HomeMy WebLinkAboutF2016-0351 - Permits�1ar�y City of Newport Beach - Building Division
oqr, 100 Civic Center Drive, Newport Beach, CA 92660
a, Permit Counter Phone (949)644-3288
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Job Address: 501 PARK AVE NB
Inspector Area: FIRE
Owner: HARDESTY WILLIAM C
Address: 503 PARK AVE
NEWPORT BEACH, CA 92662
Phone
Applicant: SHETRITARIEL
Address: 8755 REMMET AVE #B
CANOGA PARK CA 91304
Phone: 818.346-2499
Code Edit : 2013
BT30055257
Type of Construction:
V -B
Occupancy Group:
A-2/R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
0
Flood Zone:
AE
Bldg Sprinklers:
N
FIRE Permit: F2016 -0351F 2 0 1 6 0 3 5 1 Project No : 1615-2016
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Inspection Requests Phone (949)644-3255
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Description: COMM HOOD SUPPRESSION SYSTEM (X2014.2594) "PARK AVENUE CAFE"0.... • • ° ° • °
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Legal Description: BALBOA ISLAND RESUB SEC 1 BLK 9 LOT 21Contract° . • e
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NITED FIRE SE
Architect
Address: 8 10 REMMET ST#10ES INC Address: 2 S . . . • e
CANOGA PARK CA 91304
Phone: 818-612-9634 1 Phone: State Lie:
Con State Lic: 822177
Lic Expire: 0713112017
Bus Lic:
BT30055257
Lic Exp Date:
05/31/2017
Worker's Compensation Insurance
Carrier:
WESCOINSURANCE
Policy No:
:WWC3201551
Expire:
0511512017
Issued Date: 07/20/2016
Setback- Front:
Rear:
Left:
Right:
Engineer:
Address:
Phone:
State Lic:
Designer:
SHETRIT "IVA
Address:
8755 REMMET AVE #B
CANOGA PARK CA 91304
Phone:
818.346-2499
Special Conditions:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$3,500.00
Building PC Fee:
$107.88
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$4.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
Building Extention Fee :
$0.00
Planning Zoning PC Fee :
$0.00
Building Investigation Fee :
$0.00
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee :
$0.00
$0.00
Fire Permit Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$124.00
TOTAL FEE :
$235.88
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$235.88
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
• • •1-Hgeby of jrnt &"r penalty of perjury that lam exempt from the Contractors' State License Law for the reason (a) indicated below by the checkmark(s) I have placed next to the applicable item(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
,Ae 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
Profe9Bions Coft or "t 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
ick Snots than five henoi'ed dollars ($500).
LI I,091sowner OWg 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,
Easiness 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
ivlpaiovements are notintended 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 twas not built or
';IV&ggptl for the p&pose of sale).
111, as:owner eCtra pioperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ggpjytpan 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).
Q J.90exemp0 frZA11j;ensure under the Contractors' State License Law for the following reason:
By my signaturebelM 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 Iegalq
sell a structure that I have built as owner-builder has not been constructed in its nsed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request whe t application is submitted or at the bsite:http://wv .leginfo.ca.gov/calaw.html. -�.-, 2
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 Professions Code, and my license is in full force
and effect.
License Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 th
3rdQrmance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
of Agent
certify that, in the performance of the work for
, if I should become subject to the workers',co
of Applicant
Policy Number
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those` provisions.
IECLARATION REGARDING CONSTRYeTIONLIENDING AGENCY
hereby affirm under penalty of perju"a-ttbefe is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lender's Address
Iy my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf. ,
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction. A
1 authorize representatives of this city or countyrto enter the above -identified property for inspection purposes.
of
ACnON I DATE I BY
I PERMIT EXPIRED I I I
PERMIT CANCELLED
PERMITEXTENDED
OCCUPANCYISSU€D
Owner's or
AQMD RULE 1401
❑ 1 SUBMITTEDASBE.STOS NO77FiCATIONTO:
❑ EPA
AQMD
ASBESTOS NO7tHCARONIS NOTAPPLICABLE TO
OPOSED DEMOLITION.
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