number are:
Policy Number
is of Agent _
Date
certify that. in the perform nc 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 California, and ogre
1, if I should becoTle bie l to a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
qy� '��'' �
Date �j__
C LARAT[ON REGA D N TRACTION LENDING AGENCY --` —
j
!reby afflrm under penalty of pa ury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature below. I certify to each of the following:
I am the properly owner or authorized to act on the propertyK,nr'salfI
have read this application and the information I have provit.
I agree tocomplywith all applicable city and county ordlnane laws relating fo building construction.
I authorize representatives of this city on count5 enterthc`ied property for inspection purposes.qI)I//
OwnercrAuthorizedAgent �i Print Properly Owners or Authorized Anent's Nam _
/natureofProperty
Ir69 0 '/ ��C n' Y I % 07 7
ACTION
1 DATE
BY I DECLARATIOk_9P COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
! RF.CULATIONS PART 61 OF TITLE 40 AND AOMD RULE.
i
PERMIT EXPIRED
—i�1rIU3
( _ LJIJUR1.11TT'D AS7FSTOS NOTIFICATION TO
PER'NIT CANCF.CLEO
PERMIT EXTENDED
-
1T� A� RMD
.__
PERMIT FINAL
....,..
LJA1HESTOS NO] HCAI' ION I5 NOT APPLICABLE 'f0
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
CPA SIGNATURE: