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Home My WebLink AboutF2022-0414 - PermitsaEWpoRT City of Newport Beach II II I I II I I II III I II II COMB Permit : FZO22-0414 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1971 n Permit Counter Phone: (949) 644-3288 Issued Date : 08109/2022 tea. T Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 CgCiFpµN�P newportbeachca.gov/inspections Combination Type - Work Class - Addition/Alteration 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 Description Owner: Address Phone 3706 PARK LN, A Legal Desc : P BK 51 PG 3 PAR 1 �R SFR FIRE SPRINKLER SYSTEM 25 HEADS (X2021-0109) I N S i t` NEIL WOODALL Contractor: XFIRE PROTECTION Architect 3706 PARK LN NEWPORT BEACH, CA 92663 Address : 9182 ALWICK CIR GARDEN GROVE, CA Address: Applicant: XFIRE PROTECTION Address: 9182 ALWICK CIR GARDEN GROVE, CA 92841 Phone: (714)231-5108 Owner/Builder : Address Phone : 92841 Phone: (714)231-5108 Phone: Con State Lie : 1084661 State Lie Lie Expire : 12/31/2023 Bus Lie: BT30077912 Engineer: Bus Lie Expire : 02128/2023 Address Workers' Compensation Insurance Phone: Carrier : Policy No : Designer W. C. Expire: Address Phone: Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : R3/U No of Units : Bldg Height : No of Stories Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: NO Construction Valuation : $3,125.00 No Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg: 3 Added/New sq. ft. Garage : 0 OWNER -BUILDER DECLARATION I 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 items) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, altar. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (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 ($500), 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, Vusiness 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 cr 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 nyproved for the purpose of sale). J 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 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), 1 am exempt from treasure under the Contractors' State License Law for the following reason: ly 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 all a structure that I have built as an owner -builder if It has not boon constructed in its entirety by licensed contractors, I understand that a 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 sile.http:Ilwww,leginfo.ca.govlcalawlhtml. signature of Property Owner or Authorized Agent_ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of pery'ury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 f Div n 3 of the Business and Prof li rise is in full force nd effect. License Class License No D its 0 2—O'L,t4ntractor Signature VORKERS' COMPENSATION DECLARATION 'ARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS NO DOLLARS ISi0O,000), IN ADDITION TO THE 05T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury are of the following declarations: 7 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 Coda, for th+ erformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number Date Name of Agent Phone # So dify that,. in the el m ce 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 agre hat. If I should become s ec tolhe workers ompensallon provisions of Section 3100 of the Labor Code, I shall forthwith comply with those provisions - Signature of Appkca Dal � 001 DECLARATION REGA N m TRUCTIOq LENDING. AGENCY I hereby affirm under penalty of perjury that. the Is a construction tending agency for the performance of the work for which this permit is issued (Section 309 , Ci it Cade). Lenders Name Lenders Address By my signature below, I certify to each of the foltowi g: I am the property owner or authorized to act on he property owner's behalf. I have read this application and the infOYmatiO I have provided is doer -' I agree to comply with all applicable city and "lances ands le laws relating to building construction. I authorize representatives of this city e-ide tifled property for inspection purposes. _ Signature of Property Owner or Authorized Anent Print Property Owner's or Authorized Agent's Name CgFA Date u ACTION DATE BY DECLARATION OF CO PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REO EONS PART IiOF TITLE 40 AND AOMD RULE14U3 PERMIT EXPIRED j I SUBMITTFD ASBESTOS NOTIFICATION TO PERMIT CANCELLED I ePn All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT aFiNDED UACtiv,D be In place prior to approval to fill pool/spa & shall remain In place & be maintained for the PERMIT FINAL I r)S ND, IFICATION 15 NOT APPLICABLE TO Irfe of the pool CERTIFICATE OF — - 1 PFOFOS D OEMCLITtON OCCUPANCY ISSUED L _IGNATURE_