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Home My WebLink AboutF2022-0615 - Permitsat.ulao�;T,. City of Newport Beach p' Community Development Department - Building Division t `y 100 Civic Center Drive, Newport Beach, CA 92660 r �, is Permit Counter Phone: (949) 644-3288 m r Inspection Requests Phone: (949) 644-3255 C7<,F00.'P newportbeachca.gov/inspections Combination Type -SFP Work Class - New F 0� �I2��I�� 0III�I 5 II COMB Permit : F2022-0615 Plan Check No : PC2022-3025 Issued Date : 12/06/2022 F I r% A'? 5�,�^e—�'—�'1 Inspection Area : 3 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 : 1531 KATHLEEN LN Legal Desc : N TR 3057 BLK LOT 14 Description: SFR FIRE SPRINKLER SYSTEM W/ (29) HEADS. (XR2022-2695) Owner: FOREST MONROE Contractor: FIRE SPRINKLER SYSTEMS INC Address : 1531 KATHLEEN LN Address : 705 E HARRISON #200 NEWPORT BEACH, CA 92660 CORONA, CA 92879 Phone Applicant: FIRE SPRINKLER SYSTEMS INC Address : 705 E HARRISON #200 CORONA, CA 92879 Phone: (800)915-3473 Owner/Builder : Address : Phone: Phone: (800) 915-3473 Con State Lic : 684600 Lic Expire: 02/29/2024 Bus Lic : BT30053356 Bus Lic Expire : 12/31/2022 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WSD503131406 W. C. Expire : 10/1/2023 Architect Address Phone: State Lic Engineer: Address Phone Designer: FIRE SPRINKLER SYSTEMS INC Address : 705 E HARRISON #200 CORONA, CA 92879 Phone: (800)915-3473 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $6,834.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R3/U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories: 1 Added/New sq. ft. Garage: 0 ., TOTAL sq. ft. 0 , 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) ,. -S PROCESSED BY: IJ SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable flem(s) (Section 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 the permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professions 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 improves the properly, 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). ❑ 1, 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 apply 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 licensure under the Contractors' Stale License Law for the following reason By 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 Iegall- sell a structure that I have built asan owner -builder if it has not been Constructed in its entirety by licensed contractors. I understand that a 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:httpr/lwww.leginfo.ca.govlcataw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION i hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 o Div I' n 3 0( the Business and Professi 6e, and IR is in full force and effect. License Class License No Dete , rd, Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will malnlam 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 ormance 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 workerscompensa uance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensationlawsof California, and agre If I should become subject I workers sompen- revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant l! Dale a AOArrnAi von_,�ir"n_�r'�n�oroi irrenii I u,nrur_ er_eury "'�"�"'"' '� —" areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097, Civil Code). Idlers Name Lenders Address my signature below, I certify to each of the following: I am the properly owner or authorized to act on the property owner's behalf, I have reap .ILs application and the information I have provided is correct.. I' agree to comply with all applicable city and county ordinan CIFioetMate laws relating to building construction. I authorf.e renresentalives of this city or county to en above-ide property for inspection purposes. _nalure of Proeertz Owner or Authorized A ant Print Property Owner's or Authorized Agent's Nama nON DATE. a DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY { REGULATIONS PART Bl OF TITLE 40 AND AQMD RULE A'FMIT EXTENLED PErMITFIN^L �I 01 Z3 cZ4clr� C�PTIFICATCU4 OCGUPANCY7SSUED UA5BESTDS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION