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HomeMy WebLinkAboutF2023-0343 - PermitsrtWl'UFr. City of Newport Beach II COMB Permit: F2023-0343 i Community Development Department- Building Division F 2 0 2 3 0 3 4 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1688 Permit Counter Phone: (949) 718-1888 Issued Date : 07/13/2023 newportbeachca.gov/civic Final Date: r", 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 : 205 TOPAZ AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 12 LOT 10 Description: SFR FIRE SPRINKLER SYSTEM WITH 32 HEADS *PERMIT REVISED 08/29/2023* (XR2022-1920) Owner: 205 TOPAZ AVE DS INC Address : 923 EVERGREEN PL COSTA MESA, CA 92627 Phone : Applicant: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Owner/Builder : Address : Phone: Contractor: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone : (714) 476-5370 Con State Lic : 876004 Lic Expire : 04/30/2024 Bus Lic : BT30040107 Bus Lic Expire : 07/31/2024 Workers' Compensation Insurance Carrier: NATIONAL CASUALTY COMPANY Policy No: SWC1373758 W. C. Expire : 2/15/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R3/U No of Units : 1 Bldg Height: No of Stories : 3 Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY SPECIAL CONDITIONS: ADD'L SCOPE AD 4) HEADS Architect Address Phone: State Lic Engineer: Address Phone Designer: FIREPRCCF,rIREPRO-ECTION Address : 1101 KING3T�_N DR LA HABRA; C4 90631 Phone: (714) 476-53 70 Construction Valuation $2;F1'X.0; Added/New/Ti sq. ft. Bldg: 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 t 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 items) (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 lie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 Blithe Business and Professions Code) or that he or she is exempt from licensors 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 t$500), © 1, as owner of the property, or my employees with wages as theirs Ole compensation, will do (_) all of or U 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 Own el der 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 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), ❑ I am 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 legail, sell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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 Well site:http:liwww.leginfo.ca.govlcalow.html, 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 WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS SIOD,0001, IN ADORION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 13 1 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 performance of the v,arl, 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 workers' ranee carrier and folic, lumber are: Policy Number Expiratic of Agent J Phone tk Date certify that. in the perforril of',hework for which this permit is issued'., I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and If I should become subject to 11-a wir-kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant,_, ' _._ _.____,.__._.� .,, _._.... .Date__ CIARATION REGARDING CONS'T'.L'CTION LENDING AGENCY areby affirm under iPnnrl'v of pegnnr that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ldar's Name _ Lender's Address 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 consUuction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. ACTION j DATE I BY Owner's or Authorized Aoenl's Name DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 Al ACLMD RULE PERARTEXPlRED ( LJ I SUBMITTED ASBESTOS N_O_TIPICATION TO PERMIT CANCELLED _ PERMIT EXTENDED rQt{—PA TTnQMD ION IS NOT APPLICABLE TO CERTIFICATE OF J 7� � {�� r�1�� ` PROPOSEDOLITION OCCUPANCY ISSUED DEMASBESTOS NAT