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Home My WebLink AboutF2023-0079 - Permits (4)D��EWPp� City of Newport Beach A Community Development Department- Building Division t > 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 U ems. x Inspection Requests Phone: (949) 644-3255 c4icoRN`~ newportbeachca.gov/inspections Combination Type - SFP Work Class - New F 2 0 2 3 0 0 7 9II COMB Permit: F2023-0079 Plan Check No: PC2023-0325 Issued Date : Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 Y S FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK SSUNDDA-Y AND HOLIDAYS IN ALL AREAS �0' vt R Job Address : 129 VIA JUCAR Legal Desc : N TR 907 BLK LOT 709 TR 907 LOT 709 NELY 15 FT THE (AND A LL -EX 0, Description : SFR FIRE SPRINKLERS - 41 HEADS (XR2022-2358) Owner: ROBERT PIGNERI Contractor : GGP INC Arch! Address: 129 VIA JUCAR 129 VIA JUCAR Address : 4765 GATESHEAD RD Add� NEWPORT BEACH, CA 92663 Phone: (714)402-7005 Applicant: JERRY GOMEZ Address : 4765 GATESHEAD RD CARLSBAD, CA 92010 Phone: (949)637-3513 Owner/Builder : Address : Phone : CARLSBAD, CA 92010 Phone: (760)729-2675 Con State Lie: 711174 Lie Expire : 08/31/2023 Bus Lie: BT03031904 Bus Lie Expire : 02/28/2023 Workers' Compensation Insurance Carrier: TECHNOLOGY INS CO INC Policy No : TWC4210001 W. C. Expire : 2/1/2024 Code Edition : 2019 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 3 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: `� SPECIAL CONDITIONS:* Phone : ��®�S State Lie Engineer: Address Phone: Designer: JERRYGOMEZ Address : 4765 GATESHEAD RD CARLSBAD, CA 92010 Phone : (949) 637-3513 Construction Valuation : $6,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 I hereby afffml 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 Items) 5eclion 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 :he 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 professions Code) or that he or she is exempt from liceosum 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 ict more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do j_) all of or (_) 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 mprovements 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 mproved for the purpose of sale). 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 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). u I am exempt from licensure 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 built as an owner -builder if it has not been constructed in its entirety by ficonsod contractors. I understand that a copy of the applicable law, $action 7C44 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web sitethltp:(i�.leginfo.ca.govfcalaw.btml, Signature of Property Owner or Authorized Agent _ _ Date. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is to full force and effect. License Class License. No Date Contractor Signature YORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO' ONE HUNDRED THOUSAND DOLLARS ($T06,0001. IN ADDITION TO THE 'GET OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] I 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. 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` rance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of Califomia, and , if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date -reby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ideis Name Lenders Address 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. remora of Proi Owner or Authorized Anent Print Prooertv Owner's or Authorized Aaenl's Name ACTION I DATE I BY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERIvf1T FINAL CERPRCArE Of OCCUPANCY ISSUED DECLARATION OF COMPLIANCE W17H CODE OF FEDERAL ( FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE U ASBESTOS NOTIFICATION 15 NOT APPLICABLE 10 PROPOSED DEMOLITION No