HomeMy WebLinkAboutF2022-0332 - Permitsa�cWPo�T City of Newport Beach
o Community Development Department - Building Division
r n. 100 Civic Center Drive, Newport Beach, CA 92660
6 per, S Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
IIII II I I II COMB Permit: F2022-0332
Plan Check No : 1662-2022
Combination Type
Work Class: New
Issued Date :
Inspection Area
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 : 2731 BAY SHORE DR
Legal Desc :
Description:
SFR FIRE SPRINKLERS (X2021-2092) 43 HEADS
Owner:
The West Family Revocable Trust, dated June
Contractor :
ALL STAR PLUMBING & FIRE
15, 2016
Address :
1957 Port Weybridge PI Newport Beach, CA
Address :
22672 LAMBERT ST #619 LAKE
92660
FOREST, CA 92630
Phone:
Phone:
(949)470-0072
Con State Lie
: 715588
Applicant :
HOLD DOUGHERTY
Lie Expire :
08/31/2023
Address :
22672 LAMBERT ST #619 LAKE FOREST, CA
Bus Lie :
BT30059737
92860
Phone:
(949) 470-0072
Bus Lie Expire : 07/31/2022
Workers' Compensation Insurance
Carrier: FALLS LAKE FIRE AND CASUALTY
Policy NoCOMPAIA'61837500
W. C. Expire : 2/7/2023
Code Edition : 2019
Fire Sprinklers :
NO
Type of Construction :
Fire Hazard Zone :
N
Occupancy Groups :
No of Units :
1
Bldg Height:
No of Stories :
2
Building Setbacks
Flood Zone
Use Zone :
Processed By:
Zoning Approval:
Grading Approval:
Public Works Approval:
Plan Check By:,
Approval To Issue:
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone:
Designer:
Address
Phone:
Construction Valuation : $14,000.00
Added/New sq. ft. Bldg : 0
Added/New sq. ft. Garage: 0
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt fnern the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have Darted next to the applicable ftem(sj
(Section 7031,8, Business and Professions Code: Any city or county chat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Liconse Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Coda) or that he or she is exempt from licensors 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
not more than five hundred dollars ($500),
0 I, as owner of the property, or my employees with wages as their sole compensation, will do %) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and professions Code: The Contractors' State License Law does not apply to an owner of property who,. through employees' or personal effort, builds or improve$ the property, provided that the
Improvements 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
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' Slate License Law does not
er;ply 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),
U 1 am exempt from licensors under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for try personal residence In which I must have resided for at least oneyear prior to completion of the imprevemonIS covered by this. permit, I cannot legal],
sell a structure that I have built as an owner -builder if it has not boon constructed in its entirely by licensed contractors. I understand that 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:http:f/www,leginfq,ca.gov/calaw.html.
Signature of Property fawner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
i hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7 00) of Division 3 of the Business and proWssions Code, and my license is In full force
and effect. License Class License No D Contractor Sign
NORKERS' COMPENSATION DECLARATION
NARNING' FA€I.URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADOPTION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'$ FEES,
hereby affirm under penalty of perjury one of the following declarations:
1 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 th
99%ounance 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. lilyworkers'
carrier and policy number are:
Policy Number Expiration Date
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 as to become subject to the workers' compensation laws of California, and
If I should become subject tyythe worAers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Of
V %2
baby affirm 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
tdor's Name Lenders Address
my signature below, i certify to each of the following.:
I am the property owner or authorized to act on ins property owner's behalf.
1 have read this application 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 enter
�trh/g�a�boyve-identified property for inspection purposes.
nature of PI'ooerty Owner or Authonzed AOHn( _ / �'I'18,41'9� Print Prnnertv OwnPr'R or Authorized Ananf'c Names NJ ii c fi
PERMIT FINAL
CERTIFICATE OF
QCCUPANCYISSUEO
DATE Ig By T TECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
l I REGIRATLONS CART 61.OF TITLE 40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
,CM D
i_EASBESTOSt'OTLFICArI(.N 43N7TAPPIJA8LE TO
PROPOSED DEMOLITION
FOR OFFICE USE
Civil Code).
&5 t frFW- ^. Date
All required alarms, latches gates and fenceswhich serve as part of a pool/spa barrier,.$hall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.