HomeMy WebLinkAboutF2023-0313 - PermitszEWPoRr City of Newport Beach IlPiiiiiiiiiiiiiiiiiiii III COMB Permit : F2U23-o313
D� Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1506
}� S Permit Counter Phone: (949) 718-1888 Issued Date : 0612112023
.s• newportbeachca.gov/civic Inspection Area : 8
C,�r FUP�`P Combination Type - SFP
Work Class - Addition/Alteration
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 : 1306 DOVER DR Legal Desc : N TR 3000 BLK LOT 74
Description : SFR FIRE SPRINKLER SYSTEM 21 HEADS (X2022-0013)
Owner: ESCOBAR ERIN JEAN TR
Address: 1306 DOVER DR
NEWPORT BEACH, CA 92660
Phone
Applicant: RELIABLE FIRE PROTECTION INC
Address: 3620 W 139TH
HAWTHORNE, CA 90250
Phone: (310) 773-6248
Owner/Builder :
Address:
Phone
Contractor: RELIABLE FIRE PROTECTION INC
Address: 3620 W 139TH
HAWTHORNE, CA 90250
Phone: (310)773-6248
Con State Lic : 1059300
Lic Expire: 10/31/2023
Bus Lic: BT30081936
Bus Lic Expire : 06/30/2024
Workers' Compensation Insurance
Carrier :
Policy No: EXEMPT
W. C. Expire:
Architect
Address
Phone :
1
State Lic
r'
Engineer :
.'F `
Address
Phone:
Designer:
RELIABLE FIRE PROTECTION INC
Address:
3620 W 139TH
HAWTHORNE, CA 90250
Phone:
(310)773-6248
Code Edition : 2022
Fire Sprinklers :
YES
Construction Valuation :
Type of Construction : V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg
Occupancy Groups : R3/U
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories:
1
Added/New sq. ft. Garage
TOTAL sq. ft. :
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone: X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
$3,500.00
0
I
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 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
he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lew (Chapter 9 (commenting with Section 7000) of Division 3 of the Business and
)rofessions Code) or that he or she is exempt from Iloansure 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 penally of
tat more than five hundred dollars ($500j,
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of Or L) portions of the work; and the structure Is not intended or offered for sale (Section 7044,
lustiness 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
nprovements 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 bull( or
n roved for the purpose Of sale).
1, 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
I ly 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:
iy my signature below I acknowledge that, except for my personal residence In which I must have resided for Bt least one year prior to completion of the improvements covered by this permit, I cannot legall)
all 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 of the Business and
'rofassions Code., Is available upon request when this application Is submitted or at the fallowing Web site;httpJ/www.legii)fo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent _ . Date
-ICENSEO CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of C a tar 9 onmencing with Section ) of [vision 3 of the Business and Pr- ssf s Cade, nil mS I nse is In full force
Intl effect. License Class C R� License No i '`j30b Date 2 Contractor Signatur - o
YORKERS' COMPENSATION DECLARATION
FARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 17Da OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
31 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 work 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'
rants carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, In the pert mane 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 work mpansation laws of California, and agm
I1MI should! bet om so ject to the war kamI c nation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
�2�'Z-
CLARATION REQA ON RUCTION LENDING AGENCY
Ireby affirm under pen ty of perj that there Is a construction lending agency for the performance of the work for which this permIt Is issued (Section 3097, iv
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 property owner's behalf.
I have read this application and the Information I hole provided is correct.
I agree to comply with all applicable city and GO ordinances and slate laws relating to building construction.
1 authorize representatives of this city or countynter the abpyP4demIfI§0-roperty for Inspection purposes.
ACTION DATE BY DECLAMATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED _LJ -TI�s1amurEB/,SBESTJ�aOTI?ICATION TO
PERMITCANCELLED t-.IEPA
PERMITEXTENDED _tb_ ctmo
PERMIT FINAL l p �6�J7 T ASBESTOS N013FICJITION IS NOT APPLICABLE TO
CER17FICAFE OF ! PROPOSED DEMOLITION
OCCUPANCY ISSUED 15IGNATURez