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Home My WebLink AboutF2022-0102 - Permits,�;w•rok City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII I) 4 - 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 1 0 2 Permit Counter Phone (949)644-3288 �— ' VQ za } ��G�RUW'kti Job Address: 1 BAY ISLAND NB Inspector Area: 1 Owner: BAY ISLAND NO 1 LLC Address: 1095 E GREEN ST PASADENA CA 91106 Phone: Applicant: GOMEZ GERARDO Address: 4765 GATESHEAD RD CARLSBAD CA 92010 Phone: 760-729-2675 Code Edit : 2019 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: V-B-SPR R3/U 0 0 FIRE Permit: F2022-0102 Project No : 0542-2022 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (X20 ^2440) 43 HEADS Legal Description: S TWP 6 RGE 10 SEC 34 Contractor. GGP INC ' Vchitect` Address: 4765 GATESHEAD RD Address: Phone: CARLSBAD 5 A 92010 Phone: �� V® State Lic: Con State Lic: 711174 Engineer: Lic Expire: 0813112023 Address: Bus Lic: BT03031904 Lic Exp Date: 0212812023 Phone: State Lic: Worker's Compensation Insurance Designer: GOMEZ GERARDO Carrier: STATE FUND Address: 4765 GATESHEAD RD Policy No: 9043197 CARLSBAD CA 92010 Expire: 02/0112023 Phone: 949-637-3513 2 Issued Date: 03/03/2022 1 Setback- Front: AE 8' Rear: Y Left: Right: Special Conditions: OR FEES Construction Valuation: $5,000.00 Building PC Fee : $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $8.00 Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00 Building Extention Fee : $0.00 Planning Zoning PC Fee : $0.00 Building Investigation Fee : $0.00 $0.00 Fire Plan Check Fee: $0.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $269.00 TOTAL FEE : $499.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $499.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: I OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: �6 - i PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )INNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 ie 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 Irofessions 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 not built or nproved for the purpose of sale). D 1, 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 pply 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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, 1 cannot legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirety 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 site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 Prof ions Code, and my license is in full force nd effect. icense Class License No Date 02— Contractor Signature CORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR INAL 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 ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 thI ec(ormance 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: ie of Agent certify that, in the performance , if I should become subject tp 1 Policy Number Expiration Date Phone # 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 kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant G Date byCLARATION REGARDING STRUCTION LENDING AGENCY :reby affirm under penalty of p rjury that there is a construction lending 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 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 ordi ces and state laws relating to building construction. I authorize representatives of this city or county to e r above -id If III property for inspection purposes. n nature of Property Owner or Authorized Agent �/ ALI�� I_ Print Property Owner's or Authorized Agent's Name V ACTION DATE BY DECLARATION OFCOMPLIANCE WITH CODE OF FOR OFFICE USE ONLY - FEDERAL REGULATIONS PART S1 OF TITLE 40 AND PERMITEXPIRED AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED' _,. PERMfT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT I .. CERTIRCATEOF OCCUPANCY f55UEp SIGNATURE: