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Home My WebLink AboutF2023-0258 - Permits�EWbo?r City of Newport Beach II II I IIIIII IIII I IIIIIIII IIII III III II II COMB Permit: F2023-02558 y0� "yte Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1356 y. Permit Counter Phone(949) 718-1888 Issued Date : 06/05/2023 i newportbeachca.gov/civic Inspection Area : 6 �"�?%<�r✓ Combination Type - SFP Work Class - Addition PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE CA-. . E NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 21 OCEAN HEIGHTS DR Legal Desc : N TR 15400 BLK LOT 41 TR NO 15400 LOT 41 FOR OF LOT ...... Description: SFR- INSTALL (1) FIRE SPRINKLER HEAD (X2022-1391) Owner: KINOSHITA IRENE L TR Contractor: CALIFORNIA FIRE PROTECTION Architect Address : 21 OCEAN HEIGHTS DR Address : 647 CAMINO DE LOS MARES, 108 Address : „�,,, NEWPORT COAST, CA 92657 SAN CLEMENTE, CA 92673 ; , Phone: Phone: (949)939-7450 Phone: Con State Lic : 1016781 State Lic Lic Expire : 08/31/2024 " Applicant: CALIFORNIA FIRE PROTECTION Bus Lic: BT30063097 Engineer Address : 647 CAMINO DE LOS MARES, 10B Bus Lic Expire : 05/31/2024 Address SAN CLEMENTE, CA 92673 Phone: (949) 939-7450 Workers' Compensation Insurance Phone: Carrier: OHIO SECURITY INSURANCE COMPANY Owner/Builder : Policy No: XWS60230423 Designer: CALIFORNIA FIRE PROTECTION Address : W. C. Expire : 9/18/2023 Address: 647 CAMINO DE LOS MARES, 108 SAN CLEMENTE, CA 92673 Phone: Phone: (949)939-7450 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $2,000.00 Type of Construction : V-B Fire Hazard Zone : YES Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R3 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 Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: ♦v� SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) Election 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 is permit to rile a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Lew (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Tofessions Code) or that he or she is exempt from licensors 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 of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work; and the structure is not Intended or offered for sale (Section 7044, rosiness 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 builtor trproved for the purposeof sale). I, as cwner 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 oty to an owner of oruperty who builds or improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I am exempt from iicensure under the Contractors' State License Law for the fallowing reason: _ ly my 9igaf Jura below I acknowledge that, except for my personal residence in which I musthave resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally all a structure that I ha is built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the. applicable law, Section 7044 of the Business and 'rife>siors Code, 'e rvaiiable upon request when this application is submitted orat the following Web site:http:ffroww.ieginto.ca.govlcalaw.btml, lignatum of Propery Owner or Authorized Agent Date .IZENGED CO'ATRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700(t) of ' ision 3 of the Business and ProfessjQna C e,I and �m�y license is in full force rd cff :t License Class License No Date 0 1 C7 Contractor Signature V . )A/L�lA_Q VJRKERS' CCMP=NSATION DECLARATION It.AXA7. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND cML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S10gDDD1. IN ADDITION TO THE OST OF C( MPENSAnON, DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm unJer feaally of perjury one of the following declarations: I I 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 the erformance 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' compensatior trance carrier and policy number are: rier Policy Number Expiration Date ne of Agent Phone N 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 agree 11 if I should become su (lb„ict to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of. Applicant _. _._-- Date..,/7 �L2 Imby 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). Tder'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 theproperty owner's behalf. I have read this applicationand the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter)hp above -identified property for inspection purposes. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE. USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED --T7EP.A PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIPFCATEOF O'l'-� j.1 p/�L pROPO5E0 DEMOLJTION �� i OCCUPANCVISSUED I SICNAiuRF_ , - ( A k 0 9 / ,.Y