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Home My WebLink AboutF2023-0040 - PermitsO��EWPO,gT City of Newport Beach e Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 �s. Inspection Requests Phone: (949) 644-3255 cq{��npN�p newportbeachca.gov/inspections Combination Type - SFP Work Class - Other COMB Permit : F2023-0040 F 2 0 2 3 0 0 4 0�� II Plan Check No: PC2022-2801 Issued Date : 01/25/2023 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: 1227 MARIAN LN Legal Desc : N TR 1973 BILK LOT 41 Description: SFR *ADDITIONAL SCOPE* ADD TO FIRE SPRINKLER SYSTEM 14 (X2022-0460) Owner: JASON KLIEWER Address : 316 ALSO AVE NEWPORT BEACH, CA 92663 Phone Applicant: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Owner/Builder : Address : Phone Contractor: FIREGUARD SPRINKLER SYSTEMS Address: 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Con State Lie : 992002 Lie Expire : 04/30/2024 Bus Lie : BT30078648 Bus Lie Expire : 05/31/2023 Workers' Compensation Insurance Carrier: FALLS LAKE FIRE & CASUALTY CO Policy No: FLA008008 W. C. Expire: 12/29/2023 Code Edition : 2019 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : No of Units : 0 Bldg Height: No of Stories : 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: Architect Address Phone: State Lie Engineer: Address Phone Designer: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Construction Valuation : $2,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 le permit to rife a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and professions 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).. 1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not Intended or offered for sale (Section 7044, usfness 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 built or nproved for the purpose of sale). 3 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 poly 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 I am exempt from licersure under the Contractors` Stale License Law for ilia following reason: y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legall oil a structure that I have built as an owner-buildor if it has not been constructed in its enliroty by licensed contractors. I understand that a copy of the applicailaw,Sao'A n 7044 of the Business and rofessions Code, is available upon request when this application is submitted or at the following Web site:http:(Iwww ieginfo.ca.gov[caiaw.html. Ignature of Property Owner or Authorized Agent ate.ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commenctng with Section 0)o IA. I 3tof the Business and PraCode, • nd my license is In full force not effect. License Class License No Cat C- J Contractor Signature COMPENSATION DECLARATION rANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TC ONE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: (S1D0,006I, IN ADDITION have and will maintain a certi5oate 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 rmance of the work for which this permit is issued. Policy No. 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` carrier and policy number are Policy Number Expiration Date of Agent JI certify that, in the pert ante of the rk 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 Tat, ill should become su ect to th work 'comp ation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. r� 7 lgnature of Applicant _ Da ZS Z fECLARATION REGA lNG STR. TICN LENDING AGENCY hereby affirm under p alty of perjury at there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , Civil Code). snder's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the Top Fly ner's behalf, 1 have read this application and the information I e p vided. s correct. I agree to comply with all applicable city and co ord ances not state laws relating to building construction. \ i I authorize representatives of this cityc, Lowdy 1 n,er the afro P, LpertAerl property for inspection purposes. I I n I r Owner's or Authorized Apart's Name A h 11 h ACTION DATE. LY ('I DEC,ABATIO. OF CON+IPJANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART51 OFTITLE 40 AND AQNID RULE S t7� PERMITEXPIRED _ _ _ — LI—Suz ' ! I -.+I SUd.wITTED A5RE5TGi NOTIFICATION TO PERMITCANCELLED APERMITEXFENDED AASSESIOS PER,YNTFINAL-q NOI IFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: