The URL can be used to link to this page

Home My WebLink AboutF2024-0139 - Permits�aEWPoRr City of Newport Beach �y @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C4[/FOP��P Combination Type - SFP Work Class - New F 2 0 2 4 0 1 3 9COMB Permit : F2024-0139 Plan Check No: PC2024-0205 Issued Date : 03/20/2024 Final Date: Permit Status: Issued 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 AREAS Job Address : 516 ACACIA AVE Legal Desc : A TR CORONA DEL MAR BLK 529 LOT 18 CORONA DEL MAR Description: DUPLEX FIRE SPRINKLER SYSTEM ADD 16 HEADS (XR2022-3268) Owner: BLAIR PORTEOUS Contractor: FIREPROOF FIRE PROTECTION Architect Address: 601 4TH ST #129 Address: 1101 KINGSTON DR Address SAN FRANCISCO, CA 94107 LA HABRA, CA 90631 Phone : (415) 531-1 B80 Phone: (714) 476-5370 Phone Con State Lic : 876004 State Lic Lic Expire: 04/30/2026 ' Applicant: FIREPROOF FIRE PROTECTION Bus Lic: BT30040107 Engineer Address : 1101 KINGSTON DR Bus Lic Expire : 07/31/2024 Address: - LA HABRA, CA 90631 Phone: (714) 476-5370 Workers' Compensation Insurance Phone: Carrier: NATIONAL CASUALTY COMPANY Owner/Builder : Policy No: WCC336253A Designer: FIREPROOF FIRE PROTECTION Address : W. C. Expire: 2/15/2025 Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: Phone: (714) 476-5370 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $2,000.00 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 : Bldg Height: No of Stories: 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 15, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone: R-2 - Two -Unit Residential PROCESSED BY SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of penury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) 1 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 licensee and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fore permit subjects the applicant to a civil penalty of not more than five hundred dollars (1500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or 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 property, provided that the improvements are not Intended or offered for sale. It, however, the building of Improvement 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)- ❑ 1, 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 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), El I am exempt from licensure under life 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 resided for at least one year prior to completion of the improvements covered by this permit, I Cannot legdll 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 orat the following Web site:http:liw .teginfo.ca.govlcalaw.btml. 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 Soctloki 7 00 of Division 3 of the Business and Profol code, and my license is in full force and effect. License Class License No DAL 3 0 'L Contractor Signature WORKERS' COMPENSATION DECLARATION 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 4100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR conE, INTEREST, AND ATTORNEYS FEES. I 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 th performance of the work for which this permit is issued. Policy No. RI —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 insuirance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 01 certify that, in the performance of the work for which this permit is Issued, I shell 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 Applican�R�'"N _ Cat DECLARATION RBGTRUCTION LENDING AGENCY I hereby affirm under nally of perjury that thereis a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, C vil Code). Londers Name Lender's Address By my signature below, I certify to each of the 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 to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or comV 4 enter the above-idontlfied property for inspection purposes. Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name (- ate 13c a ACTION DATE BY :CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ftEG -LIONS PARE 614E TITLE 40 AND AQM0 RULE 140"3 PERMIT EXPIRED_ t sU6_MITTED ASBESTOS NOTI FICATION TO PERMITCANCELLED__ _—._—_ PERMIT FATENDED T�T IJAQMD__ [ERilF CA EO6 Lb�l�1" Jig L._IASBEST05NOTIFICAI'IONISNOTAPPLICABLE TO PROP05ED DEMOLITION OCCUPANCYl53UED SIGNATURE: