HomeMy WebLinkAboutF2023-0395 - Permits�EWPORT COMB Permit F2023-0395
City of Newport Beach I
D� Q Community Development Department- Building Division F 2 0 2 3 0 3 9 5
> d 100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No : PC2023-2045
� - = Permit Counter Phone: (949) 718-1888
M> Issued Date : 08/23/2023
� newportbeachca.govJcivic
C4C�F00.N�P Combination Type - SFP Final Date:
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 : 1315 OXFORD LN Legal Dose : N TR 3000 BLK LOT 20
Description : SFR FIRE SPRINKLERS 25 HEADS (XR2023-1056)
Owner: COPPOLA CHAD N TR
Address : 1315 OXFORD LN
NEWPORT BEACH, CA 92660
Phone: (310)623-2485
Applicant:
VALENTIN HIGUERA
Address:
4936 VIRGINIA AV
LONG BEACH, CA 90805
Phone:
(562)230-5716
Owner/Builder
:
Address :
Phone
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups : R3/U
Bldg Height:
Contractor: ACME FIRE PROTECTION INC
Address : 4936 VIRGINIA AV
LONG BEACH, CA 90805
Phone: (562)230-5716
Con State Lie:
1039977
Lie Expire :
05/31/2024
Bus Lie:
BT30082434
Bus Lie Expire :
08/31/2024
Workers' Compensation Insurance
Carrier: EXEMPT
Policy No : NO EMPLOYEES
W. C. Expire:
Fire Sprinklers : YES
Fire Hazard Zone : NO
No of Units : 1
No of Stories :
Building Setbacks: Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6e00Jndice}ewmjn0urn J8t afga)
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer:
Address :
Phone
Designer: VALENTIN HIGUERA
Address: 4936 VIRGINIA AV
LONG BEACH, CA 90805
Phone: (562)230-5716
Construction Valuation : $6,000.00
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 checkmark(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
.he 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 liceosure 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
Tot 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 U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
Business and Professions Code: The Contiectorc' State License Law does not apply to an owner of property who, through employees' or personal effort, holds 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).
:3 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' Stale License Law).
❑ I am exempt from ticensure 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 permitI cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:http://w v,leginfo.ca.gov)calaw.html.
Signature of Property Owner or Authorized Agent ,.,____.�___-...___m______...,_ _ __ __._..._...._. Date �-_-
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes ns Cod my license is In full force
and effect. License Class 0,. License No 1u34 R-1—/ [�gXtq �d-23-2'3 Contractor Sign ore
WORKERS' COMPENSATION DECLARATION (("�l v) -
NARNING; 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 t5100,000),IN AOOITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of Consent to self -insure for workers compensation, Issued by the Director of Industrial Relations as provided fa( by Section 3700 of the Labor Code, for lh
performance of the work for which this permit is issued. Policy No. _.
Ell 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' compensatiol
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
lnna'm of Agent """ 11
c rtify that, in the performance 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 agre
, if I should become subject to workers' o pensalion previsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant_,_,__ _
IECLARATION REGARDI ON T UCTI N NO AGENCY
hereby affirm under penalty of perfu that there Is a cons ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
tinder's Name Lenders Address
ly my signature below, I certify to each of the following:
I ant 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 slate laws relating to building construction.
I authorize representatives of this city or county toj,{(j,'ter th a ve Idemitied property for inspection purposes \I
signature of Property Owner oI Authorzed Agent )i I Print Propurty Owner's or Autnonzen Agent's Name jy \j�t'z�tt� i'Ffq..,tic� Date a•-2'�"Z3
ACTION
DATE
By V DECLARATION OF COMPLIANCE WITH CODE OF FEDLRA,
j REGULAUON3 PART 61 OF TITLE 40 AND AQMD RULE
j 1408
t-OR OFFICE USE ONLY
PERAVTEXPIRED
PEAARRCANCElLED
_U I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMt7 EXTENDED
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PEAfvtiT FINAL
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m } t,.-IASBESIQSNOTIF3CATIONISNOTAPPUCARLE PO
CERTIFICATE OF
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# PROPOSED DEMOLITION
OCCUPANCYISSUED
I SIGNATURE: __ _