HomeMy WebLinkAboutF2023-0079 - Permits (5)a�£WPoR' City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0079
C- Community Development Department- Building Division F 2 0 2 3 0 0 7 9
F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0325
Permit Counter Phone: (949) 718-1888 Issued Date : 02/14/2023
u s newportheachca.gov/civic Final Date:
cq��coaN`P Combination Type - SFP Permit Status: Issued
Work Class - New 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 : 129 VIA JUCAR Legal Desc : N TR 907 BLK LOT 709 TR 907 LOT 709 NELY 15 FT THEREOF(AND A ILL -EX
Description: SFR FIRE SPRINKLERS - 47 HEADS (XR2022-2358) *PERMIT DESCRIPTION UPDATED 10/11/2023*
Owner:
ROBERT PIGNERI
Address :
129 VIA JUCAR
NEWPORT BEACH, CA 92663
Phone:
(714)402-7005
Applicant :
JERRY GOMEZ
Address :
4765 GATESHEAD RD
CARLSBAD, CA 92010
Phone:
(949)637-3513
Owner/Builder:
Address :
Phone
Contractor :
GGP INC
Address :
4765 GATESHEAD RD
CARLSBAD, CA 92010
Phone :
(760) 729-2675
Con State Lie
: 711174
Lie Expire :
08/31/2025
Bus Lie :
BT03031904
Bus Lie Expire : 02/28/2024
Workers' Compensation Insurance
Carrier: TECHNOLOGY INS CO INC
Policy No: TWC4210001
W. C. Expire: 2/1/2024
Architect
Address
Phone:
State Lie
Engineer:
Address :
Phone
Designer: JERRYGOMEZ
Address : 4765 GATESHEAD RD ....
CARLSBAD, CA 92010 ,'
Phone: (949)637-3513
Code Edition :
2D19
Fire Sprinklers :
YES
Construction Valuation :
$6,004.!)0' ;
Type of Construction
: V-B
Fire Hazard Zone :
NO
Added/Newfrl 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, Front: 10, Side: 3, Side: 3
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
€ 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 item(s)
(Section 7031.5, Business end Professions Code: Any city or courtly that requires a permit to construct, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
:ha 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 7081.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500),
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Business and Professions Code: The Convectors' 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. If, however, the building orimprovement 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).
El 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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),
0 I arni 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 legall
sell a structure that I have buN as an ownor-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 tho Business and
Professions Code., is available upon request when this application is submitted or at the following Web site;http:llwvw✓.leginfo.ca.goNIcalavahtmi.
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 Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
N.ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 ATTORNEYS FEES.
hereby affirm ucier pc,nalty of perjury one of the following declarations:
I have and will maintain a cord kale of consent to sell -insure for workers' Compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for to
re-frm-.Ence of th., Au.k fur which this permit is issued. Policy No.
L' h-rir and will maintain workers' compensation insurance, as required by Section 370D of the Labor Code for the performance of the work for which this permit is issued. My Workers' compereatior
ir.su.anc� carrier and poli:,y number are:
Policy Number
of Agent
Date
fy thal. II, Lila pa,'ormance of the work for which thispermit is issued, I shall not employ any person fn any meaner so as to become subject to the workers' compensation laws of California, and
If I snou d bec-tme subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
II. t,Is of Applicenl ------- .. Date—
';r.I.AR.YTION kFGAROING CONSTRUCTION LENDING AGENCY
I en ty a "Irm under per3fty 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).
r;nder'f Name _ _ _ Lenders Address
illy denature Below, I certify to each of the following:
I am lire properly 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 the above -Identified property for inspection purposes.
icnaturs of Pmoertv Owner or Authorized Anent Print Property Owner's or Authorized Aaen,Cs Name
ACTION I DATE. I BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RF G LH ATIONS PART 51 DF TITLE 40 AND AQI RllLE
PERMIT EXPIRED LI I AIRPAITTFD ASBESTOS NOTIFICATION TO
._..._ .... ..-.-.... o —_— �..
PERMIT CANCFLLEF � 7L--TrC�PA
t.-IA PERMIT EXTENDED rwQMD
CERTIFICATE OF SIGNATURE:
PROPOSED
DEMOLITION
tUN IS NUI"APPLICABIt IO
OCCUPANCYISSOE1 I� I G ��