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Home My WebLink AboutF2022-0508 - PermitsCity of Newport Beach C��EWPORT Community Development Department- Building Division ' rt 100 Civic Center Drive, Newport Beach, CA 92660 x Permit Counter Phone: (949) 644-3288 o- Inspection Requests Phone: (949) 644-3255 CgGiFO pN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - New III I II COMB Permit: F2022-0508 Plan Check No : PC2022-2436 Issued Date : 0912912022 Inspection Area : 3 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 : 1307 SUSSEX LN Legal Deep : N TR 1896 BLK LOT 65 Description: SFR FIRE SPRINKLER SYSTEM 47 HEADS (X2022-0846) Owner: Michael Manning Address : 20151 SW Birch, 150 Newport Beach, CA 92660-0773 Phone: (949)250-4200 Applicant: RESIDENTIAL FIRE SYSTEMS INC Address : 8085 E CRYSTAL DR ANAHEIM, CA 92807 Phone : (714) 666-8450 Owner/Builder : Address : Phone Contractor: RESIDENTIAL FIRE SYSTEMS INC Address : 8085 E CRYSTAL DR ANAHEIM, CA 92807 Phone: (714)666-8450 Con State Lie : 786965 Lie Expire: 11/30/2022 Bus Lie : BT30003809 Bus Lie Expire : 04/30/2023 Workers' Compensation Insurance Carrier: PACIFIC COMPENSATION INS CO Policy No: WAD0712001 W. C. Expire: 9/1/2023 Architect: Address Phone: State Lie Engineer: Address Phone: Designer: RESIDENTIAL FIRE SYSTEMS INC Address: 8085E CRYSTAL DR ANAHEIM, CA 92807 Phone: (714)666-8450 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $11,140.00 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 :• 2 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 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 applicable taints) (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 liceesure 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). 111, as owner of the property, or my employees with wages as their sole compensation, will do U 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. It, 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 saleD. El 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 doe's not a ply 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 licensureunder 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 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 the applicable law, Section 7044 ofthe Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:/Iwww.feginfo.ca,govlcalaw.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 0) f Div'sion3 of the Business and P f ssi s Cod�„ry d my license is In full force and effect. License Class License No Date CA 22 Contractor Signatu e WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL SAND CIVIL FRIES UP' TO ONE HUNDRED THOUSAND DOLLARS i$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the fallowing declarations: 1 have and Wilt 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 Ifl pyrformance of the work for which this permit Is issued. Policy No. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatior RnsitK<nce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 01 certify that, in the p o manic 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 worko c pensatfon laws of California, and agau that, if I should becom s ject to the he compensation provisions of Section 3700 of the Labor Coda, shall forthwith comply with those provisions. ' OR(2C1�22 Signature of Applicant _ _ Date DECLARATION REGA !NG OONSTRUOTIO:N LENDING AGENCY I 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, C it de). ;Lender's Name Lender's Address 'IBy 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 comity rdmances and state laws relating to building construction. 1 authorize representatives of this city or county ntterr the ..,a,> identified property for inspection purposes. 1p\ / y 'ISionature of ProDertV Owner or Authorized Aoenl �1c v-+ rI Print Property Owner's or Authorized Apart's NameX 9_,_1b4 C-l�_ exr�eZ Dat olI�4f 22 ACTION DATE. BY ✓? DELtMATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY J REGULATIONS PART 61 OF TITTF. 40 AND AOMD RULE 1 1403 PERMIT EXPIRED I suLNII rTI.D ASBF5 T,lp NO, IFICATION TO PERMCANCELLED —'}—)J ----- _LT i ___. ..........__ _..._....._ PERMIT FXTENDED _®EPP, ._.....__. �-t'_ .. _._ -{-T-rr IeyLf10 PERPofiT FINAL ��7 2 AJ//,//f- L1 A5BE5705 NOTIFICATION IS N01' APPLICABLE 10 CERT7FICATE OF 7T�/J� PROPOSED DEMOLITION OCCUPANCYISSUED JIGNATLIRE: