HomeMy WebLinkAboutF2022-0449 - PermitsCity of Newport Beach
��EWPORT
p 6�
Community Development Department- Building Division
--
100 Civic Center Drive, Newport Beach, CA 92660
y.
1b
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
cq<rcoaN'P
newportbeachca.gov/inspections
Combination Type -
Work Class - Addition/Alteration
COMB Permit : F2022-0449
Plan Check No:
Issued Date : 08/22/2022
Inspection Area : FIRE
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: 2806 LAFAYETTE AVE Legal Desc : A TR:LANCASTERS ADD BILK '425 LOT 4
Description: MIXED -USE- SPRINKLER MONITORING SYSTEM (X2019-0484) '
Owner: GALLIAN GEORGE TR G & B Contractor: ALL AMERICAN FIRE SYSTEMS Architect
Address: 3334 E COAST HWY CORONA DEL MAR, CA '.. Address PO BOX 2306 MISSION VIEJO, CA 92690: Address:
92625
Phone
Applicant: MONTYCASEY
Address: 1101 KINGSTON DR LA HABRA, CA
Phone: (714)476-5370
Owner/Builder :
Address
Phone:
Code Edition : 2019.
Type of Construction : '.V-B
Occupancy Groups : MU
Bldg Height:
Building Setbacks :
Flood Zone : AE, 8 FT; X
Use Zone: MU-W2 - Mixed -Use Water
PROCESSED BY: �.
SPECIAL CONDITIONS:
Phone: (714)476-3169
Phone:
Con State Lie : 1034609
State Lie
Lie Expire : 01/31/2024
31 Bus Lie: ' BT30073363
Engineer:
Bus Lie Expire : 10/31/2022
Address
Workers' Compensation Insurance
Phone:
Carrier: -WESTCHESTER FIRE' INS CO
Policy No 71827709
Designer:
W. C. Expire: 11/22/2022 -
Address
Phone:
Fire Sprinklers : YES
Construction Valuation
Fire Hazard Zone : -.No
Added/New/TI sq. ft. Bldg:
No of Units : 1
Alteration sq. ft. Bldg
No of Stories : `3
Added/New sq. ft. Garage:
o°
in
U
hereby affirm under penalty of perjury that tam exempt from the Contractors' State License Law for the reasone). Indicated below by the checkmark(s) I have placed next to the applicable Itern(s)
;lion 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
permit to file a signed statement that he or she is licensed pursuant to the, provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
essions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Anyvialation of Section 7031Zby any applicant for a permit subjects the applicant to a civil penalty of
Tiore than five hundred dollars ($500).
1, as owner cfthe property, or my 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,
iness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees` or personal effort, builds or improves the property; provided that the
pavements are not Intended or offered for sale. IL 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
roved 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' State License Law does not:
iy town owner of properly whe builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the: Contractors":State License Law for the following reason;.
Date
hereby affirm under penally of perjury that l am licensed under provisions of Chapter 9 (Commencing with Section ) hAsi g n 3 of the Business and Pr io Cod rise is In full force
ind effect. License Class License No Dat Y 1%1L VAk Contractor Signatur'e\/
VORKERS' COMPENSATION DECLARATION
rARNIM. FAILURETO SECURE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL FINES UP TO.ONE HUNDRED THOUSAND DOLLARS (S100,000): UI ADDITION TO THE
DST OF COMPERSATIMi DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST. AND ATTORNEY's FEES,
hereby affirm under penalty of perjuryone of the following declarations:
31 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 IN
mwnce of this work for which this perrnR is issued: Policy No.
, eve and will maintain workers compensation insurance, as required by Section 3700-of the Labor Coda, for the performance of the work for which this. permit is issued, My workers' Compensation
Isu rice carrier and policy number are:
mer Polley Number Expiration. Date
lame of Agent Phone.N
'l 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 agraE
mat, If I should become subject to the workers compensation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions.
Ignatute of Applicant Dat
IEt:LARATiON REGA® G NGA STRUCTION LENDING AGENCY t �—
hereby affirm under penalty, of perjury thatthere is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097,. Civil Code).
I am the property owner orauthorized:to act on the property owner's behalf.
I have read this application and the information Ihave provided is correct.
I same to comely with all applicable city and county ordinances and state Is
OFFICE
t
.Uf tSi UDMUIWLAIIUN. lU •• , ... ... ...
AI� require$ alarifri, latPhes gates andgerkes which serve as part of a pool/spa barrier,. shall
be 4plaio,prfor$o ppijrovaitofin pool7Wa & shall remain in.place & be maintained for the
NOTWICATIOWS NOT APPUCAaLE TO lifeafthepool. • • ,• �,'
e - -
.
•eo eee eee • s eee s•