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Home My WebLink AboutF2023-0584 - Permits��EWPORT City of Newport Beach IIIII II IIII I III II IIII II III I IIII II II COMB Permit: F2023-0584 @ Community Development Department - Building Division F 2 0 2 3 0 5 8 4 e 1"y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2938 Permit Counter Phone: 949 718-1888 i Issued Date : 12/06/2023 U � x newportbeachca.gov/civic Final Date: Cq��F00.N�P Combination Type - SFP Permit Status: Issued Work Class - Addition/Alteration 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 : 2 WHARFSIDE DR Legal Desc : N TR 15850 BLK LOT 21 Description: SFR ADD/ALT FIRE SPRINKLERS (22 HEADS) *XR2022-3197* Owner: GROVE SCOTT C TR GROVE FAMILY REVOC TR Address : 2 WHARFSIDE DR NEWPORT COAST, CA 92657 Phone: Applicant: CALIFORNIA FIRE PROTECTION Address : 647 CAMINO DE LOS MARES, 108 SAN CLEMENTE, CA 92673 Phone: (949)939-7450 Owner/Builder : Address : Phone Contractor: CALIFORNIA FIRE PROTECTION Architect : Address : 647 CAMINO DE LOS MARES, 108 SAN CLEMENTE, CA 92673 Phone: (949)939-7450 Con State Lic : 1016781 Lic Expire : 08/31/2024 Bus Lic: BT30063097 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: MID-CENTURY INSURANCE COMPANY Policy No : A09518349 W. C. Expire : 9/18/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : No of Units : 1 Bldg Height : No of Stories : Building Setbacks Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: a SPECIAL CONDITIONS: Address Phone State Lic Engineer: Address Phone Designer: CALIFORNIA FIRE PRO, EC PION Address : 647 CAMINO DE LOS MARES, 108 SAN CLEMENTE, CA 926T3 Phone : (949) 939-7450 Construction Valuation : $5,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I ant exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable Items) ;Section 7031.5. Business and Professions Cade: Any city or county that requires a permit to construe, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ,he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chaptor 9 (commencing with Section 7000)of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from tcensure 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 iot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole 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 property, provided that the reprovemenls are not intended or offered for sale. If, however, Vie 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, asowner 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 noL r 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). r-� 'ul I am exempt from licensers Under the Contractors' Slate License Law for the following reason: -__..--,— By my signature below Iacknowledge 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 legally soll a structure that I have built 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 the Business and Professions Code„ is available upon request when this application is submitted or at the following Web site:httpalwww.leginfo.ca.govlcalaw.htmL Signature of Property Owner or Authorized Agent _�.�_..._,_�___ __.�_ ___ Data. — LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty' of perjury that I am licensed under provisions of Chapter 9, (commencing with Secion 700) f Division 3 of the Business no Pro s ' n ode, a is se is In full force and effect. Licer.se Cl1ns License No D Contractor gnature 'A'(')RICERS' COMPENSATION DECLARATION v rJARNING: rA1LURE f0 9ECU^.E WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES VP TO ONE MUNOftEO THOUSAND DOLLARS SfDe; D)., IN ADDITION TO THE CO. T OF COMPENSAI ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I'ierehy affirm under penalty of perjury one of the following declarations: A I have and v.it[ maintain a certllicate 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 lit prrfcmxance of the work for which this permit la issued. Policy No. nave and mil raaiptain 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' an let_ I" A 1 U\' ILL 1 \ ) VA Y Jame of Agent JI cert y that. In tit performance of the work Tat, if I shouldSlR mB s/ySple/qf��o �(t�\e workers' illonalure of oh ant Policy Number_I I l ; 5 JLl 1 Expiration Date Phone # 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 i provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions) l( I .v — I--- --1 1 I hereby affirm under pe rjury'that there is a cd)#ruction lending agency for the performance of the work for which this permit is issued (Section 3097, endar's Name Lenders 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. 1 agree to comply with all applicable city and our y o I noes and scat ws r sting to building construction. I authorize representatives of this city or tau ty t nt rt ap(��,ove-Iden fie party for inspection purposes. (}n r 11� icnatura of Property Owner or Authorized Agent /..\ _. _ _ Pnnl Property Owner's or Authorized Ager 'Name �1y1 `'C ACTION DATE By 1 D5CLORATION OARTONIPL NjC � WIqO H CODE OF FED AQMD Rio ER1L I FOR OFFICE USE ONLY PERMIT EXTENDED 1 iJAQMD PER,bt7T FINAI yf /O_ s u A58ESIOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFiCAEOF `✓6 PROPOSED DEMOLITION OCCUPANCY ISSUED ( SIGNATURE: Civil Code). W-PF 12' 5-,