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HomeMy WebLinkAboutF2023-0188 - PermitsF ��WPORT City of Newport Beach D Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u �m.Inspection Requests Phone: (949) 644-3255 Cqt/Fp0.N�P newportbeachca.gov/inspections Combination Type - SFP Work Class - New F 2 0 2 3 0 1 8 8II COMB Permit : F2O23-0188 Plan Check No: PC2023-0993 Issued Date : 0510112023 Inspection Area : 4 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: 1700 PORT MANLEIGH CIR Legal Dose: N TR 6938 BILK LOT 51 Description: SFR - INSTALL (51) FIRE SPRINKLER HEADS (X2021-3447) Owner: LLOYD RUCKER Address : 260 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone : (949) 463-4509 Applicant: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Owner/Builder : Address: Phone Contractor: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Con State Lie : 992002 Lie Expire : 04/30/2024 Bus Lie: BT30078648 Bus Lie Expire : 05/31/2023 Workers' Compensation Insurance Carrier: FALLS LAKE FIRE & CASUALTY CO Policy No : FLA008008 W. C. Expire : 12/29/2023 Architect Address Phone: State Lie Engineer: Address : Phone Designer: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 • - - Phone: (714)310-0194 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $10,000:0p, Type of Construction : V-B Fire Hazard Zone : NO Added/NeWITI sq. ft. Bldg : 0 _ Occupancy Groups: R3/U No of Units : 1 Alteration sq. ft. Bldg : ` I - Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 23, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: 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 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 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ri 1, 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 ate 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). ❑ 1, 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). © I am exempt from licensors under the Contractors' State 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 feast one year prior to completion of the improvements Covered by this permit, I cannot lagall sell a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable I Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:htlp:liwww.leginfo.ca.govicalaw.html. Signature of Property Owner or Authorized Agent _- Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7C o vi . p,3 of the Business and Preto sio. and my license is to full force and effect. License Class License. No Date �4 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LABOR CODE, INTEREST, Me ATTORNEYS Fees, I hereby affirm under penalty of perjury one of the following declarations: I have and w61 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 th pe.formarze of the work for which this permit is issued. Policy No. i 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: Cartier Policy Number Expiration Date Wrap or Agent _ - - - Phone p GI certify that, in tSe per'or an of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre that, if I sf•ould become Sribj ct t kha workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith. comply with those provisions. Slgnpl,im of Applies 111 _ Data- D,'C,MATION R.GA'0 NO (bNSTRUCTiON LENDING AGENCY I hereby affirm and perslty uiverjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code Lrnder's Name Lender's Address By my signature ueluw, I certify to each Of the following: I am the property owner or authorized to act on the Pop -ny owner's behalf. I have read this application and the Information I h ve pr vided is correct. I agree to comply with all applicable city and coun y ordi ancos and state laws relating to building construction. I authorize representatives of this city or county to fof - ab a-Idontified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name (,� _Dale ' ACTION DATE BY !DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 PERMITEXPIRED _ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED 7--EPA PERMtIT EXTENDED -- —�QMO PERMIT FINAL gASBESTOS 51CATION 15 NOT APPLICABLE TO CERrIFICATEOF '� /Ir�lr1 �PROPOSEDDE — OCCUPANCYIS5UED iv`"'/ (('/'(( �" r� SIGNATURE: