HomeMy WebLinkAboutF2023-0140 - PermitsCity of Newport BeachIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: FZO23-o140
Community Development Department- Building Division, _ F 2 0 2 3 0 1 a 0
100 Civic Center Drive, Newport Beach, CA 92660o�`r Plan Check No: PC2023-0677
Permit Counter Phone: (949) 644-3288 Issued Date : 03/27/2023
Inspection Requests Phone: (949) 644-3255 ,..ly'+� Inspection Area : 1
newportbeachca.gov/inspections
Combination Type - SFP y(,
Work Class - New
PERMITS EXPIRE 180 D,,44� TER ISSUANCE LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION4FFC NOISE ON SAT
OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
�el—
Job Address : 108 27TH ST Legal Desc : A TR NEWPORT BEACH CITY BLK 26 LOT 8
Description: SFR FIRE SPRINKLERS (X2022-1257) 24 HEADS
Owner: CHRIS PETROSSIAN
Address : 108 27th ST
NEWPORT BEACH, CA 92663
Phone: (213)283-3703
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
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone
Designer: FIREGUARD SPRINKLER SYSTEMS
Address : 7907 LEEDS ST
DOWNEY, CA 90242
Phone: (714)310-0194
Code Edition :
2019
Fire Sprinklers :
YES
Construction Valuation : $5,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups :
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
3
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks :
Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-1- Single -Unit Residential
31
PROCESSED BY:
1 F_
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(%) indicated below by the checkmark(s) I have placednext 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 he or she is licensed pursuant to the provisions of the Contractors' Stale 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 ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
1, as owner of the property, or my employees with %Vegas as their sole compensation, will do (_) all of or L) 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-Suilder will have the burden of proving that it was not 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 property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
El I am exempt from ticensure 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 legall,
sell a structure that I have builtas an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law. Sac' IT 7044 of tho Business and
Professions Code,, is available upon request when this application is submitted or at the following Web site:http:l/wV,�v.leginfo.ca,govlcalaw.html.
Signature of Property Owner or Authorized Agent ate _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of Perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f ' ' 9q of the Business and Professions - ode, y license is In full force
and effect. License Class License No Date L Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: 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 (S1D0,lKXn. tN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
---hTttereby affirm under penalty of perjury one of the following declarations:
I have and wilt 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
ormance of the work for which this permit Is issued. Policy No.
have 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'
Fence carrier and policy number are:
Policy Number Expiration Date
ie of Agent
certify that, in the pedor nee f tha 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 agre
t, if I should become sub( ct to t e workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicantp�
CLARATION REGAIN C ST ACTION LENDING AGENCY
Ireby affirm under penalty of ury that ere is a construction fending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
Ider's Name Lender's Address.
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the to Fly owner's behalf.
I have read this application and the information I h e or vided is correct.
I agree to comply with all applicable city and coun ordin Fees and state Paws relating to building. construction.
I authorize representatives of this city or coun to Fier t a above -Identified property for inspection purposes. 1 /pI
nature. of Property Owner or Authorized Ag Print Property Owner's or Authorizetl Aaent's Name _ f _ /o f/l V o` Fete 17 7 /L
ACTION DATE Oy R GbARATONS OF COMT 61PLIANCEOF a0 A pODE OF R DEERAL FOR OFFICE USE ONLY
I
TO
PERMIT CANCELLED
PERMIT FINAL I 10ASBES70SNOTIFICA7ION IS NOTAPPLICABLE 10
CERTIFICATE OF Q•ZG-Z'7 PROPOSED DEMOLITION
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