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Home My WebLink AboutF2024-0372 - Permits0.- City of Newport Beach IIIII IIIII ��I�II� I�I ��I ��II��I��II�I �� II R"', Community Development Department- Building Division F 2 0 2 4 0 3 7 2COMB Permit:F2U24-U372 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO: PC2024-1291 Permit Counter Phone: (949) 718-1888 Issued Date : 08/14/2024 newportbeachca.gov/civic Final Date: 04/01/2025 CCombination Type - SFP Permit Status: Final Work Class - Addition Inspection Area : 3 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: 1681 PEGASUS ST Legal Desc : N TR 4146 BLK LOT 26 Description : SFR FIRE SPRINKLER SYSTEM W/ (9) HEADS (ADU) **XR2024-0675** Owner: KLODIAN GJOKA Contractor: MORENO FIRE PROT CO Address : 1681 PEGASUS ST Address : 4381 KANSAS AVE NEWPORT BEACH, CA 92660 RIVERSIDE, CA 92507 Phone : (310) 448-5203 Phone : (951) 261-2069 Con State Lic : 965640 Lic Expire : 04/30/2026 Applicant: MARISELA MORENO Address : 4381 KANSAS AVENUE RIVERSIDE, CA 92507 Phone: (951)261-2069 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups : R3/U Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: Bus Lic: BT30078945 Bus Lic Expire : 06130/2024 Workers' Compensation Insurance Carrier: SIRIUSPOINT AMERICA INSURANCE COMPANY Policy No: 108279 W. C. Expire : 10/1/2024 Fire Sprinklers : YES Fire Hazard Zone: NO Fire Alarms : NO No of Units : 1 No of Stories : 1 No of Basement: Front: 20, Side: 5, Side: 5, Rear: 25 X SP-7 - Santa Ana Heights Specific Plan Architect Address Phone: State Lic Engineer: Address : Phone Designer: MORENO FIRE PROT CO Address: 4381 KANSAS AVE RIVERSIDE, CA 92507 Phone: (951)261-2069 I hereby affirm under penalty of perjury 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 le 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 Irofessions 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 of 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Usiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the nprovements 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 nproved for the purpose of sale)- 3 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 pply 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 I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 all 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 'rofessions Code, Is available upon request when this application is submitted or at the following Web sRe:http:flwww.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature PORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN BECTON 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury 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 th( erformance 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' rance Cartier and policy number are: Policy Number of Agent Date 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 Califomia, and , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date_ _ )ECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code). _enders Name Lenders Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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. I authorize representatives of this city or county to enter the above -Identified property for inspection purposes. 3lonature Of Prooertv Owner or Authorized ADent Print Pronanv Owners nr Al Uhnri7ari Anant's Namn ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT FINAL y /l /1,i]� U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF T] ! PROPOSED DEMOLITION OCCUPANCYISSUEO I SIGNATURE: Date