HomeMy WebLinkAboutF2023-0350 - PermitsaEwPD'A City of Newport Beach II��II�III�II��IIIII��II IUIII���II�uII�IIIIIIIII I� COMB Permit : F2023-0350
D� m Community Development Department- Building Division F 2 0 2 3 0 3 5 0
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1786
Permit Counter Phone: (949) 718-1888 Issued Date: 0712512e23
a. newportbeachca.gov/civic Final Date:
C"gLfFORN�P Combination Type - SFP Permit Status: Issued
Work Class - New Inspection Area: 2
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 : 225 APOLENA AVE Legal pesc : A TR BALBOA ISLAND SEC 3BLK 7 LOT 25 BALBOA ISLAN
Description: SFR FIRE SPRINKLER SYSTEM 27 HEADS (X2021-2714) -
Owner: BRIANLANGENWALTER •.
Contractor: PRECISION FIRE •SYSTEMSArchitect
Address : 18101 CHARTER '"
Address:
Address: 27068LAPAZ RD 212
` ' Address
VILLA PARK„ CA 92861
ALISO VIEJO, CA 92656
°
Phone: (949)289-9090 -
Phone,:- (844)737--3473 -
Phone: °
Con StateLic::--906249
- State Lie: °
`.
Lie Expire; 11/30J2023
Applicant: PRECISION FIRE SYSTEMS
Bus Lic:_: - BT30077317 -':
Engineer :
Address : 27068 LA PAZ RD 212
Bus Lie Expire: 12/31/2023
Address °
ALISO VIEJO, CA 92656
'
Phone: (844) 737-3473
Workers' Compensation Insurance
Phone:
o�
Carrier:
-- _
FIRE SYSTEMS°=
Owner/Builder:
Policy No: CWC00122801
Designer: PRECISION
0.
Address :
W. C.Expire : 8/9/2023
- Address: 27068 LA PAZ RD 212 °° °
°°
ALSO VIEJO, CA92656°°
Phone:
-
Phone: (844) 737-3473 -
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $3,500.00
Type of Construction: V-B
Fire Hazard Zone i NO - - -
Added[NeW/TI sq. ft. Bldg : 0
Occupancy Groups:
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: 10, Side: 3, Side: 3, Rear: 5
Flood Zone: X
-
Use Zone: R-BI - Two -Unit Residential, Balboa
Island -
F F: s
PROCESSED BY:
vat
SPECIAL CONDITIONS:
0
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
(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 ire a signed statement that he or she is licensed pursuant to the provisions 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 for a permit subjects the applicant to a civil penalty of
not more than rive hundred dollars ($500).
❑ I, 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,
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. 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).
Ell, 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from Iicensum under the Contractors•' Stale 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 legaly
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:llwww.leginfo.ca.govfcejavi.html.
Signature of Property Owner or Authorized Agent ___ Date _
LICENSED CONTRACTOR'S DECLARATION I
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secli 7000) of ivisieo of tF Business and Pro dP y Iice e�(Ulf force
and effect. License Class License No Dat 5 Z C ntractor Signature
WORKERS' COMPENSATION DECLARATION
WARt LING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL PINES UP TO ONE HUNDRE T USANO DOLLARS f$IDD.000), IN ADDITION TO THE
COST OF CDMPENSATID'd, DAMAGES AS PROVIDED FOR IN SECTION 370S OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby. affirm under peodlty of perjury one of the following declarations:
hnve 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
,,once of thq 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
Date
NLCIL if !.gent - Phone ff
1'certiry Thal, in the nahormanoe ewe which this permit is issued, I Shall not employ any person in any manner so as to become subject to the worker 'compensation laws of Califom and ogre
that, if I should beco et-ta{he.w re�s�mpe provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signal o Appltca _ Dale
DECLARATION REGAR TR TION LENDING AGEN�
I hereby affirm under pen Ity a that there Is a constru lending agency for the performance of the work for which this permit is issued (Section 309 , Civ I Code).
Lenders Name Lenders Address
By my signature below, I certify to each of the followin '
I am the properly owner or authorized to act on the property owner's behalf.
I have mad this application and the information I have provided is correct.
I agree to comply with all applicable city and co a laws relating to build g-construction.
I authorize representatives of this city or co ly e-identified pro mspection purposes.
Signature of Property Owner or Authorized Aged Print Pro a Owner's or Authorized Agent's Name
ACTION DATE. BY Vi DEC TIO COMPLIt ITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGL N OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED I i LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT FINAL q LI ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF J ��'l=� DA—^—I PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: