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Home My WebLink AboutF2022-0616 - Permits¢��WPORr City of Newport Beach @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u Inspection Requests Phone: (949) 644-3255 Cq(/FOQ�\P newportbeachca.gov/inspections Combination Type - SFP Work Class - Addition/Alteration F 2 0 2 2 0 6 1 6II COMB Permit : F2022-0616 Plan Check No: PC2022-3036 Issued Date : Inspection Area : 5 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 : 2216 PACIFIC DR Legal Desc : A TR CORONA DEL MAR BLK 328 LOT 4 Description: SFR FIRE SPRINKLERS - 43 HEADS (X2021-2178) Owner: VADEN ANDREW T TR VADEN REVOC TR Address : 220 NEWPORT CENTER DR #11-384 NEWPORT BEACH, CA 92660 Phone : Applicant: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone : (714) 310-0194 Owner/Builder : Address : Phone FAMILY Contractor: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714) 310-0194 Con State Lic : 992002 Lic Expire : 04/30/2024 Bus Lic: BT30078648 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: FALLS LAKE FIRE & CASUALTY CO Policy No: FLA008008 W. C. Expire: 12/29/2022 Architect Address Phone : State Lic Engineer Address Phone: Designer: .FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714) 310-0194 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $8,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI 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: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS 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 applicableftem(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 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 libensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as ew'ner 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. 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). ❑ I, as owner of the property, are 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from Iicensure 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 most have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell 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 theapplicable law. Section 7044 or the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:hltp:ylWww.ieginfo.ca.govlcalaw.titml, Signature of Property Owner or Authorized Agent - _____�� 0 a.— LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 _Q v 3 of the Business and P fessi no de, and my license is In full force and effect. License Class License. No Dat / Contractor Sign re 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 ($1040001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR COOP, 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 workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th pDBKormance of the work for which this permit is issued. Policy No. 01 pave 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' compensation insurance carrier and policy number are: Policy Number m of Agent _ Date certify that, in the perform ace of e 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 t, if I should become so le t to the orkers' compensaticn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ) '7 nature of Applicant _ Date I��I� Z2 CLARATiON REGAR lNG C N RUCTIGN LENDING AGENCY I rreby affirm under penalty of p ury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 30 Civil Code). ider's Name Lenders Address my signature below. I certify to each of the following: I am the property owner or authorized to act on the prop y net s behalf. I have read this application and the information I have p ovided'6 correct. I agree to comply with all applicable city and county or inane.. and state laws relating to building. construction. n I authorize representatives of this city or county to ent rthe. nfified property for inspection purposes. i 1 rt,l 1 / .I 7 117, iigoature of Proper ACTION PERMIT EXPIRED PERMIT CANCELLEO PERMITEXTENDED PERMIT FINAL CERTIFICATE OE OCCUPANCY ISSUEO DATE. BY /I DECLARAXION. Of COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE RED TO LJASBES'IOS NOIIFiCA'11ON 15 NOT APPLICABLE TO PROPOf EO OEMOL'TON FOR OFFICE USE ONLY Date