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Home My WebLink AboutF2022-0324 - Permits�4E KT• City'of Nevvport'Beach " p A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ~'e n Permit Counter Phone: (949) 644-3288 U }k} S � Inspection Requests Phone: (949) 644-3255 °gciFoa"�r newportbeachca.gov/inspections Combination Type - Work Class - New F 2 0 2 2 0 3 2 4COMB Permit: F2022-0324 Plan Ch¢ck No : 1627-2022 Issued Dake : 11115/2022 InspectiorlI Area : FIRE PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WO Job Address : 101 BAYVIEW PL Legal Desc : N TR 12528 BLK LOT 1 Description: COMM (N) FIRE SPRINKLER SYSTME W/ (1334) HEADS. (X2021-2737) "CLEARWATER" Owner: KODAKA INC Address : 1650 DELTA CT HAYWARD, CA 94544 Phone : (952) 294-1242 Applicant: A & D FIRE Address: 7130 CONVOY CT SAN DIEGO, CA 92111 Phone: (858) 277-3473 Owner/Builder : Address : Phone: Contractor: A & D FIRE Address : 7130 CONVOY CT SAN DIEGO, CA 92111 Phone : (858) 277-3473 Con State Lic : 1069002 Lic Expire : 09/30/2024 Bus Lic : BT30073130 Bus Lic Expire : 10/3112023 Workers' Compensation Insurance Carrier: AMERICAN ZURICH INS CO Policy No : WC008315007 W. C. Expire: 1/1/2023 Code Edition : 2019 Fire Sprinklers : YES Type of Construction : 1-8 Fire Hazard Zone : NO Occupancy Groups : R2.1/S2 No of Units : 0 Bldg Height: No of Stories : 3 Building Setbacks Flood Zone : X Use Zone : PC - Bayview PROCESSED BY: SPECIAL CONDITIONS: ARS FROM ORIGINAL ISSUANCE DATE ON SUNDAY AND HOLIDAYS IN ALL AREAS A� itect:°'. •ess b le: Lic neer ess : 1 er : A & D FIRE s : 7130 CONVOY CT SAN DIEGO, CA 92111 (858)277-3473 fiction Valuation : $66,000:00, New/TI sq. ft. Bldg : 0 on sq. ft. Bldg : New sq. ft. Garage : 0 sq. ft. : 0 AV-C f", 5(0,- �93.;i-7�>I15i �AuC (D iDS-1 " J (o 1) I (to OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt Cron) the Contractors' State License Law for the reason(s) indicated bell by the Checkmark(s) I have placed next to the applicable Items) (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 ho 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 licensers 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 (S500). 1, as owner of the property, or my employees with wages as their sole compensation, will do i_) all of or U 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 naI built or improved for the. purpose Of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensors 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 for at least one year prior to completion of the improvements covered by this permit, I Cannot legally sell 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 Professions Code, is available upon request when this application is submitted or at the following %Neb site:http:lf wvr.teginfo.ca.govlcalaw.btmi, Date Signature of Property Owner or Authorized Agent _ ----------—""—""'" -�` !LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9' (commencing with Section 7040) f ivision 3of the Business and Professio G�my license is In full force and effect. License Class License No Date 1I !- a Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,00 iN ADDUION TO THE COST OF COMPENSA-D' I, � \.'41GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby ai under penally of perjury one of the following declarations: C I have and will nlainiam 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 to per4armc�nco of the work for which this permit is issued. Policy No. 0 have and will ri;i '❑ 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` compensation insurance carrier airs poli.:y number are: carrier Policy Number Expiration Date lame at Agent __ Ji 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 warka s' compensation laws of California. and ogre n l I stould becrme s I a the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �// it •a P'r9. of Applicant _ Data rkcl.AR. TION Ftk:GAityJING C RUCTION LENDING AGENCY hereby affirm und.N 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). ander's Name Lenders Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with ail applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or count to e terlhe ab derllified property for inspection purposes. ; anature of Property Owner or Authorized Agent Y J3 Print Property Owner's or Authorized Agent's Name ACTION DATE RY DEC ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AOMO RULE PERIL9IT EXTENDED r I u QNIu __ _ _ _ PERi'v11T FINAL ASBEST45 NOT1FICA7'ION IS NOT APPLICABLE TO CERTrflCATE 17f PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE; Date