The URL can be used to link to this page

Home My WebLink AboutF2022-0579 - Permits��EWPORT City of Newport Beach C p Community Development Department- Building Division r q 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u o- Inspection Requests Phone: (949) 644-3255 °q<iFoaN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Addition/Alteration F 2 0 2 2 0 5 7 9II COMB Permit: F2022-0579 Plan Check No: PC2022-2818 Issued Date : 11109/2022 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 : 2615 BUCKEYE ST Legal Desc : N TR 4892 BLK LOT 76 Description: SFR -NEW AUTOMATIC FIRE SPRINKLER SYSTEM 56 HEADS (X2022-0289) Owner: CNQST LLC Address : 2321 ARALIA ST NEWPORT BEACH, CA 92660 Phone Applicant: KELLY FIRE PROT INC Address : 10141 THESEUS DR HUNTINGTON BEACH, CA 92646 Phone: (714)907-7586 Owner/Builder : Address : Phone Contractor : KELLY FIRE PROT INC Address : 10141 THESEUS DR HUNTINGTON BEACH, CA 92646 Phone: (714)907-7586 Con State Lie : 878823 Lie Expire : 08/31/2023 Bus Lie: BT30070761 Bus Lie Expire : 01/31/2023 Workers' Compensation Insurance Carrier: AMERICAN FAMILY HOME INSURANCE COMPANY Policy No : 2EA5WC0000246 W. C. Expire : 4/11/2023 Architect Address Phone: State Lie Engineer Address Phone Designer: KELLY FIRE PROT INC ' Address : 10141 THESEUS DR HUNTINGTON BEACH, CA 92646 Phone: (714)907-7586 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-3/1_1 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY : SPECIAL CONDITIONS: $3,000.06 0 0 0 OWNER -BUILDER DECLARATION ' € hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Items) 'action 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 is permit to file a signed statement that he or she is liconsod pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of D'cvfsion 3 of the Business and rofessions Code) or that he or She is exempt from tcensure 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 of more than five hundred dollars (b500). 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, usiness 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 nprovemems 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 -proved 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 poly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I I am exempt from hcensure under the Contractors' State License Law for the following reason: �y 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 06 a structure that I have built as an owner -builder if It has not boon constructed in its entirety by ilconscd 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 site:http:/iww)N.leginto.ca.gov/calaw.htmi, signature of Property Owner or Authorized AgentDate _ .ICENSED 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 Profess�ions :ode, and. y license is in full force nd effect. License Class License No Date <ff-1--1L Contractor Signature'a PORKERS' COMPENSATION DECLARATION (ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR ;_---; {N ADDDION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR A SECTION 3706 OE THE LABOR CODE, INTEREST, AND AT7rORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations- 2 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 th rFrfo mance 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: Tier ne of agent Policy Number Date 11 certify that, in thz 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 Califomla, and agre IS,, it I stlould bedcmr -object to the workers' compensati n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IunaWnP of Applir'anl - Date ' l/^�i — �' L ECLARATtON REoAFD1N C STRUCTION t:E DING AG hereby affirm under penalty of perjury that there is a const I ding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enoP, s Name Lender's Address y my signature below, I gertify to each of the following: am the properly owner or authorized to act on the property owner's behalf. i have read this applicalion and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to Vterlhe above -identified property for inspection purposes, ionature of Property Owner or Authorized Anent i4, e" _____ Print Property Owner's or Authorized Agent's Name,>� 564" g W`7 Date oc I ACTION I DATE. BY i -DECLARATION OEF�7LIANCE NITH CODE OF FEDERAL FOR OFFICE USE. ONLY REGULATIONS PART 51 OF TITLE. 40 AND AQMD RULE PERMfTEXPIRED I IJ I SUBMITTED_AS_BF_ST_0__S NOTIFICATION TO PERMITCAN EIFD EPA. PERMITFa7ENDED _ PERNPIT FIPIAL � �ASBE5T 05 NOTIFICATION IS NOI"ANPUCABLti Tp CERTIFICATE Of OCCUPANCYI5SUfD { ��J PROPOSED DEMOQt_h N J SIGNATURE: / t.✓— l�