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HomeMy WebLinkAboutF2022-0305 - Permits��EWPORT City of Newport Beach D - @ Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit Counter Phone. (949) 718-1888 u newportbeachca.gov/civic Combination Type - Work Class - New COMB Permit : F2022-0305 Plan Check No : 1534-2022 Issued Date : 06/15/2022 Final Date: Permit Status: Reissued Inspection Area :2 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 : 13 BEACON BAY Legal Desc : R BK 9 PG 42 PAR 13 Description : SFR FIRE SPRINKLER SYSTEM W/ (43) HEADS. (X2021-1684) Owner: CHAD PEETS Address : 13 BEACON BAY NEWPORT BEACH, CA 92660 Phone: (949)331-2202 Applicant: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Owner/Builder : Address : Phone: Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks : Front: 15, Front: 3, Side: 3, Side: 3 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: X5 SPECIAL CONDITIONS: Contractor: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714) 310-0194 Con State Lic : 992002 Lic Expire : 04/30/2024 Bus Lic: BT30078648 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: FALLS LAKE FIRE & CASUALTY CO Policy No : FLA008008 W. C. Expire: 12/29/2023 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect Address Phone: State Lic Engineer Address Phone Designer: FIREGUARD SPRINKLER SYSTEMS Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone : (714) 310-0194 NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable Items) iection 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 Tc 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 rofessions 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 fore 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 L) all of or U portions of the work; and the structure is not Intended or offered for sale (Section 7044, rosiness 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 (hat the nprovemenls 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 no( built or nprovod for the purpose of sale). 3 I, 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 10 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 am exempt from licensure under the Contractors' State License Law for the following reason ty my Sig he(ure below i acknowledge that. axe opI for my personal residance in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally oll a structure that I have built as an owner -builder if it has not been constructed in its ontirmy 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 siteihttp:I/YNm.leginfo.ca,gov/calow.html. Iignature of Property Owner or Authorized Agent ........... _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) f of the Business and Procession Cod and my Ilcense is in full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tsi DD,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate or 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 the erformance of the work for which this permit is issued. Policy No. Xl have and will maintain workers' compensation insurance, as required by $action 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Terrance carrier and policy number are: ter Policy Number Expiration Date is of Agent I Phone k certify that, in the pertorma ce o he 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 California, and agree If I should become "died to the vorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I I I lature of Applicant ____ _ _ _ Date,�[,S `I ,IO ATYI'YAY CCf]AOrYI AIt AA1 ql rl.M t rnym Air: Af`FAIr`V hereby affirm under penalty of perlVfy that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). enders Name, L.enders Address ,y my signature below, I certify to each of the following: I am the properly owner or authorized to act on the prop « owner's behalf. I have read this application and the Infomiatlon I have p avid d is correct. I agree to comply with all applicable city and county ord nano s and state laws relating to building. construction. I authorize representatives of this city or county to ante the a ova -identified property for inspection purposes. I �' ACTION DATE BY § DPCLARA`KONOF COMPLIANCE WITH CODE OF FEDERAL � FOR OFFICE USE ONLY REGULATIONS PART St. OFTITLF AOAND AQM[J RULE PERMIT EXPIRED tJ I SUBMITTED ASBESTOS NOTI FICATI ON TO ---a PERMIT CANCELLED EPA F€RMiT EXTENDED _ PERMITFINAL / � A�-►� ❑ ASHESI 05 NOTIFICATION 15 N01 APPLICABLE TO CERTIFICATE OF �� .Z PROPOSED f EMOLITION OCCUPANCY ISSUED S SIGNATURE: