HomeMy WebLinkAboutF2023-0166 - PermitsD��ti,WPORT City of Newport Beach
Community Development Department - Building Division
H 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
c9<iFoaN'� newportbeachca.govhnspections
Combination Type - SFP
Work Class - Addition/Alteration
COMB Permit : F2023-0166
F 2 0 2 3 0 1 6 6�� II
Plan Check No: PC2023-0831
Issued Date : 04/12/2023
Inspection Area :6
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; 36 MAINSAIL DR Legal Desc : N TR.8425 BLK:LOT 83
Description: SFR - INSTALL (25) FIRE SPRINKLER HEADS (XR2022-1972)
Owner: HH MAINSAIL LLC
Address : 26500 AGOURA RD STE856
CALABASAS, CA 91302
Phone: (323)839-2858
Applicant: FIRE SPRINKLER FIRE PROTECTION INC
Address : 5827 DOVETAIL DR
AGOURA HILLS, CA 91301
Phone: (858)999-7446
Owner/Builder :
Address :
Phone
Contractor : FIRE SPRINKLER FIRE
INC
Address:
5827 DOVETAIL DR
AGOURA HILLS, CA 91301
Phone:
(858)999-7446
Con State Lie
: 1020404
Lie Expire :
06/30/2023
Bus Lie:
BT30081249
Bus Lie Expire : 04/30/2024
PROTECTION Architect:
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9215131
W. C. Expire : 7/28/2023
Address:
Phone:
State Lie
Engineer:
Address
Phone
Designer: FIRE SPRINKLER FIRE PROTECTION INC
Address : 5827 DOVETAIL DR
AGOURA HILLS, CA 91301
Phone: (858)999-7446
Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $8,000.00
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 : 1 Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks : Front: 15, Rear: 15
Flood Zone : X
Use Zone : PC - Jasmine Creek
PROCESSED BY
oa
SPECIAL CONDITIONS: '
! 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 itends)
ration 7031 a, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demoliph, or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that lie Or she is licensed pursuant to the provisions of the Contractors' State License La (Chapter 9 (commencing with Section 7000) of Division of the Business and
fesstons Code) or that he or she is exempt from licensers and the basis for the alleged examption. Any violation of Secuon'7031,5 by any applicant fora 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 L) all of or_) portions of the work, and the structure is not. intended or offered for sate {Section 7044,
iness and Professions Code; The Contractors' State License Law does not apply to an owner of property who, through am Oyees' 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 complex on, the Owner -Builder will have the burden of proving that Itwas not builtor
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licansed Contractors to construct the project (Section 7044, BIL s mess and Professions Code: The Contractors' State License Law does not
y to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor PL fsuarit to the Contractors' State License Law).
U I am exempt from (censure under the Contractors' State License Law for the following reason:
By my signature below f acknowledge that, except for my personal residence in which I must have resided for at (east one year prior to completion of the improvements covered by this permit, I cannot legail,
sail a structure that P have built as an owner -builder if it has not been constructed in its entirety by ]!sensed 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 siteihttp;lhw+w.ieglnto.ca.govlcalaw.htmi.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9- (commencing with Sectio 00) of Division 3 of the Business and Pr lion ode, and my livens full force
and effect. License Class License No Do }Contractor Signatur I
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKER&' COMPENSATION COVERAGE I5 UNLAWFUL. AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNURED THOUSAND DOLLARS( ION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3DIS OF THE LABOR COUB, INTEREST, AND ATTORNEY'S FeEs.
I hereby affirm under penalty of perjury one of the following declarafions:
I have and will maintain a certificate of consent to sa9f-insure for workers' compensation, issued by the Director of h
ormaace of the work for which this permit is issued. Policy No,
hate and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the parh
ranee carrier and policy number are:
far Policy NUmber
ie of Agent
certify that, in the performance of the work for which this permit is Issued. I shall not employ any person in any manner so
If I should becom"g onsation provisions of Section 3700 of the Labor Code, I shall forthwith c
ialure of Applicant \ jam. _At
hereby affirm under penalty of perj construction tending agency for the performance of the work for which
enders Name Lenders Andress
y 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 a an r c laws relating to building construction.
I authorize representatives of this city or count e1 r the above-Idontifie party for inspection purposes.
BY IDECLAR�PLIANCE WITH CODE OF FEDERAL
I REGULATIONS PART 61 OF TITLE 40 AND AgMO RUtE
PERMI F EXPIRED L.J I SUBt lITTEP A$8ESTOS NOTIFICATION TO
PERMIFCANCELLED
PERMtiEX1'ENpEP _#_-.t�4MD._.. ._____ _....___.._.,..
PERMPri7NA1 i L„t A38ESTCIS N47TIYiC,gitt7N IS N[Yl`AFP�.Ii:itBEE TO
CERTIFICATE OF 7/9/2% PROPOSED DEMOLITION
OCCUPANCY ISSUED i SIG.N_ -URE-
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
10 become subject to the workers' compensation laws of California, and agra
iply with those provisions.
Datkavccde).
y//2lOA9Z
permit Is issued (Section 3097,
FOR OFFICE USE ONLY
4