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Home My WebLink AboutF2022-0538 - PermitsSEW oq City of Newport Beach Community Development Department- Building Division iy 100 Civic Center Drive, Newport Beach, CA 92660 i > °94FOA�`� Permit Counter Phone: (949) 644-3286 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - New F 2 0 2 2 0 5 3 8II COMB Permit : F2022-0538 Plan Check No: PC2022-2584 Issued Date : 10/17/2022 Inspection Area : 1 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 : 1120 BAY AVE W Legal Desc : N TR 626 BLK 4 LOT 6 Description : SFR FIRE SPRINKLER SYSTEM 44 HEADS (X2021-0121) Owner: Gary Buntmann Address : 410 17th St #1010 Denver, CO 80202 Phone: Applicant : Fireguard Sprinkler Systems, Inc. Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Owner/Builder : Address : Phone Contractor : Fireguard Sprinkler Systems, Inc Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone : (714)310-0194 Con State Lic : 992002 Lic Expire : 04/3012024 Bus Lic : BT30078648 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: FALLS+LAKE+FIRE+AND+CASUALTY+COMP ANY Policy No : FLA008008 W. C. Expire : 12/29/2022 Architect 1 Address : 1s 1 +�. ° "^" Phone : State Lic Engineer Address Phone: Designer : Fireguard Sprinkler Systems, Inc. Address : 7907 LEEDS ST DOWNEY, CA 90242 Phone: (714)310-0194 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: TOTAL sq. ft. Bldg Building Setbacks : Front: 5, Front: 25, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: $8,000.00 0 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 (hat requires a permit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for he 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 then five hundred dollars ($500). 1 I, 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 that the mprovemenls are not intended or offered for sale, IL 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 reproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply 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). 1 am exempt from licensure under the Contractors' Slate License Law for the following reason _ __,_-- By my 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 entiroty 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 Web site;http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _. _._. .__ __.,�. );,� ,____�._._._�LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) v%siyr the Business andPr smy license is In full force and effect. License Class License No Date I I Contractor Signal WORKERS' COMPENSATION DECLARATION A ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. Inhereby affirm under penalty of perjury one of the following declarations: u 1 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 th performance 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 lame of Agent "'u"°e > 3 certify that. in the=fperjUry Dowork 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 agre oat, if I should becomkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �7 Ignature of Applican IECLARATION REGINSTRUCTION LENDING AGENCY hereby affirm underat there is a construction lending agency for the performance of the work for which this permit i5 issued (Section 3097, ivil Code). enders Name _ Lender's Address ly my signature below, I certify to each of the following: i am the property owner or authorized to act an Ilia prop wner's taehalf. I have read this application and the information I have vide is correct , I agree to comply with all applicable city and co ty o nonce and stato laws relating to building construction. I authorize representatives of this city or county to a the a -identified property for rospeLtloIT purposes. N ` J /l V ,I / I-TI Iionaiure of Prcoetty Owner or Authorized Agent _ _ Print Propasl Owner's or Authorized Agent's Name (� G Date (J I l ACTION I DATE By ✓ RKGUI" AT O 5 OF COMPLIANCE t ATI f 40 AND DE OFAQMD RULERAL FOR OFFICE USE ONLY PERMIT EXPIRED 1 1 ' U'SPRMITTEO A5HESTOS NI i FICAT.(,N TO PERlv41T EXTENDED qM0 PERMIT FAW ASBESTOS NO 10N IS NOT APPLICABLE TO CERTIFICATE Of � PROPOSED DEMOLITION OCCUPANCY ISSUED �" 51CNAT)R .