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HomeMy WebLinkAboutF2023-0330 - PermitsE«Po City of Newport Beach Community Development Department Division COMB Permit: F2023-0330 O tY P P 9 F 2 0 2 3 0 3 3 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1616 u }b = Permit Counter Phone: (949) 718-1888 Issued Date : 07/06/2023 n. newportbeachca.gov/civic °"4coaN�P e - SFP Final Date: Combination Type Permit Status: issued Work Class - New Inspection Area : 2 0 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM INAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY HOLIDAYS IN ALL AREAS Job Address : 113 TOPAZ AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 11 LOT 9 J Description: SFR FIRE SPRINKLERS (X2022-0764) 27 HEADS Owner: 113 TOPAZ GROUP LLC Contractor: XFIRE PROTECTION Architect �® Address : 2901 W MACARTHUR BLVD S Address : 9182 ALWICK CIR Address SANTA ANA, CA 92704 GARDEN GROVE, CA 92841 7 Phone : (714) 791-3771 Phone : (714) 231-5108 Phone, 4 Con State Lic : 1084661 State Lic Applicant: XFIRE PROTECTION Address: 9182 ALWICK CIR GARDEN GROVE, CA 92841 Phone: (714)231-5108 Owner/Builder: Address : Phone: Lic Expire: 12/3112023 Bus Lic: BT30077912 Bus Lic Expire : 02/28/2024 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWC01428000 W. C. Expire: 1/9/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R3/1_1 No of Units: 1 Bldg Height: No of Stories : 3 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: Engineer Address: Phone: Designer: ANTAOI NY VU Address: 1621 W SUMAC LN ANAHEIM, CA 92802 Phone: (714)234-9633 Construction Valuation : $3,200.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 DECLARATION I hereby affirm under penalty 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 applicableitem(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 provisians of the Contractors' Stale 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 fore permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 on 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. 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 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' State License Law does not apply 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), © 1 am exempt from licensure under the 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 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:httpJlwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing witft Section 70j��0 c�f D' I§io 3 f e Business es tons de, and m Ncense is in full farce and effect. License Class License No Date Wiz Enactor Signatur J COMPENSATION DECLARATION IARNING: FAIWRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS100,000),I14 ADDITION TO THE :DST OF COMP€NSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �ht1ereby affirm under penalty of perjury one of the following declarations: sl 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 tb �effRrmance of the work for which this permit Is issued. Policy No- al<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' is of Agent —__- certify that, in the p, , if I should become walure of AoolicaT Policy Number Date of the work I r which this permit is issued. I shall not employ any parson in any manner so as to become subject to the workers' compensation laws of California, and pe war Xmpensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I j I hereby 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). Lendpr's Name Lenders Address By my signature below, I certify to each of the following: I ant the property owner or authorized to sot on th. roperty owner's behalf. I have read this application and the Information I a e provided is correct. I agree to comply with all applicable city and Cou as an sla -1aws relating to building construction. 1 authorize representatives of this city, or cb _ or he ab -ides led property for inspection purposes. ��( L Signature of Property Owner or Authorized Agent - Print Pro artOwner's or Authorized Agent's Name u _ Dale ACTION DATE BY CLARATION OF CON PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY F l I I REGULATIONS PART 6t OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED 13 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCE�.LEP � EPA PERMIT EXTENbEl' I i n0_MD _ ____ _ QASBES'TOS NOTIFICATION IS NOT APPLICABLE TO Al FINAL CERTIFICATE OF 7/// pROPO5Et70EMOLRION V V OCCUPANCY ISSdrb I SIGNATURE: