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Home My WebLink AboutF2022-0342 - Permits�eWPoRr City of Newport Beach II II I I II I II I II II III I II F2U22-0342 0� !I Community Development Department- Building Division COMB Permit: ". 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1672-2022 x Permit Counter Phone: (949) 644-3288 Issued Date : CqG/pppN�P Inspection Requests Phone: (949) 644-3255 Inspection Area : 5 newportbeachca.gov/inspections Combination Type - Work Class - Addition 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 : 2201 WATERFRONT DR Legal Desc : N TR 682 BLK LOT 42 TR 682 LOT 42 FOR OF LOT Description: SFR FIRE SPRINKLER SYSTEM 9 HEADS (X2021-1409) Owner: Irving Budlong Contractor : HI - TECH FIRE SPRINKLERS Architect Address : 2201 WATERFRONT DR NEWPORT BEACH, Address ; PO BOX 6566 HUNTINGTON BEACH, CA Address CA 92615 Phone : (949) 230-0601 Phone : (949) 689-7766 Phone Con State Lic : 855229 State Lie Applicant: HI - TECH FIRE SPRINKLERS Lic Expire : 03/31/2023 Address : PO BOX 6566 HUNTINGTON BEACH, CA 92615 Bus Lic: BT30074542 Engineer Phone: (949) 689-7766 Bus Lic Expire : 03/31/2023 Address Workers' Compensation Insurance Phone: Owner/Builder : Carrier: STATE FUND Address : Policy No : 9272673 Designer Phone: W. C. Expire : 3/12/2023 Address Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $2,200.00 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 Building Setbacks : Front: 10, Front: 15, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: an INSPEC 8 OR SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I'.. am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable tennis) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct, after, 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 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). El 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 Improves the property, provided that the Improvements are. not Intended or offered for sale. 11, 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 t0 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). I and exempt from licensure under the Contractors State 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 legalh. sail 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 Professions Code, is available upon request when this application is submitted or at the following Web site: httpalwww.leginfo.ca.gowcal9w.htri Signature of Property Owner 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 7000 of i . 1 f the Business and Profes§ion e, ryy�Ia in full force and effect. License Class License No DateX Contractor Signature J'� pt! ' WORKERS' COMPENSATION DECLARATION WARNING: 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 (SI00.000). IN AbOniON TO THE COST OF COMPENSATION, DAMAGES. AS PROVIDED FOR M SECTION 3706 OF THE LABOR CODE, INTEREST'. AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th gIII'dtmance 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. My Workers' carrier and policy number are: Policy Number Date ne of Agent Phone # 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 tt9 ttj# workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignature of Applicant J< ,,� - „^ Date IECLARATION REGARDIN -RUCTION LENDING AGENCY hereby 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, Civil Code). ender s Name Lender's Address _ y 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 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 abov de end property for Inspection purposes. ,,�-i ianature of Prooery Owner or Authorized Aaent � '�' Print Property Owner's or Authorized Agent's Name X Il..��/,Tile/ ACTION DATE BY 3. DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMO RULE i 140NT PERMEXPIRED 5UBMITTED ASBESTOS NOT1FtCATION TO All regi-il a -arms, Ia:Chns Yates and f mces Which serve as part of a pool/spa barrier, shall be In p'ar^ prior to aparcval to fill.poo:%spa P, shall remain in place & be maintained for the life of the poo, PERMIT CAA'CELLED DEPA. PERW EXTENOED EIAQIVID NAL. PERMIT FI lA Z� II I•t '. MASBESIOS YOI IFICATION IS NOT APPLICABLE TO CERrTICATE OF ui✓ PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE