The URL can be used to link to this page

Home My WebLink AboutF2022-0553 - Permits�t�EWIPORT City of Newport Beach IIIII I IIIIII IIIII I II IIIII IIII III IIIIIII II Community Development Department- Building Division F 2 0 2 2 - 0 5 5 3 ;i 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 q[.irOFN newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration COMB Permit: F2022-0553 Plan Check No : PC2022-2684 Issued Date : 02/01/2023 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: 836 HARBOR ISLAND DR Legal Desc : N TR 3867 BLK LOT 2 Description: SFR FIRE SPRINKLERS (X2022-0810) 28 HEADS Owner: LINDA BAKER Contractor: GARDNER JACK JR Architect Address : 29 SPRINGWOOD #49 Address : 3772 SIERRA AVENUE Address IRVINE, CA 92604 NORCO, CA 92860 Phone : Phone: (951) 212-9408 Phone Con State Lie : 470911 State Lie Lie Expire : 06/30/2024 Applicant: GARDNER JACK JR Bus Lie : BT30072167 Engineer: • , Address : 3772 SIERRA AVENUE Bus Lie Expire : 02/29/2024 Address NORCO, CA 92860 Phone: (951) 212-9408 Workers' Compensation Insurance Phone: Carrier: NO EMPLOYEES - Owner/Builder : Policy No: EXEMPT Designer: GARDNER JACK JR Address : W. C. Expire: Address: 3772 SIERRA AVENUE', NORCO, CA 92860 Phone: Phone: (951)212-9408 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $12,000.00 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 : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 10, Front: 18, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the cheokinark(s) I have placed next 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' 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 licensors and the basis for the alleged exemption. Anyviolation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). M 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from kcensure under the Contractors' State License Law for the following reason: _. By my signature below I acknowledge that, except for my personal residence in which I must have resided For atleast one year prior to completion of the improvements covered by this permit, I cannot legail sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.) understand that a copy of the. applicable law, Section 7044 of the Business and Professions Code„ is available upon request when this application Is submitted or at the following Web site:http:IiWww.Ieginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 ) of ivi ion 3 of the Business and Pros ode a IlceriS - h full force and effect. License Class License. No Date e / 2$ Contractor Signature WORKERS' COMPFN3ATION DECLARATION WHINING: F- LURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SU84ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 41AND DOLLARS t5100,000j, IN ADDITION TO THE CO-1 OF COMPENSATION, IWAOES AS PROVIDED FOR 7N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 0 1 har_- 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 erfcrmaace of the work fer which this permit is issued. Policy No. i 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` compensatio tnscralcc carrier Is)J pd;c,' number are! Cal ria Policy Number Expiration Date Nalaa o: Agent _ _ _ Phone # [If certify filet. in thJ performance of the work for which this permit is issued, I shall not employ any person in any' manner $o a$ to become subject to the workers' compensation laws of California., and ogre thai. ,f I sur aid become subject to the orkers' Corr Ion provVon of Section 3700 of the Labor Code, I shall forthwith comply Wth those provisions. -'t DECLARATION Applicant G�%`�� Dat la//�fJ�! DE:Ci,ARATtON REGA IhtG 00 RUCTIO LENDING AGENO I hereby affirm and Iry that there is a construction trig agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name Lender's Address By my signature beKw, 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 1 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 cou ty maTthe by 'Red p. p for inspection purposes. jj fi 11 Si nature of PropertyOwner or Authorized A ent Print Property Owner's or Authorized Agent's Nam t J 1 717 ACTION DATE BY I gfCLARATIbWOFCOMPUAZ$ll CODE OF FEDERAL FOR OFFICE USE ONLY EGJLATIONS PART 51 OF&ILE40 AND AOMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED 011PA PERMITWENDED MD PER,b}ITFINAL LOABESIOS NOTIFICATION 15 NOTAPPLICABL£ TO CERTIFICATE OF i4-2y .Puri`--' PROPOSE D1; OLITION OCCUPANCY ISSUED SIGNATU r