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Home My WebLink AboutF2023-0515 - PermitsCity of Newport Beach "�E.gPoRT 0 Community Development Department - Building Division a _ ;.. 1 100 Civic Center Drive, Newport Beach, CA 92660 U Y Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Cq��F00.N�P Combination Type - SFP Work Class - New 7s akc-i1- LLU I Uf 1 COMB Permit: F2023-0515 Plan Check No : PC2023-2563 Issued Date : 10/18/2023 Final Date: Permit Status: Issued Inspection Area : 2 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 : 208 COLLINS AVE Legal Desc : A TR BALBOA ISLAND SEC 2 ELK 11 LOT 14 Description : SFR FIRE SPRINKLER SYSTEM WITH 36 HEADS (XR2022-3301) Owner: ARDR REALTY LLC Contractor: FIREPROOF FIRE PROTECTION Architect Address: 318 AMETHYST AVE Address: 1101 KINGSTON DR Address NEWPORT BEACH, CA 92662 LA HABRA, CA 90631 Phone : (949) 433-1424 Phone : (714) 476-5370 Phone Con State Lic : 876004 State Lic Lic Expire : 04/30/2024 Applicant: FIREPROOF FIRE PROTECTION Bus Lic : BT30040107 Engineer: Address: 1101 KINGSTON DR Bus Lic Expire: 0713112024 Address LA HABRA, CA 90631 Phone: (714) 476-5370 Workers' Compensation Insurance Phone: Carrier: NATIONAL CASUALTY COMPANY Owner/Builder: Policy No: SWC1373758 Designer: FIREPROOF FIRE PROTECTION Address : W. C. Expire : 2/15/2024 Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: Phone: (714)476-5370 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $2,900.00 Type of Construction : V-B 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 : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 , Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: RS SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reasons) indicated below by the eheckmark(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 he 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 Irofessions 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 tot more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for safe (Section 7044, 3uslru ss 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 mprovements 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 myproved for the purpose of sale). ...1 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 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' Slate License Law), 1 1 am exempt from licensure under the Contractors' Slate License Law for the following reason ........ _r._...-------- . ....._.. ....__. ...._.._.._.._ ... . ................. ..... _........... _..._-------- ,.—.---- - 3y 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, 1 cannot legally sell a structure. that 1 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 '.. �rofesslons Code, is available upon request when this application is submitted or at the following Web she:http:/lwww.leg nfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ Data LICENSED CONTRACTOR'S DECLARATION '.. hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions s Code, and my license is in full force and effect. License Class License No Date IU � 1 E l '0 Contractor Signature a f"� NORKERS' COMPENSATION DECLARATION NARNING: 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 ]OST DF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 Ierformance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 370D of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: r Policy Number Expiration Date of Agent Phone N _ 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 agm, L, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant ,L4r'"'""` CLARATION REGARDING CONuTRUCTION LENDING AGENCY�� 3raby ufirm 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). lders Name Lenders Address _ my signature below, I certify to each of the Following: I am the property owner or authorized (G acton the property owner's behalf. I have read thi= anpbcalion and the information I have provided is correct. I agree to comply wibl all applicable city and county ordinances and state laws refacing to building construction. I aurt'orize replesaulaUves of this city or county to enter the above -Identified property for inspection purposes. Y�,r nature of Prooertv i,wner or Authorized AaBnl /J`F)r- - ti — Print Property Owner's or Authorized Agent's Name I - \ ir- •v . , Date (� I k 11 F.CTICN I DATE I BY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMtT EXPIRED I i U I SUBMITTED ASBESTOS NOTIFICATION TO PFNr4'T GANCELLEL, EPA CE7 4T fxTENDED :. 0AQMD rERMIT F NAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CE9 1 1 ,4TE OF (-%7 f �� p� Ai�Il�, PROP05ED DEMOLITION UCCUP414CY 155b�0 SIGNATURE: FOR OFFICE USE ONLY