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HomeMy WebLinkAboutF2023-0475 - Permits�aEWP City of Newport Beach lJJIIIII 1111111111111111111111p111111111111111111111p1111ill COMB Permit : F2023-0475 Community Development Department - Building Division F 2 0 2 3 0 4 7 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2412 i Permit Counter Phone: (949) 718-1 ass Issued Date : 10/03/2023 e.newponbeachca.gov/civic Final Date: 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 : 62 LINDA ISLE Legal Case: N TR 4003 BLK LOT 62 Description: NEW SFR FIRE SPRINKLERS (64 HEADS)'X2021-3438' Owner: ALFONSO CORDERO Address: PO BOX 546 ZEPHYR COVE, NV 89448 Phone: Applicant: CALIFORNIA FIRE PROTECTION Address: 647 CAMINO DE LOS MARES, 108 SAN CLEMENTE, CA 92673 Phone: (949)939-7450 Owner/Builder : Address : Phone: Contractor: CALIFORNIA FIRE PROTECTION Address : 647 CAMINO DE LOS MARES, 108 SAN CLEMENTE, CA 92673 Phone: (949)939-7450 Con State Lic : 1016781 Lie Expire : 08/31/2024 Bus Lie: BT30063097 Bus Lie Expire: 05/31/2024 Workers' Compensation Insurance Carrier: MID-CENTURY INSURANCE COMPANY Policy No: A09518349 W. C. Expire: 9/18/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : R3/U No of Units : Bldg Height: No of Stories Building Setbacks : Front: 10, Front: 25, Side: 4, Side: 4 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: k SPECIAL CONDITIONS Architect Address Phone: State Lie Engineer: Address Phone Designer: CALIFORNIA FIRE PROTECTION Address: 647 CAMINO DE LOS MARES, 108 . . SAN CLEMENTE, CA 92673: , Phone : (949) 939-7450 YES Construction Valuation : NO Added/New/TI sq. ft. Bldg 1 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $6,400.00 0 0 0 I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) clion 7031.5, Business and Professions Code: Any city or county that requires a penult to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with \Vegas as their sole compensation, will do (_) all of at (_) portions of the work, and the structure is not intended cr offered for sale (Section 7044, dress and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effnrl, builds or improves the property, provided that the rovemenls are not Intended or offered for sale. 11, however, [he 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 roved for the purpose of sale). I, 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 ily to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). J I am exempt from licensure under the Contractors' Stale License Law for the following reason: y 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 11 all a structure that 1 have built as an owner-buildar if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the 'rofesslons Code, is available upon request when this application is submitted or at the following Web site:hltp:llwww.leginfo.ca.govtcalaw.html, signature of Property Owner or Authorized Agent.,.- .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter (commencing with Se)n 70 ) of Division 3 of the Busin\' s nd effect. Licersa C'rss License No - Contractors VORKERS' COMPENSATION DECLARATION /J IAIRNINGt FHLURE TO SECUP.'_ WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL TINES UP TO ON naT OF DOMPENSATIJ... JnMAOES AS PROVIDED FOR 1N SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hureov aMrm under penally of perjury one of the following declarations: nonts covered by this permit, I cannot law, Section 7044 of the Business and Date �d Pro J Code, and mse is in full force Inature HUNDRED THOUSAND DOLLA 1E100.000). IN ADDITION TO THE have and will Fill l a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3701) of the Labor Code, for upance of the work for which this permit Is issued. Policy No. Will ITILintai.m 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' to of Agent — cerdly that, in the if I should becoe Policy Number - I r/ ! -- Expiration Date Work for whic>4Q permit is issued. I shall notemploy any person in any manner so as to become subject to the rkel compg6sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicarilf. CLARATION R ARDI N TION N NG AGENCY 3reby affirm and amity of perjury that there I a onstructlon lending agency for the performance of the work far which this permit is issued (Section ides s Name Lenders Address 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 "unty ordinances and slate laws relating to building construction. I authorize representatives of INS city or my �e llri�r the gfgove-i lifted progeny for inspection purposes. (i A.,th.,,:� n I Print Properly Owner's or Authorized Aoent's N e ACTION DATE ✓ BY iATtON Oq I FOR O CO 4PLIANCE WITH CODE OF FEDERALOFFICE USE ONLY GULATIONS PN L OF TITLE 40, AQMD RtILF. SURMITTEO ASBESTOS NOTIFICATION TO PERMFFE'KTENDED y LJAOMD _—. ..._....r --...-- PCAMIi FINAL �1 r ,r I iJ A5RE5iO5 NOTIPICAIIUN I5 NOT APPLICABLE TO CERTIFICATE OF/—h-� 1 PROPOSED DEMOLITION OCCUPANCY ISSUED _ SIGNATURE: compensation laws of California, and Civil Code).