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HomeMy WebLinkAboutF2023-0357 - PermitsCity of Newport Beach Community Development Department- Building Division oa!". 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - SFP Work Class -Addition/Alteration COMB Permit: F2023-0357 F 2 0 3�������������������������������������� II Plan Check No: PC2023-1810 Issued Date Final Date: Permit Status: Applied Inspection Area: 6 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 : 2207 PORT HARWICK PL Legal Desc : N TR 7845 BILK LOT 3 Description : SFR INSTALL FIRE SPRINKLER SYSTEM WITH 37 HEADS. (XR2022-2180) Owner: STEVEN OBRIEN Address : 2207 PORT HARWICK PL NEWPORT BEACH, CA 92660 Phone Applicant: KRISTIAN SMITH Address: 8779 COTTONWOOD AVE, 101 SANTEE, CA 92071 Phone : (619) 593-8200 Owner/Builder : Address: Phone Contractor: INNOVATIVE FIRE PROTECTION Address : 8779 COTTONWOOD AVE #101 SANTEE, CA 92072 Phone: (619)593-8200 Con State Lic : 711148 Lic Expire : 08/31/2025 Bus Lic: BT30042542 Bus Lic Expire : 03131/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WSD504141604 W. C. Expire : 6/1/2024 Architect Address Phone: State Lic Engineer: Address Phone Designer: INNOVATIVE FIRE PROTECTION Address: 8779 COTTONWOOD AVE #101 SANTEE, CA 92072 Phone : (619) 593-8200 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $6,700.00 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 .. TOTAL sq. ft. 0 Building Setbacks : Front: 20 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: �+ ...., SPECIAL CONDITIONS: ; OWNER -BUILDER DECLARATION'S I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate 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 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' Slate 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 Ilcensure 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). ❑ 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 Contractors' State License Law does not apply to an owner of properly 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 -m-j�roved for the purpose of sale). L.1 I, as owner of the properly„ am exclusively contracting wRh licensed Contractors to construct the project (Section 7D44, 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 Ruensure under the Contractors' Slate License Law for the fallowing 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 legalll sell a structure that I have buill 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 of the Business and Professions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ce.gov/calaw.html. Signature of Property Owner or Authorized Agent ....... Data LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury, that I am licensed under provisions of Chapter 9 (commencing with Section 7000) 9f Dlvisl n 3 of the Business and Pro£essf� �a d m'" Ike is in full farce and effect. License Class License No Date `z 2. Contractor Signature-" WORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000b IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury One of the following declarations: 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 'mance of the work for which this permit is issued. Policy NO. 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' carrier and policy number are: Policy Number Expiratic of Agent Phone # Date certify that, in the performance 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 workers' compensation laws of California, and agre L if I should become subiecl orkers' compe owsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % nature of Applicant _._._ _ Date 7f Z7 Z-7 CLARATION REGA CONSTR' 'TION LENDING AGENCY nreby 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, Civil Code). lder 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 V-Is appli ration and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and slate laws Ted 0 building construction. 1 authorize representatives of this city or county to ent a ve-Identified erty for inspection purposes. t�%f �c` ^aturs of Property Owner or Authorized ADanf Print Pronartv Owner's or Authorized Aaent's Name kn5jl�NI r7h%,4 Date N-TION PART 61 OF TILE 40 AND AQNID RULF PFRM I FXPtRED ':; U I SUBMITTFD ASBESTOS NOTIFICATION TO PIP"I CAN6ELIEJ - CPA P.T,A'T C,-TErVOED ,.�OAOMD P RMITFI VA! 1 LJ ASBESTOS NO] IFICATION IS NOT APPLICABLE TO C FT'FCt EOF g PROPOSED DEMOLITION OLruP4 NCY IssuE7 ........ _ ..._._ _...... ....____...�._ __ SIGNATURE ___,.�__._.__.._....__....__._....__ _.._...._.__....___.____....._._.................. FOR OFFICE USE ONLY O w t O Z �F m N O' C O O > U o N a N E O U _T Q C U N 7 O 0 N C c O 0 L d d O N W p C _O U O J N O Z O N m T a_ m Nr m .-. 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