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HomeMy WebLinkAboutF2023-0370 - Permits�EWPp�T City of Newport Beach II����I� IIIIIIIIIIIIII�IIIIII�IIII���� II Community Development Department- Building Division F 2 0 2 3 0 8 7 0 COMB Permit: F2023-0370 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1909 �++ S Permit Counter Phone: (949) 718-1888 Issued Date : 08/08/2023 co- r newportbeachca.gov/civic Final Date: q�rFoa`" Combination Type - MFP Permit Status: Issued Work Class - Alteration Inspection Area,:e fil (Z� 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 : 108 HARBOR WOODS PL Legal Desc : N TR 11935 BLK LOT,3 UN 100 TR 11935 LOT 3 UNIT 10 Description: MFR FIRE SPRINKLER SYSTEM 2 HEADS (X2021-2871) Owner: KURAKAZU REIKO TR Address : 108 HARBOR WOODS PL NEWPORT BEACH, CA 92660 Phone: Applicant: SHIELD FIRE PROTECTION Address : 29391 VALERIO CT LAGUNA NIGUEL, CA 92677 Phone: (949) 388-6556 Owner/Builder : Address : Phone Contractor: SHIELD FIRE PROTECTION Address : 29391 VALERIO CT LAGUNA NIGUEL, CA 92677 Phone : (949) 388-6556 Con State Lic : 916743 Lie Expire : 06/30/2024 Bus Lie : BT30077002 Bus Lie Expire : 10/31/2023 Workers' Compensation Insurance Carrier: INSURANCE CO OF THE WEST Policy No: WSA507226600 W. C. Expire : 7/15/2024 Code Edition ; 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : No of Units : 1 Bldg Height : No of Stories : Building Setbacks : Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address Phone Designer: SHIELD FIRE PROTECTION Address : 29391 VALERIO CT LAGUNA NIGUEL, CA 92677 Phone: (949)388-6556 Construction Valuation : $2,500.00 Added/NewlTI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 EDG<iYz. 9qq--�;7�,,-,IR-I� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perfury that I are exempt from the Contractors' State License Law farina reasons) indicated ,Section 7011.5, Business and Professions Code Any city or county that requires a permit to construct, alter, improve, demotisi• the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors` Stale License Law i Professions Code) or that he or she is exampt from ➢censure and the basis for the alleged exemption_ Any violation of Section 7 not more than five hundred dollars ($500).. 0 1, as owner of the property, or my employees with wages as their sole compensation, will do () all of or L) portions of the w ETuRlfteSS and Professions Code- The, Contractors' State License Law does not apply to an owner of property who, through Smut Improvements are not intended or offered for saleif, however, the building or improvement is sold within one year of completio Improved for the purpose of sale). © L as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bust apply to an owner of property who builds or improvesthereon, and who contracts for the projects witha licensed Contractor pun © 1 am exempt from (censure 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 Sell a structure that I have built as an ownor-builder if it has not boon constructed in its entirety by licensed contractors, I undars o C d 'table on to neat when this application is submitted or at the following web stle:htt 11"Ils.leginfo.4E Slow by the checkmark(s) I have placed next to the applicable items) or repair any structure, prior to its Issuance, also requires the applicant for �hapler 9 (commencing. with Section 7000) of Division 3 of the Business and 3L5 by any applicant for a permit subjects the applicant to a civil penalty of K, and the structure is not intended or offered for sale (Section 7044, ees' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built of and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the. applicable law, Section 7044 of the Business and rofass lons o 01al s avup q Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Secii 000) 'brr,3. the Business and Prot 7�$11 is In full force and effect. License Class License No Ddi O GG Contractor Signature, ✓I/ORKERS' COMP£N.SATION DECLARATION NARNING; FAILURE TO SECURE WORKERS COMPENSATION COVERAGE I$ UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED OUSANO OADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S fEES- hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will mamtatn a certificate of consent to self Insure for workers' compensationissued by the Director of Indystrial Relations as provided for by Section 3700 of the Labor Code, for th performance 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 tsnce carrier and policy number are: ter Policy Number re of Agent certify that in the pel'(Ormdnce of the Work for which this permit is issued, I shall not employ any person in any manner so If I should becoms s byact LO}fTB workBrs' i;nmpensatlon provisions of Section 3700 of the Labor Code, I shall forthwith c 'gnature of Applicant _ _ >ECtARA7tGN REGA 1 RUCTt LENpiNG AGENCY hereby affirm and ar penatty o perjury that t re Is a construction lending agency for the performance of the work for which _endar's Name _ Lender's Address 3y my signature below, I Certify to each o he following: I am The property owner or authoriz 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 iouply ordif relating to building construction. I authorize representatives of thls city or coup ova-i ntiHed p operly for inspection purposes, Bl nature of Propertyy Owner or Authorized A ant Print Pro eR C7wner's or Aut ACTION DATE By if 7 ' aARATiONOFCO UANCFVdIT11CODEOFFEDERAL FOROFFICE I REGULATiONSVAR" 1OFTFITL40ANDAQMDRULL FERMiT fXPIREO 01 S118MITTEp AY9F`TO$ NDTIrICtTION TO _.,....____w__._..__,,.___.,..,._.._ PERMITCAM1'CELfED[PC PERAuTEXTENDE'D'IJAQMD 0ASeE5TOS NOTIFICA I ION IS NOT APPLICABLE TO CER7tFICATt OF I PROPOSED DEMOLITION OCCUPANCY ISSUED I SK-Ai /RR. of the work for which this permit is issued. My workers' Date f4 become Subject CQ In8 workers' OmpanS8liOn laws Of California, and ply with those provisions. tie- 2 Data permit is issued (Section 3097, vil ode). ONLY 09.