HomeMy WebLinkAboutF2021-0573 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 5 7 3
r Permit Counter Phone (949)644-3288
Job Address: 4291 UPTOWN NEWPORT OR NB
/
Inspector Area:, (,A`L
x
Owner:
PARKHOUSE RESIDENCES, LLC
Address:
2 PARK PLACE #700
IRVINE CA 92614
Phone:
949/417-4462
Applicant:
PAGUTA FLORINA
Address:
501 W SOUTHERN AVE
ORANGE CA 92865
Phone:
7141778-6070
Code Edit : 2019
Type of Construction:
VA/I-A-SPR
Occupancy Group:
R2/B/S2
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
5
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
Construction Valuation: $18,300.00
FIRE Permit: F2021-0573
Project No : 2677-2021
Inspection Requests Phone (949)644-3255
Description: MFR FIRE ALARM (55) DEVICES X2020-1957
Legal Description:
Contractor: VFS FIRE & SECURITY SVCS
Address: 501 W SOUTHERN AVE
ORANGE CA 92865
Phone: 714-778-6070
Con State Lic: 689284
Lic Expire: 05/31/2022
Bus Lic:
BT30075164
Lic Exp Date:
0413012022
Worker's Compensation Insurance
Carrier:
FEDERAL INS CO.
Policy No:
54309647
Expire:
03/31/2022
Issued Date:
03/11/2022
Setback- Front:
Rear:
Left:
Right:
Building PC Fee :
$222.00
Building Overtime PC Fee:
$0.00
Building Extention Fee:
$0.00
Building Investigation Fee:
$0.00
Fire Plan Check Fee:
$0.00
Fire Permit Fee :
$0.00
Building Permit Fee :
$269.00
FEES
Fire Residential Alarm PC Fee
Planning Counter Review:
Planning Zoning PC Fee :
Public Works PC Fee:
Public Works Traffic Plan Check Fee;
Architect
Address:
Phone: State Lid
Engineer:
Address:
Phone:
State Lic:
Designer:
GREGORY KEVIN
Address:
501 W SOUTHERN AVE
ORANGE CA 92865
Phone:
714-788-6070
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL FEE : $491.00 Plan Check Fee : $287.75
PROCESSED BY: - - .. OTRER DEPARTMENT:
FLAN CHECKED BY::
ZONING APPROVAL: m
Records Management
Fee Due at Permit Issuance
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 480 DA :'S AFTER 1.3SJ4NC"E OR LAST VALID INSPECTION
$0.00
$0.00
$0.00
$203.25
UWNER-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 checkmark(s) I have placed next to the applicable rem(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
the 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
Professions 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
not 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
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
improved 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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
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 ofessi s Code, and my license is in full force
and effect. r1 L
License Class License No Dat 3 (j 22 Contractor Sigr�t�1�
NORKERS' COMPENSATION DECLARATION If\
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN THOUSANn DOLLARS (S1Oa,aOal, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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 the
)erfpfmance of the work for which this permit is issued. Policy No.
have and III aeintain wor rs ompensation 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 carri ran policy n are:
ier '.. 4,91) 0llryil urger Expiration Date
of
certify that, in the performance of he work for which this dermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
if I should become sub C a rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iigof Applicant - Dat
IECLARCLAR ATION REGA CON RUCTION LENDING AGENCY
hereby affirm under p najty o jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
ender's Name Lender's Address
ly 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 and the information I have provided is correct.
Civil Code).
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 countt enter t ab ve-I ntified property for inspection purposes. % q
ignature of Property Owner or Authorized Agent = A.iA.4 - .Print Property Owners or Authorized Agents Name Date C1i j
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FEDER9_ .REPULATIONS PART 61 OF TIRE 40 ANO
AQMD RULE 1463.
❑ ISUBMr7EDASBFSTOS NOT7F�CATICN TO:
❑ EPA
❑ AQMD
❑ ASBES TOS N077RCA710N IS NOT APPLICABLE TO
PROPOSFO CEMOLITION.
SIGNATL RE. I
FOR OFFICE USE ONLY
PERMIT EXPIRED
PERMIT CAPlCELLED
PERP.41TEXTEN'DED
PERMIT FINAL
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