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HomeMy WebLinkAboutF2023-0353 - Permits�EWPORr City of Newport Beach Community Development Department - Building Division F 2 0 2 3 0 3 5 3 COMB Permit: F2023-0353 aP Fy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0143-2022 G >+ ¢ Permit Counter Phone: (949) 718-1888 Issued Date : 07/26/2023 .a.. newportbeachca.gov/civic Cq<�FORN'�P Combination Type - SFP Final Date: Permit Status: Issued Work Class - Other Inspection Area : 5 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 : 434 GOLDENROD AVE Legal Desc : A TR CORONA DEL MAR BILK 434 LOT 18 Description MFR FIRE SPRINKLERS (44) HEADS X2020-1161 *CHANGE OF CONTRACTOR* Owner: VALINJEV Address : 434 GOLDENROD AVE NEWPORT BEACH, CA 92625 Phone: (949)243-5059 Applicant: VAL INJEV Address : 434 GOLDENROD AVE NEWPORT BEACH, CA 92625 Phone: (949)243-5059 Owner/Builder: VAL INJEV Address: 434 GOLDENROD AVE NEWPORT BEACH, CA 92625 Phone: (949)243-5059 Code Edition : 2019 Type of Construction : V-B Occupancy Groups: R3/U Bldg Height: Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor Address : Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier: Policy No: W. C. Expire: Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect Address Phone : State Lie Engineer: Address Phone Designer: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone : (714) 310-0194 YES Construction Valuation : NO Added/New/TI sq. ft. Bldg: 0 1 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0-�'^' TOTAL sq. ft. : 0 .sp 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 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 licensure 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). '.. 0 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, 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. 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 Kved for the purpose of sale). as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under 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 Forst feast one year prior to completion of the improvements covered by this permit I cannot legally soll a structure that I have built as an owner -builder if A has a uuyylructod in its entirety by licensed contractors. I understand that a copy of the applicable law, SacIi 7044 of the Business and Professions Code., Is available upon request whe t s appll Ion �. bimitted or at the following Web site;http:/1Wvnv.leginto.ca.gov/calaw.fitmi. Signature of Property Owner or Authorized Agent Date; % 2 L Z_ LICENSED CONTRACTOR'S DECLA.RATI V _7 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and. my license is In full Force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION (WARNING: FAILURE TO SECURE WORIFERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIRES UP TO ONE HUNDRED THOUSANO DOLLARS (S1D0.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 11 hereby affirm under penalty of perjury one of the following declarations: D 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 tho performance of the work for which this permit Is issued. Policy No. Ell 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 Insurance carrier and policy number are: is of Agent _ certify that, In the if I should bacon of Applicant Policy Number Date 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 Califonma, and agre, Prs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. 6 ` L —�— %2 �L`2 Data / 1 T IC,TION LENDING AGENCY —7— areby 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). triers 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 have provided is correct. I agree to comply with all applicable cry and county ordinances and state laws relating to building construction. I authorize representatives of this city or couni�( trranteuH aV identifi d propert fo i spectlon purposes. 'r /1 / ) ` /�/2, , ,� ....f o..,,.on , n..—r ..r A„Ih., I. i ar,.»,I i X Z/ Y. Print Procertv Owner's or Authorized AaenCs Name '�./ *L I�J� /Date ACTION DATE BY v DtCLARAZO OF COMPLIANCE WITH CODE OF FEDERAL RFGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED 0 1 SUBMITTED ASBEST'7S NOTI FICATIO,J O PERMIT CANCELLED EPLt A__ PERM7'f FINAL '1 -'3l Z �nQFAD _ __ _ �L fFy�yL,�1BE505 OT IS NUI"APPLICABLE TU CERTIFICATE OF PR09QS ED M ITI OCCUPANCY ISSUED SIGNATUI