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HomeMy WebLinkAboutF2022-0184 - Permits7r?� WoRr (� City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949) 644-3288 Ru 'v�w Inspection Requests Phone: (949) 644-3255 C"9l /�%ORN`P newportbeachca.gov/inspections Combination Type - Work Class - New II II COMB Permit: F2022-0184 Plan Check No : 0931-2022 Issued Date : 08/04/2022 Inspection Area : 2/FIRE INSPECTOR 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 Description Owner: Address : 1900 SEADRIFT DR Legal Desc : N TR 2813 BLK LOT 0 SFR FIRE SPRINKLERS (X2021-2056) 36 HEADS SANDRA ZARCADES Contractor: FIREPROOF FIRE PROTECTION 278 PALMER ST COSTA MESA, CA 92627 Address: 1101 KINGSTON DR LA HABRA, CA Phone: (949)246-3582 Applicant: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Owner/Builder : Address Phone: 90631 Phone: (714)476-5370 Con State Lie : 876004 Lie Expire : 04/3D/2024 Bus Lie: BT30040107 Bus Lie Expire : 08/3012023 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INSURANCE COMPANY Policy No : SWC1373758 W. C. Expire : 2/15/2023 ' Architect Address: Phone: State Lie: Engineer: Address Phone: Designer: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $3,600.00 Type of Construction : V-8 Fire Hazard Zone , No Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R3/U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories ; 1 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential 9S PROCESSED BY: OWNER -BUILDER DECLARATION I hereby afflrm under penalty of perjury that I am exempt from the Contractors' Slate 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, damolish, or repair any structure, prior to Its issuance, also requires the applicant for he permit to Flo a signed statement that he or she is licensed pursuant to the provisionsof the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofesslons Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any viotatlon of Section 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). 1, 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, lusiness 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 11provemenls 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 bullt or n raved 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 iply to an owner of property who builds or Improves thereon, and Who contracts for the projects With a licensed Contractor pursuant to the Contractors' Stale License Lew). I am exempt from icensure under the Contractors' Slate License Law for the following reason: _ _ ------------- _ ____------ _ .................. ly my signature below I acknowledge thel, except for my personal residence in which I must have resided for at best one year prior to completion of the Improvements covered by this permit, I cannot legall) ell a structure that I have built as an owner -builder If it has not bean constructed In Its entirety by licensed contractors. I understand.. that a copy of the applicable law, Section 7044 of the Business. and 'rofesslons Code, Is available upon request when this application is submitted or at the following W81h sire:htlpa/www.leginio.ca.govlcalaw.html. Ignature of Properly Owner or Authorized Agent Dale .ICENSED CONTRACTOR'S DECLARATION hereby affirm tinder penally of perjury that I 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 nd effect. License Class License No Dale 't♦ Contractor Slgnature PORKERS' COMPENSATION DECLARATION 'ARMING : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES, AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37aa of THE LABOR COOF, INTEREST, AND ATTORNEYS FEES.. hereby affirm under penalty of perjury one of the following declarations: J I have and will maintain n 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. t� Il ave 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' (` surance carrier and policy number are: Policy Number me of Agent Phone 8 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 afire 1, if I should becomesubjectto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, su mature of Applicant / s CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work forwh)ch this permit is issued (Section 3097, Civil Code). lders Name Lender's 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 construolion. I authorize ref resentatives of this city or county to enter the above-Identifled property for Inspection purposes. ,/� nature of Prooedv Owner or Authorized ADart� h Print Pronpriv nwner'c nr Aurnnrh.,.n Ananr's Non w/< M. t (, , - Hero L ACTION DATE 4 BY DECLARATION Or COMPLIANCE WITH CODE OF FEDEI Ij REGULATIONS PANT bE OF TITLE 40 AND AOMO HOOF. 1403 Dtirm T EXPIRED I U I SUBMITTED ASBESTOS NOTI icATioN TO PERMIT -FINAL LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF 2�'"2ti DyCJ� pROP05E0 DEMOLITION GCCUPANCf /551:E.J SIGNATURE: L111G1�IF7Xa72Rli All required alarms, latches gates and fences which serve as part of pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain In place & be maintained for the life of the pool.