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HomeMy WebLinkAboutF2024-0137 - Permits�EWPO�r City of Newport Beach OA Community Development Department- Building Division F 2 D 2 4 0 1 3 7 COMB Permit : F2024-0137 > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0562 r z- Permit Counter Phone: (949) 718-1888 Issued Date : 03/20/2024 newportbeachca.govlcivic rinal Date: Cq��F00.N�P Combination Type - SFP Permit Status: Issued Work Class - Other 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 Desc : N TR 6938 BILK LOT 51 Description : SFR FIRE SPRINKLER SYSTEM 5 HEADS (XR2023-2320) 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: Code Edition : 2022 Type of Construction : V-B Occupancy Groups: Bldg Height : Building Setbacks: Front: 23, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone : PC - Harbor View Hills PROCESSED BY: yj t Contractor: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Con State Lic : 992002 Lic Expire: 04/30/2024 Bus Lic: BT30078648 Bus Lic Expire: 05131/2024 Workers' Compensation Insurance Carrier: INS. COMPANY OF THE WEST Policy No: WSA507510500 W. C. Expire : 12/29/2024 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 1 No of Stories : 1 Architect Address Phone: State Lic Engineer: Address : Phone Designer: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Construction Valuation : Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg: Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 • , .Iaea=1m11111]2 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 Rallis) clion 7031.5, Business and Professions Code: Any city or county that requires a permit Io 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' Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fossions Code) or that he or she is exempt from licemure 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 wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iiness 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 rovements 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 roved 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 V 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). J I am exempt from licensure under the Contractors' State License Caw for the following reason: ;y my signature below I acknowledge that, except for my personal residence in which I must have resided for at ieast one year prior tD completion of the impro oil a structure that I have built as an ownor-builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the. applicat 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:J7www.leginfo.ca.govJcalaw.html. signature of Property owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perury that I am licensed under provisions of Chapter 9 (commencing with Section 700Q) Divi'i1V of the Business and Pro nd effect. License Class License No Date J L 1 Contractor Signature VORKERS' COMPENSATION DECLARATION rents covered by this permit, I cannot low, Section 7044 of the Business and Date and my license is In full force ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUai AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 070e OF THE LABOR CODE, INTEREST, AND ATTORNEYPS FEES. hereby affirm under penalty of perjury one of the following declarations: - I 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 'ormance of the Work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number is of Agent Date ]I certify that, in the pe orma Coelho 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' compensotlon laws of California, and agre tat, if I should become ubject o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. r ignature of Applicant.,,,, _ .. _. ..___,... Date IECLA.RATION REGAROIN ONSTRUCTION LENDINq AGENCY 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). Doi Name _ Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act an the Poperty owners behalf. 1 have read this application and the information I eve rovided is correct. I agree to comply with all applicable city and co rty or Inances and state Laws relating to building construction. I authorize representatives of this city or county o ante the above Identified property for inspection purposes. 1 _ 1 -2 L of Property Owner or Authorized Age: 1 DATE I RY OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY RFGULATION5 PART 61 OF TITLE 40 AND ACIPAD RULE 1403 NOTIFICATION TO PERMITCANC.. t EFA __ PERMii EXTENDED ��___ y��— 7�'DA4MD A _ __ ____ PERNNTFINAL -_____......� ./�J i t.,.,I ASBESTOS NOTdF1CA'rlUN 15 NOY AVPUCABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYf55UED _ _ SIGNATURE: Name Date