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F2022-0403 - Permits
_.._.._..__ ... ._ ea�WP�a, City of Newport Beach III Community Development Department -Building Division IIIIIIIIIIIIOIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 COMB Permit: F2022-0403 3 Permit Counter Phone: (949) 644-3268 b" Inspection Requests Phone: (949) 644-3255 gciro anewportbeachgca.gov/inspections Plan Check NO : 114U-2022 Issued Date : 08/0412022 Combination Type - p� am Inspection Area : 6/FIRE INSPECTOR Work Class - Addition/Alteration « �. `' 1 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: 1641 REEF VIEW CIR d dres Owner: DELTA 1 REVISION & ADD'L SCOPE: ADDED TATUM BAKES Legal Desc : N TR 7247 BLK LOT 3 TRACT NO (16) FS TO SYSTEM, 7247 LOT 3 FOR OF LOT AND Address: 1641 REEF VIEW CIR CORONA -' Contractor POR A BAND STIRDescription: 92625 DEL MAR, CA Address : Architect Phone : Address: Phone Applicant : FIREPROOF FIRE PROTECTION Con State Lic : - Phone Address: Phone 1101 KINGSTON DR LA HABRA, CA 90631 Lic Expire: State Lic: : (714) 476-5370 -'Bus Lic ; - Bus Lic Expire : - Engineer: Owner/Builder: Workers' Compensation Insurance Address: Address : " Carrier ;- _: Phone Phone : Policy No W. C. Expire: - - Designer: FIREPROOF FIRE P Code Edition : 2019 -- Type of Construction : V-B Fire Sprinklers : YES Occupancy Groups : R3/U Fire Hazard Zone :.-:.. No Bldg Height: No of Units : 1 No of Stories : 1 Building Setbacks : Flood Zone : Front: 34, Side: 6, Side: 6, Rear: 6 X - '- Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Address: 1101 KINGSTON DRROTECTION LA Phone : (714) 476-5370 HABRA, CA 90631 Construction Valuation: $1,600.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg: .Added/New sq. ft. Garage : 0 • • 63d• o • o • • •••• • c• • o cJo a • • • c a� a6 o J © lt. ,iJo OWNER2 BUILDER DECLARATION applicant for as a permit to donstruct, alter, improve, demollsh,. or repair any structure, prior to Its issuance, elan requires the Bu t hereby aft{rm under penalty of perjury that t am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmarkjs) I have placed next to the applicable item{s action 103t.5, Business and Professions Cods: Any city qC county that repair P the Contractors hcant for a permit subjects the applicant to a civil penalty of 0 permit to file, Signed that hatement that he or er she is exempt she i )iCenure and thont to the e basis fo provisions heal egsdfaxemption. Any Violation of Section 703'1 5 by any appencing with Sactign 7000) of IN, 3 of the Business and fro ri more than five hundred dollars ($500). rovided that the 1, as owner of the property, re is ot ed or sale one Year of ug plebeo the Ownersonalev will have the burden of proving that It was not built or ]sines and Profssstnns Code: The Contractors'rSkate wages tense Law does not apply to an onsation, Wit wner of property vho, lhrouglitampbyeesnor personal effort Wide or rsmproveserlhetpropsrtySp (Section 7 , iprovemsnts are not Intended or offered for sale. If, however, the building or IMPrOvemeni is sold within y { ,,proved for the purpose Of &ale). builds or improves thereon, and who contracts for the projects with a. licensed Contractor pursuant to the Contractors' State License Law}. — — I, as owner of lire properly, am exeWsivaly contracting with licensed Contractors to construct lire project {Settle,, 7ff0.4, Business and Professions Coda The Contractors' Stele license Law does no ply to an owner of properly who ,_, ,_� _.__.._- I am exempt from Vicensure under the Contractors' State License Law for the following reason ,�.._...__-. r If It has rs been ncaInConstructed hi its entirety by licensed contractors.�!rnderst nd that 0 htM.of the applicable law, Section 7044. of the Business and iy my signature below I acknowledge that. except for my personal residence in which I must have resided fqr e[ least on¢ year prior to completion Of lire impmuemenls covered by [his permit, I cannot legatl cell a structure that I have bulls as anowner-buildsData �rofessfons Cotle, Is avalleble upon request when this application Is submitted or at the following web site:htipJ 9 signature Of Property Cwner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION Dale l 4 i �L Contractor Signature hereby affirm under penally of perjury that I am licensed and c Pn9eevisioons of Chapter {commencing with Section 7000 of Otvlsion 3 of the Business and Professions Code, and my license is in full force and effect. License Class THOUSAND WORKERS' COMPENSATIONS DECLARATION _EMPLOYER TO COST IOE COMPENSATON,PAMAG53A OYIOEOFORINSECTION OMPENSIAT(ORCOVERAtie SUNLALAFUL, AND CODE,SH INTEREST ANp TTORNEY`S FEEaR CRIMINAL PENALTIES AND CN1L FINEa UP TO ONE NUNPAEe TNOUSANP POLIARS {S1DD,PDU). IN ADDITION TO THE w,ARm NG: FAILURE SECURE RKERS' 0 issued by the Dlreclo of Industrial Relations as provided for by Section 3700 of the Labor Coda, for tf f hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certlHcats of consent to self insure for workers' compensation, for the erformance of the work for which this permit is issued. My workers' eompensatic performance of the wmk for which this permit Is issued. Policy NO. BYhave sod will maintain workers compensation insurance, as required by Section 3700 of the Labor Code, P Expiration Date lnSurence canter and policy number are: Policy Number Phone 8 ra of Agent -he work For which this permit Is issued, I shall not employperson In any certify that, become subject to the in the performance of tthe any workers' compensation provisions of Section 3706 of the Labor Code. I shall if I should -alure of Applicant CLARATION REGARDING CONSTRUCTION LENDING AGENCY the pc,wrmunce :reby of i m under penalty of perjury that there is a construction lending agencyfo Lenders Address of the work to Iders Name my signature. baSow, I Certify to each of the following: art, owner's behalf. t am the property owner or authorized to act on the prop ) I am a read this application and the information I have Provided. is correct. I haves to comply with atl applicable Cary and county Ordinances and state laws relating to building construction. ses- 1 authorize representatives of this city or county to enter the aboveldenilhad properly for Pnnt Pro pany oOw'nsr' i P nnRdv Owner or Apth,, EPI A an 7i i -•� na •••. GERPF7GATEbF • QCCUFAnM [SSt/ C •see•• eoee es • BY ueeu,111,1— —. _,.._.. __. AEGULATION5 PART SIl OF TITLE 40 AND AOMR RULE ASBE5TOs NOTIFICATION IS NOT APPLICABLE TO O,�t--,�— PROPOSED DEMOLITION o as to become subject to the workers' compensation laws of Gallfomia, and agro• comply with those provisions. Date-- -A 7t -- thls permit Is issued (Section 3097, Civil Code), USE All required alarms, latches Bates and fences which serve as part of a pool/spa barrier, shall be In place priorto approval to fill pool/spa & shall remain in Place & be maintained for the life of the pool, Fee Name Transaction Date Payment Method Building Building Permit Fee - Fire Building Plan Check Fee - Fire Drawing Fee GRAND TOTAL: PERMIT FEE DETAILS FOR PERMIT F2022-0403 Fee Amount Fee Paid Amount Trans. Paid Amount Paid By $274.00 $0.00 $226.00 $0.00 $2.00 ,$0.00 $502.00 �V 00 0 e 0 o a o 0 0 ao oV � 0 0 • e s •ee• • • •s •sees •wsss •sees• •s •ease• •ws• • u •e •