HomeMy WebLinkAboutF2024-0353 - PermitsCity of Newport Beach IIIIIIII�IIINIII�III�III�IIIIIIIIIIIII�II�lllulll�lll�llll COMB Permit : F2024-0353
Community Develapment Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-1252
Permit Counter Phone: (949) 718-1888 Issued Date: 0810112024
newportbeachea.gov/civic Final Date:
`9411onl ` Combination Type - Permit Status: Issued
Work Class - Alteration 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 : 214 ABALONE AVE Legal Desc : A TR BALBOA ISLAND SEC 5 BLK 6 LOT 8
Description: DUPLEX- FIRE SPRINKLER SYSTEM 36 HEADS (XR2024-0115)
Owner: BYE BYE HOUSE INC
Address : 18301 VON KARMAN AVE STE330
IRVINE, CA 92612
Phone:
(801)995-53BO
Applicant:
CRAIG FIRE PREVENTION INC
Address :
122 W POMONA AVENUE
MONROVIA, CA 91016
Phone:
(626)357-4045
Owner/Builder:
Address :
Phone
Contractor: CRAIG FIRE PREVENTION INC
Address : 122 W POMONA AVENUE
MONROVIA. CA 91016
Phone: (626)357-4045
Con State Lic : 1037827
Lic Expire: 04/30/2026
Bus Lic: BT30048335
Bus Lic Expire : 08/30/2024
Workers' Compensation Insurance
Carrier: AFH INS CO
Policy No: 2EA5WC900091801
W. C. Expire : 2/11/2025
Code Edition : 2022
Fire Sprinklers :
Type of Construction : V-B
Fire Hazard Zone
Occupancy Groups :
No of Units:
Bldg Height:
No of Stories
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone: X
Use Zone : R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY: A - l
SPECIAL CONDITIONS:
YES
NO
2
Architect
Address
Phone :
State Lic
Engineer:
Address :
Phone :
Designer: CRAIG FIRE PREVENTION INC
Address : 122 W POMONA AVENUE
MONROVIA, CA 91016
Phone : (626) 357-4045
Construction Valuation :
$8,000.00
Added/NewlTI sq. ft. Bldg:
0
Alteration sq. ft. Bldg :
0
Add/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
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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 70",
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 properly, 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).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' Stale License Law does not
appy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from ficensure under the Contractors' Slate 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, 1 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:http:l/www.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 (Commending with Section 700j�, f sro 3 of the Business and Profess' n %Q� nd my biceps n full force
and effect. License Class License No Date 2i r Contractor Signature �iT� o g
NORKERS' COMPENSATION DECLARATION
NANNING: 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 I$1e0.ee4), IN A MffMN TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
3 1 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 Ih
)erformance of the work for which this permit is issued. Policy No.
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' compensatio
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone N
DI certity that, in the performance o the work for which thiW0157nit 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
that, if I should become Su. feel to workers mpensa o rovislons of section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant ✓ _ Dale
_J��
DECLARATION REGARDING CONSTRUCTION LENDING AGEN t
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lenders Address
By my signature below, I certify to each of the following:
1 am the properly owner or authorized to act on the property owners 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 state lawqrelaling to building construction.
I authorize representatives of this city or county totth bpve en I perty for inspection purposes. / )
Signature of Properly Owner or Authorized A ent �,V V� Print Proper Owner's or Authorized Agent's Name W I I s W V(1 f 14 Ciii Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED _I J I SUBMITTED ASBEST05 NOTIFICATION TO
_
PERMIT CANCELLED EPA
PERM/T EXTENDFD UAQNID
PERMITFINAL _r ASBESTOS NOTIFICATION ISNOT APPLICABLE TO
CERTLFICATEOF IJ-71-2y �yA.t--` PROPOSED DEMOLITION
OCCUPANCYISSUED __ SIGNATURE: