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HomeMy WebLinkAboutF2023-0576 - PermitsCity of Newport Beach �aEWPO?T p. 6m Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 718-i BBB newportbeachca.gov/civic Cq<IF00.N�P Combination Type - SFP Work Class - New IIIIilllllllllllllllllllllllllllllllllllllllllllllllllllCOMB Permit: F2023-0576 Plan Check No : PC2023-2867 Issued Date : 1112712023 Final Date: Permit Status: Issued Inspection Area : 3 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 : 1518 VIVIAN LN Legal Desc : N TR 1806 BLK LOT 18 Description : NEW SFR FIRE SPIRNKLERS (32 HEADS) XR2022-2116 Owner: JUSTIN & SHELLEY SHEPPARD Address : 1518 VIVIAN LN NEWPORT BEACH, CA 92660 Phone : (310) 936-0885 Applicant: KELLY FIRE PROT INC Address : 10141 THESEUS DR _ HUNTINGTON BEACH, CA 92646 Phone : (714) 907-7586 Owner/Builder : Address : Phone Contractor : KELLY FIRE PROT INC Address : 10141 THESEUS DR HUNTINGTON BEACH, CA 92646 Phone: (714)907-7586 Con State Lie : 878823 Lie Expire: 08/31/2025 Bus Lic : BT30070761 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: INSURANCE CO OF THE WEST Policy No: WVE507050500 W. C. Expire : 4/11/2024 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 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: �j Architect Address Phone: State Lie Engineer Address Phone Designer: KELLY FIRE PROT INC Address : 10141 THESEUS DR HUNTINGTON BEACH, CA92646 Phone: (714)907-7586 Construction Valuation : $5,600.00 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 below by the checkrnark(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 licensure 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 ($500). ❑ I, 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 an owner of property who, through employees' or personal effort, builds or improves the property, provided that the 'u provemenls 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)- © I, as owner of the property, are 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). exempt from Ificensure under e Contra atte License Law the ng reason: B Wiry signalum below[ acknowledge that, exc ptfor my l personal resid enfor in which tI lmust have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot Iegally, 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, SoctlDn 7044 of the Business and Professions Code„ is available upon request when this application is submitted or at the following Web site:http:liww ,o.leginfo.ca.gov;calaw.html, 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 Sectipr/7000)of Division 3 of the Business and Professions Code, and m license is In full force and effect. License C,ass License No D/at(,e jl-1� 1� Contra or Signature `-64-- 01ORKERS' COMPENSATION DECLARATION 11 MAPPING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES P ONE HUNDRED THOUSAND DOLLARS 300 0), IN ADDITION TO THE C^ST CF COMPENSAmGN, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hercLy affirm under nPrialty of perjury one of the following declarations: J/ I fewe and w01 maintain a certificate of consent to self insure for workers' compensation, issued by the Director of Industrial Relations as provided fVFVy Section 3700 of the Labor Code, for io,rnnnce of the e crl. for which this permit is issued. Policy ND. have and wJl 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' .ranee carrier ar,d policy number are: of Agent if I Policy Number Date ipth^ pa:,ormanoIll of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree 3egoiie subject the workers' alippensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. alicant---- ZM - --- ate— ) I -i Ireby affirm under penalty of perjury)Kat therers`ia construction lending agency for the performance of the work for which this permit is issued fder's Name I / Lenders Address my signature balow, 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 stale laws Totaling to building construction. I authorize representatives of this ciV or ounty to enter the abpv -identified property for inspection purposes. // nature of Prooertv Owner or Authonz Auent .' 'i &ti li"—\ Print Property Owner's or Authorized Agenrle/mam ACTION EXPIRED PERYNT EXTENDED PERMIT FINAL__., CERTIFICATE OF OCCUPANCYI5SUED DATE ( BY t-DECLARATION OF COty F kNCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY RFGULATIONSAAlZ�61 FTTLE40 ANDAQMD RULE ASBESTOS NOTIFICATION TO LJ ASBESTOS NOTIFICATION 15 NOTAPPLICABLE To PROPOSED DEMOLITION SIGNATURE: Code). zI ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ' N POW rMml N TT i� U O ,Np rn e zg m IL j Z LLI oq Cl) a d Jy ri i.i. 4 U li 9 m m .QQ M vi td r c6 ai rVi , r z I s 6 o 'a Iz n 3 'p a a cn D mn 1 O m I Z `jg• S a� ;a NO 0.1 4 w N -a El El ❑ 0 ❑ ❑ ❑ ❑ ❑ ❑ El 0 IO