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HomeMy WebLinkAboutF2023-0401 - Permits�o City of Newport Beach I IIIIII I II �I I I�I I Ill (II I�IIII I �II IIIIII //�� Community Development Department- Building Division F 2 0 2 3 0 4 0 COMB Permit: F2®23"®'°t'®� 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2081 Permit Counter Phone: (949) 718-1888 y newportbeachca.gov/civic Issued Date Final Date: ��tqP Combination Type - SFP Permit Status: Applied Work Class - Addition 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 : 2309 SANTIAGO DR Legal Desc P BK 108 PG 43 PAR PM 108-43 PAR 1 & 2 AND NEWPO Description: SFR FIRE SPRINKLER SYSTEM FOR GYM 6 HEADS (X2019-4078) Owner: PATRICK TENORE Contractor FIREGUARD SPRINKLER SYSTEMS Architect Address : 960 W 16TH ST Address : 7907 LEEDS ST Address COSTA MESA, CA 92627 DOWNEY, CA 90242 Phone : (949) 903-1426 Phone : (714) 310-0194 Phone Con State Lie : 992002 State Lie Lie Expire : 04/30/2024 Applicant : FIREGUARD SPRINKLER SYSTEMS Bus Lie : BT30078648 Engineer Address : 7907 LEEDS ST Bus Lie Expire : 05/31/2024 _ Address DOWNEY, CA 90242 Phone: (714) 310-0194 Workers' Compensation Insurance Phone: Carrier: FALLS LAKE FIRE& CASUALTY CO Owner/Builder: Policy No :' FLA008008 Designer: FIREGUARD SPRINKLER SYSTEMS Address : W. C.'Expire: 12/29/2023 Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: Phone: (714) 310-0194 Code Edition : 2022 Fire Sprinklers : YES `' Construction Valuation : $2,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : No of Units : 1 Alteration sq. ft. Bldg Bldg Height: No of Stories s Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Front: 15, Side: 10, Side: 10, Rear: 10 0 0 0 0 0 0 0 0 0 0 0 0 0 00 Flood Zone X 0 0 0 0 0 0 0 0 0 e 0 0 0 0 0 0 0 Use Zone: R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area) 00 0"0 0 0 00 00 000 - O 00© O 000 (J PROCESSED BY: �" "- O O -- 0 0 O 0 C O 0 0 0 0 0 0 - 0 0 0 0 0 0 c 0 e) 0 0 0 0 0 0 0 0 0 0 0. 0cl SPECIAL CONDITIONS:`R`p =- DECLARATION I hereby affirm under penalty of perjury that I earl) exerript from the Contractors' State License Law for the reoson(s) indicated below by the c ckniaxrk(s) l have placed next to the applicable Its m(s) ec. ion 70 3i, Business and Professions Codw Ara ctt .'gar oovnt'a tliat re uirog as �ernift to construct, Ater, Improve, d'eraaollsh, or repair Bray structure, prior -to Itt isslitaraua, also requires the applicant nt for (Section y y � I the permit to file a signed statement that [!a or shay Is licensed pursuant to the provisions of theContractors' State Licar o Low (Chapter 9 (conimoncingwith SoOl sn 7000) bf ntvisie 3 4f the Businoss and P ofesoions Code) or that he car star' lia exompt from licensure and ttae basis for the alleged exemption. Any violation of Section 7t7Ot.0a by any applicant for as permit subjects the .applioant to o civil penalty of not more than five hundred dollars ( 500). 1„ as owner of the property, or nay arnployees with wages as their sale compensation, will do (�} all of car �) fortlans of the week, and the structure Is n+at infendrs�l' or affered for sals (Sbcllon 7044, Etuslness and Professions Code: rip Contractors' State License Law does not ;apply to an owner al'property who, through employees' or personal effort, buildla or improves the prof erty, provided that (lie Improvernews are not .Inlondled or offered for salsa. If, however, the building:or improvement Is sold within one year of rdrepletloni, the Owner-f3 allder will have Mara burden of proving that It was riot built or Im � roveod for the purpose of saala). I, as owner of tlae property, am exclusively contracting with licensed Coil tractors to construct the pro -Joe(. (Section 7044, Business and Professions Code; The Contractors' Mate License Low clods not eta ty to an owner of property who builds or improves thereon, and who v ant:rracts for the projects with a licoased Contractor pursuant to the Contractors' Mate License Law). I Pin exampt from 11censure°under the Con tractors' State Llcense Low for the following reaasotr By my signawre below I acknowledge that, oxorapt for taay personal residence In which I must haavo resided for at least one year prior to completion of the Irrprovernonts covered by thin faarniit, I cannot legally sail ar structure #hot l have built as: an owner builder if It haS not boon constructed in €l�, entirety by licensed contractors, I Understand lhaat:a copy of fhc applicable law, Section 7044 of the Business and Protessltshs Gracie, Is available upon request whoa this aarrplic011on Is SUbMitted or at the followIng Web -site:htlp /Ww.ieg!Afa.ca 60Wcalaw—hWil, Signatureof Proporty Owner or Authorized Ardent ...w.. ....,_,... .....w....�.n.w..................,n....., .._...........w...._.....__ma,,�....w....... .n............. m.... ..._m�.....,,.wMta,,,...,.....,.,..,,,.,.�.�._.�........,.._.,to LICENSED ONTRATOR"DECLARATION .,n.._.......,.,,..,.,�m_.mm......,,.,.,,..,,....,,,..n_,,.�..�..,,,..�W t hereby affirm antler Iiainelty of psrja}ry ltarat.l a3na licensed uricieI- provisions of Chapter 0 (commencing with Septlb } s I i a ' taf the Business dared eery fessi C do, and my license is In full force and effect, Licensee Class _ _ _ _ Lloensd Nas _ iJrat- �,. Corafi acfrrr Signat tIVORKE R' COMPENSATION DEGLARATION WARNING- FAILURE TO SECURE 1IORKSW COMPENSATION COVERAGE IS UNLAWFUL, .AND SHALL SUBJECT .AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO -ONE HUNDRED THOUSAND DOLLARS ($100,400), IN ADDITION TO THE OPax"r OF COMPENSATIOM DAMAGES AS PROVIDED FOR 1N 9EC:TIr7N $700 OF THE a_A00A 00004 INlTa EST, AND ATTORNEY1 ME . 1 haareby affirm sander ponatty of perjury one of tho following dectraraJtions: 1 have and vAH maintaath ta. cert€(icaate of bon,"nt to odlf insure for workens' compensation, l;asued by the Director of industrial Relations as provident for by Section 3700 of the Labor Code, for the j e. formaancsa of. the work for which this perm€it I issued, Policy No, a w and will maintain workers' Co pensaticn InSUranoo, as requtroci by Section 3700 of the Labor Code, for than perfarm;anco of the work for which this permit is issued. ley workers'-componsaatlar suraarrc:o carrier rand policy number gave; Oaaft er Policy Nkim er I- plrrallon'Data .Name of Agent � a � � � A mm �mmmm � � � � � a mm .. �.. �mm Phone # []I certify tlia , in the per earns race the work for which this permit: s Issued., I shell not employ any person in any manner so as to become subject to the workers' c rnpensotion laws of California, and agre thoL If l ehould k eco e able t to th workers' compensation provisions: of Soction 3 pt7 of the Labor Code, I Shot[ forthwith comply with those previsions. {% Signature of Applicant Date, ...�� , �.. ., .,.,�.n ��ma�,m�.M�„m�w.,,�,«�w,_.�«.rom.,.�m�,,� �m,� ,. + � ,�„•�.� ..H�m«..mn��,,,...mm.N HCLARANTION I'iEG DlN C "CRUC'TION LENDING AGENCY I hereby affirrri under ppn0 ty of tray that there la n constrl ction Iendlag agency for the performance, of than work forvrhich this permit Is issued (Section 3097, Civil Code), LeAdor's Name: ,n Lendfea'Addres By rny.etgnatufa below, i cartify its ac�i art the 1'�I.Isr �iJic I alit the property owner op:erattacsrl er# to act ari the propar caw er's tatylaulF: I have read this application and.the Information I Novo pr video I correct. I degrees to comply with all applic:aable city an�d aunty ON! noes nil state laws re Win to building constructlon. I authorl. e rra rosentaativea of this city ra'r aotlri8 i ,a rater e a�i tienttf)s ra art +for Iris er..tiori Lrr riarF aa, i� Print r rtwr'u or Authorized �C3t�`elAll V/p �af41[i r31aFCr@riiPV CAiar 7i 11f1[Z j ..Z ACTION DATE W p DETE IIAITcaN Of COMPLIANCE WITH COW Or PEDFRA L FOR OFFICE USE ONLY tttl lrLATICNS PART 61OF TITU 140 AND A lints RULE PERMIT L-XFJ ?f:r � �� I W t ��ASI�r�._,.TkSJNOTI FICATION TO ,y yy«ngw��.m�.ry�-* vqm��«e.«et.�'mmlw¢.;'.Amm�r P �lil YfIT CAPS.CU1,'i Lt' .bp.....{�.��,.g«.).�ry.�e'...m.ary��,�..}nmy,�,�.«y�,.mm,.«..w..,,.... CEIlMI EXTEY'1,Y.ED f; q ,} �q ...»<..mm ��'tMLt' ...............o,...m,. a.m m«.ma�:...�.o.-�,...,.m..0 ,.. PERMIT FINAL � Z � �ASIXWOSNOTINCAtION! IS NOT a"4PPLI;ArilG TO MMICA i`r« OP PiiC4POSLO DEM%7LITO N vcajPANC'Y15SUFl 1 iWATL!ItE;: