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HomeMy WebLinkAboutF2024-0071 - PermitsE iPgnT City of Newport Beach C�. @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 v Z Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic "<,Fone�r Combination Type - MFP Work Class - Alteration 11illillillillillillilliillillillillillillilliillillillillillijl COMB Permit : F2024-0071 Plan Check No: PC2024-0266 Issued Date : 02/1512024 Final Date: Permit Status: Issued� i Inspection Area/ f ` 2(r 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 : 111 VIA FLORENCE Legal Desc : N TR 907 BLK LOT 979 TR 907 LOT 979 NELY 20 FT THE Description : MFR UNDERGROUND FIRELINE (X�2022-0804) - -. Owner: MAKAREHCHI FAMILY TRUST Address : 6155 E HENNING VIEW TERRACE ANAHEIM, CA 92807 Phone: (310)591-9998 Applicant: BASE LINE FIRE PROTECTION INC Address : 7911 IMPERIAL HWY, 2152 DOWNEY, CA 90242 Phone: (562)291-8252 Owner/Builder : Address : Phone Contractor: BASE LINE FIRE PROTECTION INC Address : 7911 IMPERIAL HWY, 2152 DOWNEY, CA 90242 Phone: (562)291-8252 Con State Lie : 995049 Lie Expire : 07/31/2024 Bus Lie: BT30083055 Bus Lie Expire : 11/30/2024 Workers' Compensation Insurance Carrier: MARKEL AMERICAN INS. COMPANY Policy No : MWC0100708 W. C. Expire : 9/26/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R2 No of Units : 5 Bldg Height : No of Stories : 2 Building Setbacks : Front: 0, Front: 4, Side: 4, Side: 4 Flood Zone Use Zone: R- �- Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address Phone Designer: BASE LINE FIRE PROTEU,,ON INC Address : 7911 IMPERIAL r;vVY, 2152 DOWNEY, CA 60242 Phone : (562) 291-8252 Construction Valuatiol, . $5,000.0 Added/New/Ti sq. ft. Bldc • 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I- I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 :he 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 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 Tot more than five hundred dollars ($500). 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 70", 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' Slate 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.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 Sec'o Alof Divisign 3 f the Bu ess and Profession ode, an a is in full force and effect. License Class License No D e <> ontra or Signature COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO Of E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of per°ury 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 formance of the work for which this permit is issued. Policy No. and WEI maintain workers compensation insurance, as required carrier and policy number are: .Z f��`/ Policy Number_ by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Date m4 of Agent _ Phone # certify that, in in edarmance of the work for w i h this permit is issued, I shall not employ any person in any manner so as to become subject to the worke s' compensaton laws of California, and agree I, if I should bet; a ruble 1,10 the workers' mp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ nature of Applic `--c+- Da S CLARATION R wA DING CONSTRUCTION LENDING AGENCY areby affirm under nPralty of pdrlury that there is a construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097, Civil Code). 1der's 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 slate 1 relating to building construction. / Y I authorize representatives of this city or county to epter he above -id dl y perty for inspection purposes. • e—L.- ACTION DATE BY DECLARATION OF COMPLIANCErITH CODE OF FEDERAL REGULATIO PART 61 T 40 AND AQMD RULE 1403 — FOR OFFICE USE ONLY PERMITEXPIRED L3 I SUBMITTED ASBESTOS NOTI FICATION TO PERMITCANCELLED LIEPA PERMIT EXTENDED UAQVID PERMITFINALVU(ML-IMSASBESTOS CERPFlCATEOF OCCUPANCYISSUEO NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: N E mGG� �n °jry ° ZZ 2 Z pc 2Z 2 '9 $g ,-m@ 00 O O 00 O O. 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