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HomeMy WebLinkAboutF2023-0195 - Permits�aEWPQg7, City of Newport Bach �����_����������� COMB Permit : F2023-0195 p� d Community Development Department- BuildingDivision 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1886 Plan Check No: PC2023-1022 newportbeachca.gov/civic ,.;.� a , • y Issued Date : 06/20/2023 � r-- d"'� �G1F00.N�P Combination Type - �e Inspection Area : FIRE Work Class - Other `t 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 ab�so 3�2CtA ST Job Address : 2122 OR GI<AARD DR Legal Desc : N TR 706 BLK LOT 131 TR 706 LOT 132 NWLY 67 FT SELY 233 FT & NWLY 67 FT Description: COMM SPRINKLER MONITORING SYSTEM (X20211-1872) Owner: GFA PROPERTIES LLC Contractor: VFS FIRE & SECURITY SVCS Address : 600 ANTON BLVD STE1700 Address: 501 W SOUTHERN AVE COSTA MESA, CA 92626 ORANGE, CA 92865 Phone: Phone: (714)778-6070 Con State Lic: 689284 Lic Expire : 05/31/2024 Applicant: CLARO ONOFRE Bus Lic : BT30075154 Address : 501 SOUTHERN AV W Bus Lic Expire : 04/30/2024 ORANGE, CA 92865 Phone: (714) 778-6070 Workers' Compensation Insurance Carrier: FEDERAL INSURANCE COMPANY Owner/Builder : Policy No: 54309647 Address : W. C. Expire : 3/1/2024 Phone: Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : B No of Units: 0 Bldg Height: No of Stories : 2 Building Setbacks : Flood Zone : X Use Zone: SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: nI3:7 SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: Address Phone Designer: CLAROONOFRE Address: 501 SOUTHERN AV W ORANGE, CA 92865 Phone: (714)778-6070 Construction Valuation : $7,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : ' Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLAREE ttON I hereby affirm under penally of perjury that 1 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 items) 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 he sions the Contractors' State cense Law er 9 (commencing ith Section 7000) of Division 3 of the usiness and 'TofesslolnsoC) orthat he s file a statement that he or she is licensed pursuant to the he s exempt from Iicensure and the basis for thelalleged fexe exemption. Any violation lof Section 7031.5 1by any applicant olr a permit subjects the ppl cent to a civil penalty of iot more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended proffered for sale (Secti ded0 4 the 3ustness and Professions Code: The Contractors' State License taw does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, p 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 �: m roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not ly to an owner of property who builds of improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). LJ i am exempt from licensure under the Contractors' State License Law for the following reason: or prior to completion of the improvements covered by this permit, I cannot legally By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one ye sell a structure that I have built as an owner -builder if it has not been constructed in Its entirely 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:http://Www.leginfo.ca.goylealaw.htmi. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I 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 Professio s Code, d license is in full force and effect. License Class License No Date 0% Contractor Signature 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 Ih performance of the work for which this permit Is issued. Policy No. have and will maintain workers' Compensation insuranc. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers compensetio e, ins rance carrier and policy number are: Cser _ Policy Number Expiration Date re of Agent. 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 it I should become subje 1 to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. Date tature of Applicant (��/ :LARATION REGAR CON TRUC ION L DI GENCY reby 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). dens Name Lender's Address my signature below, i certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I hav=. read this application and the Information I have provided is correct.. I aprer, to comply with all applicable city and county ordinances and state laws relating to building Construction. I authorize represen:a.tves of this city or county dQ�er theA fi ntified8roperty for inspection purposes. na,ura .,f Proosr.v Owner or Authorized Agent 'C�r.-,�/:�` Print Prope,U Owner's or Authorized Agent's Name 1 :T EX.�rREO ITCANCELLED RY CLA TION OF CO to WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE FICATION TO PERMITFINAL L�fQ y����� �A50E5T05 NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF I PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: