HomeMy WebLinkAboutF2023-0402 - Permits (3)�,Earogr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2U23-U4U2
D� @ Community Development Department - Building Division F 2 0 2 3 0 4 0 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2082
' n Permit Counter Phone: (949) 718-1888 Issued Date : 08/2812023
U Y newportbeachca.gov/civic Final Date:
e4�r F00.N�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 Desc : N TR 907 BLK LOT 40
Description: SFR FIRE SPRINKLER SYSTEM 39 HEADS (XR2022-3221)
Owner; GATES TRUST
Contractor : FIREGUARD SPRINKLER SYSTEMS Architect
Address : 1144 N EASLEY CANYON RD
Address : 7907 LEEDS ST
Address
GLENDORA, CA 91741
DOWNEY, CA 90242
Phone: (626)695-2556
Phone: 1714)310-0194
Phone:
Con State Lic : 992002
State Lic
Lic Expire : 04/30/2026
Applicant: FIREGUARD SPRINKLER SYSTEMS
Bus Lic : BT30078648
Engineer
Address : 7907 LEEDS ST
Bus Lic Expire : 05/3112025
Address
DOWNEY, CA 90242
Phone: (714) 310-0194
Workers' Compensation Insurance
Phone:
Carrier: INS. COMPANY OF THE WEST
Owner/Builder :
Policy No: WSA507510500
Designer: FIREGUARD SPRINKLER SYSTEMS
Address :
W. C. Expire : 12/29/2024
Address : 7907 LEEDS ST
DOWNEY, CA 90242
Phone:
Phone: (714)310-0194
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $8,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R3/U
No of Units : 1
Alteration sq. ft, Bldg : 0
Bldg Height :
No of Stories :
Add/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
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:
� i LI6` r INSPECTOR
+�
SPECIAL CONDITIONS:
!F
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I 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 ilem(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
he permit 10 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
'rofessions Code) or that he or she is exempt from Iicensure 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
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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).
I, 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
Ipply 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 Iicensure under the Contractors' State License Law for the following reason:
ly 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 legall)
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
rrofessions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov/celaw.html.
Signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affinn under penally of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 70DO) of Division 3 of the Business and Professions Code, and my license is in full farce
Ind effect. License Class License No Date Contractor Signature
YORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDREO THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAWIGES 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:
I 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 III
edormance, of the work for which this permit is issued. Policy NO.
DI 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' compensatior
3surance carrier and policy number are:
Policy Number
of Agent
Date
.JI 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
iat, 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
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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).
enders Name Lenders Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly owners behalf. t DUPLICATE
I have read this application and the Information I have provided is coned. �NSRECTOR
ws I agree to comply with all applicable city and county ordinances and slate larelating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
Honature of Prooertv Owner or Authorized Aaenl Print PIDDETW Owner's or Authorized Aoent :¢ Name ❑ate
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMIT EMENDED
PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF Q. XW PROPOSED DEMOLITION
OCCUPANCYISSUEO SIGNATURE: