HomeMy WebLinkAboutF2024-0169 - Permits�EwPo,�r City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2024-0169
Community Development Department- Building Division F 2 0 2 4 0 1 6 9
n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0705
Permit Counter Phone: (949) 718-1888 Issued Date : 04/08/2024
newportbeachce.gov/civic Final Date:
°94 coaN�p Combination Type - MFP Permit Status: Issued/
Work Class - New Inspectign Area � (
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 FIRE ALARM (4 DEVICES) *XR2022-0804*
Owner : MAKAREHCHI FAMILY TRUST
Address : 6155 E HENNING VIEW TERRACE
ANAHEIM, CA 92807
Phone : (310) 591-9998
Applicant: KEYSTONE BUILDERS INC
Address : P 0 BOX 18329
ANAHEIM, CA 92817
Phone : (714) 572-1023
Owner/Builder:
Address :
Contractor: KEYSTONE BUILDERS INC
Address : P O BOX 18329
ANAHEIM, CA 92817
Phone: (714) 572-1023
Con State Lic: 951489
Lic Expire : 08/31/2024
Bus Lic: BT30080093
Bus Lic Expire: 11/30/2024
Workers' Compensation Insurance
Carrier: WESCO INSURANCE COMPANY
Policy No: WWC3595396
W. C. Expire: 7/1/2024
Architect
Address
Phone:
State Lic
Engineer
Address
Phone:
Designer:
Address :
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg
Occupancy Groups :
No of Units :
5
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks :
Front: 0, Front: 4, Side: 4, Side: 4
Flood Zone :
X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS
$1,000.00
0
0
0
10111711,
€ hereby affirm under penalty of pe€jury 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 statement that he or she is licensed pursuant to the previsions 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 fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500),
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or I_) portions of the work, and the structure is not intended or offered for sate (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 wasnot 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' Stale License Law does not
apply 10 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).
Eli am exempt from licensura under the Contractors' Stale 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 legail,
sell a structure that I ha. a 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:hltp:/A ww.leginfo.ca.gov)calaw.html.
, ignaturq of Prdpercy Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I he, ebv affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Beyn7of is"on 3 of the Busl s and Professions Cod a y license is In full force
and effect. Licers,. Class License No e4 Contra or gnatum
L7CRFCCRS' CCF,1P2NSATION DECLARATION
NARNING: FAILURE TO E--URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1S100.000), IN ADDITION TO THE
LDS (01 COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION S705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
rlereby affirm under penalty of perjury one of the following declarations:
D ' ha', a and w`ll mn1-ite4l 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, forth
peformance of ehe work for which this permit is issued. Policy No.
and wT iajintain 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 am -mlicy number am:
Policy Number
of Agent
Dale
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
t, 8f i shXf
come subject to the worke s' rAmpensattdn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
nature Cantf•_/t\aC\i_I'----, .�m.
CLAREGAf2DIfV�m N SENDING AGENCY
amby affirm under penalty of pertury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, vil Code).
tder 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 ordinances and state laws relating to building construction. rtr� r
I authorize representatives of this city dif roynty to enter the a§ove-iggirtified property for inspection purposes. - \, _�_ n _ ip i i „i_ ! . ` l�I ICJ/i
ACTION
DATE
BY T ;DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY— '
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