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Home My WebLink AboutF2023-0212 - Permits�gWPOR� City of Newport Beach III'�I��l�llll��l�� II COMB Permit F2U23-U212 DA @ Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PC2023-1079 Permit Counter Phone: (949) 718-1888 Issued Date : 05/1112023 o- C94Fp0.��P newportbeachca.gov/civic �, q .✓'�� J Inspection Area : B Combination Type - SFP t' �� .+ 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 : 1600 ANITA LN Legal Desc : N TR 3800 BLK LOT 27 Description : SFR INSTALL FIRE SPRINKLER SYSTEM WITH 29 HEADS. (X2022-0783) Owner: MATTHEW SHAW Address : 1600 ANITA LN NEWPORT BEACH, CA 92660 Phone : (949) 720-6000 Applicant: CRAIG FIRE PREVENTION INC Address: 122 122 W POMONA AVENUE MONROVIA, CA 91016 Phone : (626) 357-4045 Owner/Builder : Address : Phone Contractor: CRAIG FIRE PREVENTION INC Address : 122 122 W POMONA AVENUE MONROVIA, CA 91016 Phone : (626) 357-4045 Con State Lic : 1037827 Lic Expire : 04/30/2024 Bus Lic: BT30048335 Bus Lic Expire : 08/30i2O23 Workers' Compensation Insurance Carrier: AFH INS CO Policy No: 2EA5WC900091801 W. C. Expire: 2/11/2024 Architect Address Phone : State Lic Engineer Address Phone Designer: CRAIG FIRE PREVENTION INC Address: 122 122 W POMONA AVENUE MONROVIA, CA 91016 Phone : (626) 357-4045 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R3/U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. 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) R -5 PROCESSED BY: SPECIAL CONDITIONS: $8,000.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(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 re permit to file a signed statement thathe 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). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all or or L) partions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of properly 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 built or nproved 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' State License Law does not pply to an owner of properly who builds or improves thereon, and who Contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ] I am exempt from lCensure under the Contractors' State License Law for the following reason. ;y my signature below I acknowledge trial, 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 ell a structure that i have built as an 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 'rofesslons Code, is available upon request when this application is submitted or at the following Web site:http://www.leg nfo.ca.gov/csiaw.htmi. Iignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7004of Iv' 3 of the Business and Professions Carl enemy kce a is n full force rid effect. License Class License No Date �'' `�� Contractor Signature 14 VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00h, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES" PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to seiNrisure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for mrance of the work for which this permit Is issued_ Policy No. and will maintain workers' Compensationinsurance,. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Expiration Date of Agent Phone if _ I certify thatin the performance of the work for YO , is 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 agree tat, if I should become subject t the work c m sati n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ �� ignature of ApplicantVt 2 ___ Date &' IECLARATION REGARDING CONSTRUCTION LEN ING AGENCY hereby affirm under penalty of perjury that there is a construction rending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address y my signature below. I certify to each of the following: I am the property, ov:oer or authorized to act on the property owner's behalf. I have read this application and the Information I have provided is correct I agree to ccmply with all applicable city and county ordina es and state la lating to building construction. I aLthorize representatives of this city or county I. enl r a e-id nfl le party for Inspection purposes. t}/7 , I, r, fr JcnRli.re of Pronertv Owner or Authnr17RC Anent Print Pronartv Dwner's or AlrthnriTad Anant's Name LA,) I ��J W '�Vc y� Oat. DATE BY j DECLARATION OF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE Pa'7.74T EXPIRED 1J I SUBMITTED ASBESTOS NOTIFICATION TO r CANCElLEI] .____ CEPA _.__ ._—__.-___—_—_ PERMIT EXTtNGS.C_ _ _ AQMD PERIIIr7 FINAL ASBESTOS NOTIFICATION OT APPLICAI CErt,r ICATE OF OCCUPANCY;55UEO �rY') PROPOSED DEMOLI]IQNz� &A �J r' SIGNATURE: .l�fV�ll// _v