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Home My WebLink AboutF2023-0344 - Permits"2'-wppRT City of Newport Beach II �� I� �III�� I��I I� ��I� �I�II�� II o� @ Community Development Department- Building Division F 2 0 2 3 0 3 4 4 COMB Permit: F2U23-0344 r 1y" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1706 u i Permit Counter Phone: (949) 718-1888 Issued Date : 07/17/2023 newportbeachca.gov/civic Final Date: cq7_, Fi, Combination Type - Permit Status: Issued Work Class - New Inspection Area : 8 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 : 1424 GALAXY DR Legal Desc : N TR 4224 BILK LOT 78 Description: SFR FIRE SPRINKLER SYSTEM 40 HEADS (XR2022-2115) *REVISED 8/24/23' Owner: OCEAN MANOR GROUP LLC Contractor: FIREPROOF FIRE PROTECTION Architect Address : 3235 E OCEAN BLVD Address : 1101 KINGSTON DR Address LONG BEACH, CA 90803 LA HABRA, CA 90631 Phone Applicant: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Owner/Builder : Address : Phone Code Edition: 2022 Type of Construction : V-B Occupancy Groups: R3/U Bldg Height: Phone: (714)476-5370 Con State Lie : 876004 Lie Expire : 04/30/2024 Bus Lie: BT30040107 Bus Lie Expire : 07/31/2024 Workers' Compensation Insurance Carrier: NATIONAL CASUALTY COMPANY Policy No: SWC1373758 W. C. Expire : 2/15/2024 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 1 No of Stories : 1 Building Setbacks: Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: ADD'L SCOPE ADD 1 HEAD Phone: State Lie Engineer: Address Phone : Designer: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Construction Valuation : $3,900.00 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 affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated Wow by.the chnismark(s) I have placed flexile the applicable item(s) 3ection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernolisih, or repair arry, Structure, prior to its issuance, also requires the applicant for re permit to file a signed statement that he or she is licensed Dominant to the previsions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and nufassoons Code) or that he or She is exempt from licensture, and the basis for the alleged exemption- Any violation of Section 7031,5 by any applicant for a permit Subjects the applicant to is civil penalty of of more than five hundred dollars ($500) 1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the Work, and the Structure is not intended or offered for sale (Section 7044, Ui and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' personal effort, huflids or improves the property, provided that the rimovements are not intended or offered for sale. If, however, the building or improvement is sold Within one year of completion, the Owner-Suilcim will have the burden of proving that it was not built or nprovod for the purpose of sale)- 1 1, 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 pply 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), 3 1 am exempt from InJersum under the Contractors' State License Law for the following -- -- ----------- ---- --- - ------------------ ,y my signature below I acknowledge that, except for my personal residence in which I must have resided for at tens: one year prior to completion of the improvements covered by this permit, I cannot legafl) oil a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable low, Section 7044 of the Business and IrofessiDfls Code, is available upon request when this application is submitted or at the following Web site:httpliw ,w.leginfo.co.govtcalaw,html. Ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of Partin 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 nd effect, License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES hereby affirm under pantifly of perjury one of the following declarations: I 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 IN orformance of the work for which this permit is inrecL Policy No, 11 have and wil maintain workers' Compensation Insurance, Be MCI by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior isurance carrier and polir,y number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is Issued. I shall not employ any person in any manner ,a as to become subject to the workers' Compensation Is", ofCalthomia, and I, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. nature of Applicant Date— CLARATHON REGARDING GONSTR23GTiON LENDING AGENGV ?reby affirm under penalty of perjury that them is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). idois Name Lender's Address my signature hotel 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 reprosentaffiviss of this City or county to enter the above,rderl property for Inspection Purposes, of Proriertv Owner or Authorized Agent Print Property Owner's Or Authorized Agent's Name ACTION DATE i By I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OFTITLE 40 AND AQMD RULE IR33 PERA41T EXPIRED LJ I SUBMITTED AS HE STOS NOTIFICATION TO _ -1— - — — -------- - _0 ------------ - �CRso,l T &IVERLED EPA ------ --- _aQMD -- ------ _0_AS_HF_5_TC)_S NOTIJ`_JCAFif_)N CEPTHRCATE OF PROPOSED DEMOLITION OCCUPANCY155LIED SIGNATURE: �EVyPO/7T City of Newport Beach II��I�I��II��II��I��I��IIII�II II Community Development Department - Building Division F 2 0 2 3 0 3 4 4 COMB Permit : F2U23-0344 H h 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1706 Permit Counter Phone: (949) 718-1888 Issued Date .rrt newportbeachca.gov/civic Final Date: �q�rcoa" �P Combination Type - Permit Status: Applied Work Class - New Inspection Area : 8 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 : 1424 GALAXY DR Legal Desc : N TR 4224 BLK LOT 78 Description: SFR FIRE SPRINKLER SYSTEM 39 HEADS (XR2022-2115) Owner: OCEAN MANOR GROUP LLC Address : 3235 E OCEAN BLVD LONG BEACH, CA 90803 Phone Applicant: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-6370 Owner/Builder : Address : Phone Contractor: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Con State Lie : 876004 Lie Expire : 04/30/2024 Bus Lie : BT30040107 Bus Lie Expire : 07/31/2023 Workers' Compensation Insurance Carrier: NATIONAL CASUALTY COMPANY Policy No : SWC1373758 W. C. Expire : 2/15/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R3/U No of Units : 1 Bldg Height: No of Stories : 1 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: 1`;L/ U__/ SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address Phone Designer: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Construction Valuation : $3,900.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION f hereby affirm under penalty of perjury that I am exempt from the Contreetors' State License Law for the reasons) indicated below by the cheekmark(s) I have placed next to the applicable item(s) 3ecfion 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for is 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 'ro€essions 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 of more than five hundred dollars ($500).. 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or C_) portions of the work, and the structure is not intended or offered for sale (Section 7044, .usiness and Professions Code. The Contractors' State License Law does not apply to an owner of property who, through employeesor personal effort„ builds or improves the property, provided that the nprovements are not intended or offered for safe. I1,. 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 nproved for the purpose of sale). 1 I, as owner of the property, sin exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poly to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from licensors under the Contractors' State License Law for the following reason _ _ _ ------ ---------- _„ , _ -_-- ._-, .,.-,...,, ty 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 legally ell a structure that I have bunt as an owner -builder if it has not been constructed in its entirely by licensed Contractors. I understand that copy of the applicable law, Section 7044 of the Business and refessions Code, is available upon request wtTen this application is submitted or at the following Web site:http:flwww.leginfo.ca.gavtcalaw.htmi. ignature of Property Owner or Authorized Agent -__ .___. Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00 of Division 3 of the Business and Prof sip Code, and my license is in full force nd effect. License Class License No Dat l tl Contractor Signature PORKERS' COMPENSATION DECLARATION DARNING' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH SAND DOLLARS ib1.00,0001. IN ADDITION TO THE OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 0706OF THE LABOR CODE, INTEREST, Me ATTORNEY'$ 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 brmance of the work for which this permit is issued. Policy No, 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' carrier and policy number are: Policy Number of Agent Date 3 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 ages tat, if I should becom ub't to the workers Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wth those provisions. jVrer re of Applies .__ .... ._..-..-..._.._____. D �. t __......,.. IECLARATION RIEG .. ONSTRUCTION LENDWG 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 309 , Civil Gods). order's Name Lender's Address _- y 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 ounty ordinances and state laws relating to building construction. I authorize representatives of this city or courk b eIger the above -Identified property for inspection purposes. ACTION DATE BY `, DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY d REGULATIONS PART 61 OF TITLE AO AND AOM€3 RULE _—�I-1403 _ PERMITEXPIRED ` M;_BMITTED ASVSTOS NO-IFICATiON TO IEEE....... _TILE_........_._ P€FMtF CkMCF{!£fl 1F_A ._......_ IEEE...""""----„__...m..._._._, ........_ __._.._......._...._:IEEE._ .__�..._....._.__._.._.. PER3Y11F EXTENDER sT-rL-- ---- PERMIT Ft7VAL....�_._-^'LJ ASBESTOS NOTIFICATION fS N01' APPLICABLE TO.__...... CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SICNF.TI!?E: