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HomeMy WebLinkAboutF2023-0327 - Permits�gWPpRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIII II COMB Permit F2U23-0327 O� @ Community Development Department- Building Division F 2 0 2 3 0 3 2 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1579 Permit Counter Phone: (949) 718-1888 Issued Date : 06/2912023 newportbeachca.gov/civic Inspection Area : 1 Combination Type -SFP Work Class - Addition/Alteration 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 : 250 COLTON ST Legal Desc : N TR 772 BLK 6 LOT 17 TR 772 LOT 17 BLK 6 ALL (EX NELY 18 FT) AND NELY Description: SFR FIRE SPRINKLER SYSTEM 23 HEADS (XR2023-0789) Owner: SCOTT DEFREITAS Address : 250 COLTON ST NEWPORT BEACH, CA 92663 Phone: (949)355-5084 Applicant: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone : (714) 476-5370 Owner/Builder : Address : Phone Contractor: FIREPROOF FIRE PROTECTION Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Con State Lie : 876004 Lie Expire : 04/30/2024 Bus Lie: BT30040107 Bus Lie Expire : 07/31/2023 Workers' Compensation Insurance Carrier: NATIONAL CASUALTY COMPANY Policy No: SWC1373758 W. C. Expire : 2/1512024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R3/U No of Units: 1 Bldg Height: No of Stories : Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer Address Phone Designer: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-537D Construction Valuation : $2,300.00 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 penally 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 feints) Section 7031.5, Business end Professions Cade: 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 file a signed statement that lie 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 'rofessions 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 of more than five hundred dollars ($500), 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, Iusiness 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 licensors under the Contractors' State License Law for the following reason: iy 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, ell a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code., is available upon request when this application is submitted or at the following Web sitaihttp:lAw w.leginfo.ea.gov/calaw.htmi. .ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7 0 of Division 3 of the Business and Pr salons Code, and my license is In full force nd effect. License Class License No Date 15\,j 1_1 Contractor Signatur �^-�— COMPENSATION DECLARATION FARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO T DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'$ FEES, hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will maintain a certificate of consent to self -insure tot workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for grformance, or 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 of Agent Date 11 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 this worke ' cpimponsation laws of California, and ogre, ist, If I should become su jet)(to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ;ignature of Applicant DaKim 6 /25 Z z I IECLARATION REGAROI G NSTRUC716N LENDING AGENCY hereby affirm under penally of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097,ode). endei 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 property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and cpHity ordinances and state laws relating to building construction. r , L I authorize representatives of this city or taunt 1 enter the above -Identified property for inspection purposes. 19X0/ 0una�lura of Prooertv Owner or Authorized Anent `�- Print Prooertv Owner's or Authorized ADm enl's Nae I"1 • . i l Dat eC C 1 v ACTION DATE BY V EDGAFIONS OF COMPLIANCE A AND WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS / \ 1403 PERMIT EXPIRED I I I U I SuBMiTT€DASBESTOS NOTIFICATION TO P€AMITEKTENDED PERMITFINAL I �r(•, .'(�E t \(Z U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF // V PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: