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Home My WebLink AboutF2023-0497 - Permitse`�waoRr CRy of Newport Beach II I� IIIIIII IIIII II �II III III IIII II II II O A Community Development Department- Building Division F 2 0 2 3 0 4 9 7 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 u o- newportbeachca.gov/civic CqC/F00.N�P Combination Type - MFP Work Class - Other COMB Permit: F2®23-049i Plan Check No: PC2023-2493 Issued Date : 11120/2023 Final Date: Permit Status: Issued Inspection Area : FIRE ,91 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DAT NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL APEAS LOT 979 NELY 20 FT THE Job Address : 111 VIA FLORENCE Legal Desc : N TR 907 BLK LOT 979 TR 907 �(Jj �ACO Description : MFR FIRE SPINKLER SYSTEM 45 HEADS (X2022-0804) r% Owner: MAKAREHCHI FAMILY TRUST Contractor: BASE LINE FIRE PROTECTION INC Architect : Address : 6155 E HENNING VIEW TERRACE Address : 7911 IMPERIAL HWY, 2152 Address: ff ANAHEIM, CA 92807 Phone: (310) 591-9998 DOWNEY, CA 90242 Phone: (562) 291-8252 L� Phone: Con State Lic : 995049 State Lic Lic Expire : 07/31/2024 Applicant: BASE LINE FIRE PROTECTION INC Bus Lic: BT30083055 Engineer Address : 7911 IMPERIAL HWY, 2152 Bus Lic Expire : 11/30/2024 Address DOWNEY, CA 90242 Phone: (562) 291-8252 Workers' Compensation Insurance Phone: Carrier: MARKELAMERICAN INS. COMPANY Owner/Buiider : Policy No : MWC0100708 Designer: BASE LINE FIRE PROTECTION INC Address : W. C. Expire: 9/26/2024 Address : 7911 IMPERIAL HWY, 2152 DOWNEY, CA 90242 Phone: Phone: (562) 291-8252 Code Edition : 2022 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 ; R2 No of Units : 5 Alteration sq. ft. Bldg : Bldg Height: No of Stories : Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 0, Front: 4, Side: 4, Side: 4 Flood Zone : 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.forthe reason(s) indicated below by the checkmark(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, dernollsh, or repair any structure, prior to its issuance, aISO requires the applicant for Eho 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 vath Soction 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from f}eensure and the basis for the alleged exemption. Any v[olatfan of Section ?031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500),. ❑ 1, as owner of the property, army employees with wages as their sole compensation, will do L) all of or L) 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-Suilderwill have the burden of proving that It was not but€t. or Improved for the purpose of sate). Q 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). ❑ I are exempt from ncensure under the Contractors' Stale License Law for the following reason: By my signature below i acknowledge that, extent for my personal residence in which I must nave resided forat least one year prior to completion of the improvements covered oythispermit, Pcannot iegafh sell a structure that I have built as an owner,bullder if it has not been constructer) in its entirely 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 bleb site;http:fiwww.IDginfo.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 g (commencing with Section 700 of on 3 of the Business. and Prof ai 5 -. de, and an license is In full force and effect. License Class License No Date �U Contractor Signal YVORKERS' COMPENSATION DECLARATION NARNINGi FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRWINAL PENALTIES AND CIwL FINES UP TO ONE HUNDRED THOUSAND OO RS lInD0,V00i. IN ADDITION TO THE COST OF COMPENSATION., DAMAGES As PROVIDED FOR IN SECTION D'f06 OF THE LABOR CODE, INTEREST, Me ATTORNE)rB FEES. hereby affirm under penalty of perjury one of the fc1 wing declarations: —1 I have and will maintain a certificate of consent to self-insurefor workers' compensation, Issued by the Director of IndustrialRelations as provided for by Section 3700 of the. Labor Code,, for th )erfoimance of the work for which this pormit is issued. Policy No. ,At have and will maintain workers' compensation insurance, as recfu rad by Section 3700 of the Labor Code, for the performance of the work for which this permit. is issued. My workers" compensatior nsurance carrier and policy number are: Policy Number Date lame of Agent Phone 4 11 certify that, in the performance of 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 agre tat, If I should becomes a rs-compensation provixions of Section 3700 of the Labor Code, I shelf forthwith comply with those provisions. iynatvre of Applies nt _ _ _ - - - _ _.._—---.---_ ------- Date------ ,ECLARATION REGARDI 'S CON R TI LENOING AGENCY hereby affirm underperelty of perjury thatthere Is a construction lending agency for the performance of the workfor which this permit is issued (Section 3097, Civil Code). endar's Name _ _ Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the propertyrowner's behalf. I have read this application and the Information I.have provided is correct. I agree to comply with all applicable city and counT� noes and st to paws relating to building construction. I authorize representatives of this city or coup, entlfled property for Inspection purposes, ignature of Property Owner or Authorized Ayeat Print Prooertv Owner's or Authorized Annnt's Nnma �s., (e �w. T.,..,, .:r n..o I I 70j -) ACTION DATE 13Y 't oEC4KRA+fION OF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY y REGUL NS PART SI OFT6TLF A0 AND AQMD RULE PERMIT FXPIR'O I ISURrAITTED ASRFiTGS NOTIFICATION TO PERMIT CANC LCEO € -- PERM PER,MJTFNJAL ...... /Ip,( i/ a7 l r Lj a r2a {I.l�r4v1 ^nTEXTEADED _LJMTIM) Cr ICAiIGN IS NOT APPLICABLE CEPTiFrCATEOF j/ PROPOSEDOEMOLI PROPOSED OFMGLITIGN OCCUPANCY ISSUES EI SIGNATURE: TO