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
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�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: