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HomeMy WebLinkAboutF2023-0079 - Permits04'. City of Newport Beach II II �I I II IIIIII II III II III IIII IIIIII II COMB Permit : F2023-0079 Community Development Department- Building Division F 2 0 2 3 0 0 7 9 100 Civic Center Drive, Newport Beach, CA 02660 Plan Check No : PC2023-0325 Permit Counter Phone: (949) 718-1888 Issued Date : 02/14/2023 newportbeachca.gov/civic Final Date: Combination Type - SFP Permit Status: Issued Work Class - New 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 : 129 VIA JUCAR Legal Desc : N TR 907 BLK LOT 709 TR 907 LOT 709 NELY 15 FT THEREOF(AND A LL -EX Description: SFR FIRE SPRINKLERS -47 HEADS (XR2022-2358) *PERMIT DESCRIPTION UPDATED 10/11/2023* Owner: ROBERT PIGNERI Address : 129 VIA JUCAR 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 Contractor: GGPINC Address : 4765 GATESHEAD RD CARLSBAD, CA 92010 Phone: (760)729-2675 Con State Lie : 711174 Lie Expire : 08/31/2025 Bus Lie : BT03031904 Bus Lie Expire : 02/28/2024 Workers' Compensation Insurance Carrier: TECHNOLOGY INS CO INC Policy No: TWC4210001 W. C. Expire : 2/1/2024 Architect Address Phone: State Lie Engineer Address Phone: Designer: JERRYGOMEZ Address: 4765 GATESHEAD RD . CARLSBAD, CA 92010 Phone : (949) 637-3513 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $6,009.OQ• 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 : I Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 3 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: L SPECIAL CONDITIONS: 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 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 slaonnont 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 ilcensure and the basis for the alleged exemption. Any violation of Section 7031 S by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure Is not Intended or offered for sale f 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, II, however, the building or improvement is sold within one year of rcrrlpletion, the Owner -Builder will have the burden of proving that it was not built or improved 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). ❑ 1 am exempt from Iicensure under the Contra utors' State License Law for the following reason „. _ ___.....__.—. ..._..... ,__ _.........._ ___._T�._.__ _..._......... 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; have built as an ownor-buildor if it has not been constructed in its ontiroly by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Businoss and Professions Code, is available upon request When this application is submitted or at the following VVeb site:http:/I w v.leginfo.ca.govicalaw.html. Signature of Property Owner or Authorized Agent ,_,_„_.. _._. --- T__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 In full force and effect. License Class License No Date Contractor Signature RS' 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 ($100,000). IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and will mai stain 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 Ili urformsnce of thn wo-k for which this permit is issued. Policy No. have and will r.lr.,,toin workers' compensation insurance, as required by Section 3700 of the Labor Cade. for the performance of the work for which this permit is issued. My workers' ramsn carrier and policy number are: Policy Number Date ra of Agent _ Phone M certify that, in me nRrformence or the 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 if I s'lould became subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. kyipl- re of Applicant._..___...._...,_.__..._..___�_._..._._... __..�_. DaI„_,,, IGC,ARi TtON PEGAFi CONSTRUCTION LENDING AGENCY hereby affirm under 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). enders t'eme _ _ Lender's Address y my signature be'on, 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 slate laws rotating to building construction. I authorize representatives of this city or county to enter the above -Identified property for inspection purposes, lianature of ProDertv Owner or Authorized Acenl Print Property Owner's or Authorized Agent's Name ACTION DATE BY DF..CLARATICN OF COMPLIANCE `ARTIi CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITIF 10 AND AQNID RULF 1403 PERMIT EXPIRED i LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERIMITCANCELLEO LJEPA ...... ........ PERMIT EXTENDED ....._ ....._ ........ ...__ ..... .._ .... AQM D PGRV7YT E'INAf _ _...._ ._.._.....__. IJ ASBES705 NOT I FICAT ION 15 NOT APPLICABLE TO CERTIFICATE OF DEMOLITION OCCUPANCYISSUED 1 I �Q I�APROPOSED LIII i SIGNATURE? 1 � w Date