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HomeMy WebLinkAboutF2023-0543 - Permits,rwvo,7 City of Newport Beach II II IIIIIII I IIII IIIII III IIII IIIIIIIII II COMB Permit: FZO23-0543 �@ Community Development Department -Building Division F 2 0 2 3 0 5 4 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2709 n Permit nCounter 718 1888 te : 11/07/2023 ewpo beahca.gov/civic Final Date Combination Type - Permit Status: Issued Work Class - Other 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 �O�SO 13t2G-N �vT. Job Address: 2122 9Re-HARD DR Legal Desc : Description: COMM FIRE - 2 WAY COMMUNICATION SYSTEM Owner: GFA PROPERTIES LLC Address : 600 ANTON BLVD STE1700 COSTA MESA, CA 92626 Phone Applicant: VFS FIRE & SECURITY SVCS Address : 501 W SOUTHERN AVE ORANGE, CA 92865 Phone: (714)778-6070 Owner/Builder : Address : Phone Contractor: VFS FIRE & SECURITY SVCS Address : 501 W SOUTHERN AVE ORANGE, CA 92865 Phone : (714) 778-6070 Con State Lic : 689284 Lic Expire : 05/31/2024 Bus Lic: BT30075154 Bus Lic Expire : 04/30/2024 Workers' Compensation Insurance Carrier: FEDERAL INSURANCE COMPANY Policy No: 54309647 W. C. Expire : 3/1/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : II-B Fire Hazard Zone : NO Occupancy Groups : B No of Units : 1 Bldg Height : No of Stories : Building Setbacks : Flood Zone : X Use Zone : SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: ,\IP, SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address Phone Designer: VFS FIRE & SECURITY SVCS Address: 501 W SOUTHERN AVE ORANGE, CA 92865 Phone: (714)778-6070 Construction Valuation : $3,593.00 Added/NewITI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION 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 checkrnark(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 1c permit to file a signed statement that ho or she is licensod pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofesstons 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 fora 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 (_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, lusiness and professions Code: The Contractors' State 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 Brie year of completion.. the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Coda: The Contractors' State License Law does not .poly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 1 1 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 legal] oil 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 tho Business and 'rofesslons Code, is available upon request when this application is submitted or at the following Web site: httpJiwww,leginfo.ca,gov/calaw.html, signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700Q) f Division 3 of the Business and Profes ons Co a, a my license is In full force rid effect License Class License No Date IT Contractor Signature O�-d--j VORKERS' COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRJNINAL PENALTIES AND CIVIL FINES UP To OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 070E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: f$100,0001, IN ADDITION TO 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 ormance 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' compensa, rance carrier and policy number are: is of Agent _ certify that In the pi If I should become of Applicant Policy Number Expiration Date for which this permit is issued. I shall not employ any person in anymanner so as to become subject to the workers' compensation laws of California, and compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dated U ;/ 22 hereby affirm under penah-,A�rjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ondei s Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application andthe 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 en �e above -identified property for inspection purposes. f Signature of Property Owner or Authorized Agent i"=-jjO' Print Pro ern ACTION DATE I BY jkQj9j.AeATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 51 OF TITLE 40 AND AQNID RULE PERMITEXPWEC i j LJ I SURMIITFD ASRFSTOS NOTIFICATION TO r _T �q __ _ _. ..Y PERFCANCE[I ED LJEPA MI PERMIT EXTFNDFD QpgMp PERMIT FINAL ,� f1 O�r/Jr!U ASBESTOS NO71FiCATION IS NO'f APPLICABLE TO CE.RTifICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED I SIGNATURE: FOR OFFICE USE ONLY Name I