HomeMy WebLinkAboutF2024-0365 - Permitso��EWIPoRT City nit DeWpOrtD parment- BuildingDivision IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III III II COMB Permit: F2024-0365
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n 100 Civic Center Drive, NewportBeach, CA 92660 Plan Check No : PC2024-1281
u >h S Permit Counter Phone: (949) 718-1888 Issued Date : 02/28/2025
newportbeachca.gov/civic Final Date:
°9c;FORN`" Combination Type - SFP Permit Status: Issued
Work Class - Addition/Alteration Inspection Area : 6
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 : 18 SUNSET COVE Legal Desc : N TR 14859 BLK LOT 91
Description : SFR FIRE SPRINKLERS - ADD 2 HEADS (XR2024-5437)
Owner:
ROBERTPETERSON
Address :
18 SUNSET CV
NEWPORT COAST, CA 92657
Phone:
(951) 340-0362
Applicant:
ROBERT DILL
Address:
6081 CALLE CORTEZ
YORBA LINDA, CA 92886
Phone:
(949)689-7766
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor:
HI -TECH FIRE SPRINKLERS
Architect
Address :
PO BOX 6566
Address
HUNTINGTON BEACH, CA 92615
Phone :
(949) 689-7766
Phone
Con State Lic
: 855229
State Lic
Lic Expire :
03/31/2025
Bus Lic:
BT30084967
Engineer:
Bus Lic Expire : 08/31/2025
Address :
Workers' Compensation Insurance Phone
Carrier: BERKSHIRE HATHAWAY HOMESTATE INS
CO
Policy No: N9WC092090 Designer: ROBERT DILL
W. C. Expire : 7/2/2025 Address: 6081 CALLE CORTEZ
YORBA LINDA, CA 92886
Phone: (949)689-7766
2022 Fire Sprinklers :
YES
Construction Valuation :
$3,000.00
V-B Fire Hazard Zone :
YES
Added/New/TI sq. ft. Bldg :
0
R3/U Fire Alarms :
NO
Alteration sq. ft. Bldg :
0
No of Units :
1
Add/New sq. ft. Garage :
0
No of Stories :
2
TOTAL sq. ft.
0
No of Basement:
X
PC - Newport Coast
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale 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 rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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 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).
111, 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
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' State License Law).
❑ 1 am exempt from licensure 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 legally
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.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 1$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN BECTON 1706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 the
performance 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'
ranee carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of 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
1, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
mature of Applicant Dale_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
sreby 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).
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 county ordinances and slate laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
mature of Prooertv Owner or Authorized ADent Print PrODeriv Owners or Authorized Anent's Name Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ( FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMITEXPIRED I Ul SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
P
A5BE5TOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION