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HomeMy WebLinkAboutF2023-0279 - Permitso4�EvuroR City Community Development Department -BuildingDivision II III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�I II COMB Permit : F2O23'0279 > y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 0182-2022 Permit Counter Phone: (949) 718-1888 Issued Date : 06/09/2023 newportbeachca.gov/civic Inspection Area : 8 cq<�FORN`P Combination Type - SFP Work Class - Other 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: 621 MICHAEL PL Legal Desc : N TR 4106 BLK LOT 4 Description: SFR FIRE SPRINKLERS (X2021-2342) 56 HEADS Owner: 11 MARBELLA LLC Contractor: FIRE SPRINKLER SYSTEMS INC Architect Address : 31 NEEDLE GRASS Address : 705 E HARRISON #200 Address IRVINE, CA 92603 CORONA, CA 92879 Phone : Phone : (800) 915-3473 Phone: Con State Lie : 684600 State Lie Lie Expire: 02/29/2024 Applicant: FIRE SPRINKLER SYSTEMS INC Bus Lie: BT96000036 Engineer: Address: 705 E HARRISON #200 Bus Lie Expire : 12/31/2023 Address CORONA, CA 92879 Phone: (800) 915-3473 Workers' Compensation Insurance Phone: Carrier: INSURANCE COMPANY OF THE WEST Owner/Builder: Policy No: WSD503131406 Designer: Address : W. C. Expire : 10/1/2023 Address Phone: - - Phone: _ Code Edition : 2019 Fire Sprinklers : YES Construction Valuation Type of Construction : 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 : 1 Added/New sq. ft. Garage: TOTAL sq. ft. : Building Setbacks : Front: 8, Side: 4, Side: 4, Rear: 10 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY : SPECIAL CONDP IONS: REEL ACES EXPIRED PERMIT F2023-0036 I hereby affirm under penalty of perjurythat I am exemptfrom the Contractors State license Law for the reasons) 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 rile 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 licensure and he basis for the alleged exemption. Any violation of Section 7031 A by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 111. 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' Dr personal effort, builds or improves the property, provided that the �iimprovements 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 li improved for the purpose of sale), 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' State License Law), © I om exempt from licensure under the Contractors' Stale 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 least one year prior to completion of the Improvements covered by this permit, I Cannot legally 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 the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:httW/Avww.leginfo.ca:govlcelaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I amlicensed under provisions of Chapter 9 (commencing with Section 0 ) of of he Business ss and Profeons� , and mf rlseis In full force and effect. License Class License No A \ Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRUNAL PENALTIES AND CNN. FINES UP TO ONE HUNDRED TH USAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3103 OF THE LABOR CODE. INTEREST, AND ATTORNEYa FEES. I 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 the or rmance 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' caller and policy number are: Policy Number re of Agent Phone # Dale certify that, in the performance of the rk 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 agre, I, if I should become subject to h kers' compensall provisions or Section 3700 of the Labor Code„ Ishall forthwith Comply with those provisions. r•� r^� nature of Applicant /�� /r Dat �� O GENCY eb affirmf u under penalty of perjury that here Is aTICIN �ructtion lending agency for the performance of he work for which this permit Is issued (Section 3097, CivCode). ider's Name Lenders Address my signature below, I certify l0 each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this applicationand the information I.have provided Is correct. I agree to comply with all applicable city and county ordinances nd slate laws relating to building construction. I authorize representatives of this city or county to enter ove-Identi roperty for inspection purposes. .AA - role l n • 'l • rl � ACTION I DATE I BY \ I-f91CLARAnoN OF COMPUANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE EXPIRED PERMITEXTENDED PERMrrfINAL 1"G—L"rj 3 PT M N UASaESTOS NOTIFICATION 15 NOT APPLICABLE TO CEALIFICATEOF '(,tAS I PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: _ __