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Home My WebLink AboutF2023-0389 - PermitsSEW oR� City of Newport Beach III��I��I��II��I�� II e Community Development Department- Building Division COMB Permit: F2U23-U389 100 Civic Center Drive, Newport Beach, CA 92660 F 2 9 2 3 g 3 8 9 Plan Check No : PC2023-2030 Permit Counter Phone: (949) 718-1888 �... Issued Date : 08/22/2023 newportbeachca.gov/civic Final Date: Combination Type - MFP Permit Status: Issued Work Class - Other Inspection Area : 7 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 : 3011 VIA MALAGA Legal Desc : N TR 17555 BLK LOT 1 UN HOLD FOR OF LOT 1 OF TRACT Description : MFR FIRE SPRINKLER 1 DEVICE Owner: RYAN FISCHER Contractor: SHIELD FIRE PROTECTION Architect Address : 3011 VIA MALAGA Address : 29391 VALERIO CT Address : fC) NEWPORT BEACH, CA 92663 LAGUNA NIGUEL, CA 92677 1 , I Phone: Phone: (949)388-6556 Phone: V Con State Lic : 916743 State Lic & Lic Expire : 06/30/2024 ' n C Applicant: SHIELD FIRE PROTECTION Bus Lic: BT30077002 Engineer : , Address : 29391 VALERIO CT Bus Lic Expire : 10/31/2023 Address LAGUNA NIGUEL, CA 92677 s Phone: (949) 388-6556 Workers' Compensation Insurance Phone: Carrier: INSURANCE CO OF THE WEST Owner/Builder : Policy No : WSA507226600 Designer: SHIELD FIRE PROTECTION Address : W. C. Expire : 7/15/2024 Address : 29391 VALERIO CT LAGUNA NIGUEL, CA 92677 Phone: Phone: (949)388-6556 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $1,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : No of Units : 6 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : PC - Lido Villas PROCESSED BY: SPECIAL CONDITIONS: °, wee OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Cade: 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 ha 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 not more than rive hundred dollars ($500), ❑ L as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Pretensions 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 Sala). ❑ 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 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 am exernpa from licensure 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 at least one year prior to completion of the improvements covered by this permit I cannot legalil soil 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 sits;http:l/www.leginfo.ca,govlcolaw.htmi. 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 Sectio 7 of Rivisio 3 of the Business and Pr sign �r e� is In full force and effect. License Class License No Date Z- G' 2 Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUN➢RE THOUSAND DOLLARS 1E100.000i, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]T0S OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a Certificate of consent to self -insure lot workers' Compensation, issued by the. Director of Industrial Relations as provided for by Section 3700 of the Labor Cade, for th 'cps formance of the work for which this permit is issued. Policy No. 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' Compensate su ce carrier and policy number are: Policy Number Date ne of Agent n,w,ne u certify III in the performance s 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 L if I should become supjec. the • rkers compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. nature of Applicant to---^°"L CLARATION RE:GA NSTRUCT N LENDING AGENCY areby affirm under pe Ity o jury that t IS is a construction lending agency for the performance of the work for which this permit is issued (Section 3 , Civil Code). tiler'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 Intel oration I have provided Is correct. �✓-�C2avtZa v I agree to comply with all applicable Lay and c my ordin as and st laws relating to building construction. �J I authorize representatives of this city or co�IfL�,I to ant above filed property for inspection purposes. �ft�// , fi re mf ❑r n.on., n%vti, r nr A iff marl Anan Print Property Owner's or Authorized Agent's Namd /k ate ACTION DATE oY V ifCLARA, JN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RF6tJLATl I , PART 51, DF TITLE 40 AND AQMD RLfI.E 140� I I SUBMITTED ASBESTOS NOTIFICATIONTO PENMiTEXPWED PERMITCANCELLED [- _ - EPA PEftM7T FXTENQEQ € 0A,,1MD ._....._ ...._....-._ .. ...........__ ..-... ...... 0SNOTIF[CAGONISNOTAPPLICARLE TO —FRi3PO CERTIFICATE OF YEO DEMOLITION OCCUPANCYr85UED SIGNATURE: