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