HomeMy WebLinkAboutF2022-0627 - PermitsaEWPoRr City of Newport Beach
pk Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
i Permit Counter Phone: (949) 644-3288
man Inspection Requests Phone: (949) 644-3255
�9C/pgµN�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - New
F 2 0 2 2 0 6 2 7COMB Permit : F2022-0627
Plan Check No: PC2022-3105
Issued Date :
Inspection Area : 2
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: 361 VIA LIDO SOUD Legal Desc : N TR 907 BLK LOT 923 TR 907 LOT 923 AND SELY 10 FT LOT 922 A NO NWLY
Description: SFR FIRE SPRINKLERS (X2021-1506) 38 HEADS
Owner: SAILHOUSE HOMES INC
Contractor: ALL STAR PLUMBING & FIRE
Architect
Address : 170 NEWPORT CENTER DR #260
Address : 22672 LAMBERT ST #619
Address
NEWPORT BEACH, CA 92660
LAKE FOREST, CA 92630
Phone:
Phone: (949) 470-0072
Phone:
Con State Lic : 715588
State Lic : P ! '" i
Lic Expire : 08/31/2023
Applicant : HOLT DOUGHERTY
Bus Lic : BT30059737
Engineer
Address : 22672 LAMBERT ST #619
Bus Lic Expire : 07/31/2023
Address
LAKE FOREST, CA 92860
Phone: (949) 470-0072
Workers' Compensation Insurance
Phone:
Carrier: FALLS LAKE FIRE AND CASUALTY CO
Owner/Builder :
Policy No : FLA01837500
Designer: HOLT DOUGHERTY
Address :
W. C. Expire : 2/7/2023
Address: 22672 LAMBERT ST #619
LAKE FOREST, CA 92860
Phone:
Phone: (949) 470-0072
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $10,500.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/NewITI sq. ft. Bldg : 0
Occupancy Groups :
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks : Front: 4, Side: 4, Side: 4
Flood Zone : X
Use Zone : RM - Multiple Residential
PROCESSED BY:
SPECIAL CONDITIONS
€ hereby affirm under penalty of perjury that I. am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable item(s)
8ecfion 7031.5, Business end Professions Code: Any city or county that requires a permlt to construct, altar, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ie penmtt to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
rofessions Code) or that he or she is exempt from licensure 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 (f5(M).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
nprovements 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 bulit or
nproved for the purpose of sale).
11, 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 licensure under the Contractors' State License Law for the fallowing 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 completlon of the improvements covered by this permit, I cannot legally
ell a structure that I have built as an owner -builder if it has not been eonstructad in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and
'rofessions Code., is available upon request when this application is submitted or at the following Web site http:llwww.leginfo.ca.gov/calavi,html,
.ignature of Property Owner or Authorized Agent ,_ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7001 pivisii 3 of the Business and P4essions Co ,and license is In full force
nd effect. License Class License No Date 2 �' !'? Contractor Signatur
PORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP' TO ONE HUNOREO THOUS D DOl 0,000}.IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 3706 OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
I 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, forth
N
rmance of the work for which this permit Is Issued. Policy No.
Eve 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' compensadol
once carrier and policy number are'.
Policy Number
Date
me of Agent
certify that, in the performance of the wo for wnj this permitis issued. I shall notemploy any parson in any manner so as to become subject to the workers' compensation laws of California, and agre
t, if I should become subjec9pequry
s' c eirsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
CLARATION REGAINGLENDING AGENCY
3reby affirm under penalty ore isa construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code).
tder s Name
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 (have provided is correct.
I agree to comply with all applicable ally and county ordinances nd sta la
I authorize representative's of this city or county toe jfier
Address
us relating to building construction.
property for inspection purposes.
DATE BYDECLARATION OF 13OMPLIANCE WITH CODE OF FEDERAL
f REGULATIONS PART 61 OF TITLE 40 AND AQNIO RULE
EXPIRED I t l U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED I _ L-IAOMD
PERiL1fT FINAL —~ ❑ A5BEST05 NOT IFICA'I ION IS NOT APPUCABLE TO
CERTlF(CATE OF R A ��. PROPOSED DEMOLITION
OCCUPANCYISSUED r/1 SIGNATURE:
FOR OFFICE USE ONLY
LA