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Home My WebLink AboutF2022-0520 - Permitsi WPORr. City of Newport Beach itt Dk r~ I Community Development Department- Building Division Civic Center Drive, Newport Beach, CA 92660 U z Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c'9j.�ro nN`P newportbeachca.gov/inspections Combination Type - SFP Work Class - New II I II I II I II III I I I II II COMB Permit : F2022-0520 Plan Check No : PC2022-2496 Issued Date : 10/0612022 Inspection Area : 3 r.. t rc ,r-,, r-•7-q�}� 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 : 1710 KINGS RD Legal Desc : N TR 1221 BLK LOT 14 Description: SFR FIRE SPRINKLER SYSTEM W/ (74) HEADS FOR NSFR. (X2021-3393) Owner: JEFFREY OVERALL Address: 1710 KINGS RD NEWPORT BEACH, CA Phone: Applicant: KELLY FIRE PROT INC Address : 10141 THESEUS DR HUNTINGTON BEACH, CA 92646 Phone: (714)907-7586 Owner/Builder: Address : Phone Contractor: KELLY FIRE PROT INC Architect Address : 10141 THESEUS DR Address: HUNTINGTON BEACH, CA 92646 Phone: (714)907-7586 Phone: Con State Lie : 878823 State Lie: Lie Expire : 08/31/2023 Bus Lie: BT30070761 Engineer: Bus Lie Expire: 01/31/2023 Address : Workers' Compensation Insurance Carrier: AMERICAN+FAMILY+HOME+INSURANCE+C OMPANY+DBA+AFH+INSURANCE+COMPAN Y Policy No : 2EA5WC0000246 W. C. Expire: 4/11/2023 Phone: Designer: KELLY FIRE PROT INC Address : 10141 THESEUS DR HUNTINGTON BEACH, CA 92646 Phone : (714) 907-7586 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $7,600.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R3/U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. Bldg : 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Singa-UnitResidential PROCESSED BY: 925 SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law (or the mason(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(s) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant (or the permit to fila 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Q I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 (lie 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).. u 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 anpply 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) L,1 I am exempt from licensors 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 al least one year prior to completion of the Improvements covered by this permit, 1 cannot legail) 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 tho applicable law, Section 7044 of the Business and Professions CJDs, ;s z.vailable upon request when this application is submitted or at the following Web site:blip:liwww.leginfo.ca.govlcalow.html. Signature of Property Owner or Authorized Agent-__..__..._.._.___.__..___.......__...______..._...._.—_�_—__.__..�.__..._.....—. _„-__.. Date _�_____...._......__.___.._. _... LICENSED CUN IrR ACTOR'S DECLARATION i hereby affirm undo, penally of perjury that I out licensed under provisions of Chapter 9 (commencing with Section 700 ) of iv igIs 3 of the Business and Pro(essiong Cude, andjny license is in full force a:Td ef`.ect. Licerse Class License No Dale (i' �V Contractor Signature WORKERS' CCf.rE N SATION DECLARATION NARNIr'.O: FAILURC -C ESCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN AOD17ION TO THE COb7 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 070$ OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES. I mJby affirm under penalty of perjury one of the following declarations: I�I have and will maintain a certificate of consent to selfAnsure for workers' compensation, issued by the Director of industrial Relationsas provided for by Section 3700 of the Labor Code, for th ovr.co dance 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 Ia„ce carrier and policy number are: ,er Policy Number _... Expiration Date ne of Agent certify that, In the periormal if I should become subject talure of Applicant 10 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' eomponsalion laws of California, and workers' cotyTpensation provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions. CLARATION REGARDING,GrONSTRUCTICSN G AGENCY !taby affirm under penalty of perjury That a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). ,der'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 properly 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 a r the also a entitled property for Inspection purposes. nature of Proeortx Owner or Authorized A enl lti Print Property Owner's or Authorized Agent s Name = � jc- Cii _ Date TION DATE BY DECLARATION OF CO ITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATION ) OF TITLE 40 AND AQMD RULE 1403 Dale.____107-6 1___ PERMIT EXTENUEO IJAQM PERPERMIT EX E OF �� PROPOSED DENQ LITIpN ION ISJNOT �APPLICABLE �TO OCCUPANCY ISSUED 97GNATURE�/(ti/ I x