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Home My WebLink AboutF2021-0165 - Permits,Yr City of Newport Beach - Building Division a` 100 Civic Center Drive, Newport Beach, CA 92660 µ., Permit Counter Phone (949)644-3288 FEDERAL INS CO. ORANGE CA 92865 Phone: 714-778-6070 Job Address: 4440 VON KARMAN AVE NB St: 1 FI: 2 Unit: 240 Inspector Area: FIRE Owner: GRE VON KARMAN LLC Address: 4750 VON KARMAN AVE NEWPORT BEACH, CA 92660 Phone: Applicant: VAZQUEZ LEO Address: 501 WEST SOUTHERN AVE WHITTIER, CA 92805 Phone: 714-919-8352 Code Edit : 2019 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: Construction Valuation: I -B -SPR B 0 0 e• o m o 0 oc s—o—os e e o • e o • ••e o m Description b MM•FIRE SPRINKLERS 12'(R2d2i1°2974) Legal Description: N TR 8762 LOT 5 Contractor: VFS FIRE & SECURITY SVCS Address: 501 W SOUTHERN AVE FEDERAL INS CO. ORANGE CA 92865 Phone: 714-778-6070 03/31/2022 Public Works Traffic Plan Check Fee; $0.00 m m o mm• o e o e e e o°° • o e • o eee o m o00 e• o m o 0 oc s—o—os e e o • e o • ••e o m Description b MM•FIRE SPRINKLERS 12'(R2d2i1°2974) Legal Description: N TR 8762 LOT 5 Contractor: VFS FIRE & SECURITY SVCS Address: 501 W SOUTHERN AVE FEDERAL INS CO. ORANGE CA 92865 Phone: 714-778-6070 Con State Lic: 689284 Lic Expire: 05/3112022 Bus Lic: BT30075164 Lic Exp Date: 04/3012022 Worker's Compensation Insurance Carrier: FEDERAL INS CO. Policy No: 54309647 Expire: 03/31/2022 3 Issued Date: 05104/2021 0 Setback- Front: Rear: Y Left: Right: Building PC Fee: Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $3,200.00 FEES $0.00 Fire Residential Alarm PC Fee: $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee: $0.00 $141.00 Public Works PC Fee $217.00 Public Works Traffic Plan Check Fee; $0.00 $360.00 Plan Check Fee: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: $0.00 $0.00 $0.00 $0.00 $0.00 FIRE Permit: F2021-0165 Project No: 0973-2021 Inspection Requests Phone (949)644-3255 V State Lic: �� State Lic VASQUEZ LEO 501 WEST SOUTHERN AVE WHITTIER, CA 92805 714-919-8352 Records Management $2.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $360.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-BUILDER DECLARATION : " •' ••• I hereby affirm under penalty of perjury that I am exempt from the Cbntraaiort' $tatp•LicV%e Lai for the reason(s) 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 countylA rWkeS V peMnihto-c nstruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Conlr2Etors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sols.compen$atW :wUI 4 (_).4II Qf of (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License LA does qot ap JI9 to fn Owner -of eroperey who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the ftil ding or improvement is soid with r6dne 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). 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 Ipply 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: 3y 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 legall, ;ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 Ind effect. Icense Class License No Date �� "�' ZG Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 ;OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 th akrmance 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: is of Agent certify that, in the performance of the work if I should becamesubje to the workers' Iature of Applicant Policy Number Date 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 1 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. flat. �q-7.07, I Ireby 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). Ider's Name Lender's Address 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. 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 antJthe above -id tifi roperty for inspection purposes. ed 1 / nature of ProDertv Owner or AuthorizAGent rs.UlPrint Prooertv Owner's or Authorized Aaent's Name L.,P�9n.a.✓'CG AC77ON DATE BY DLCLARAIION Ok COMPLIANCL INI r H COOL Ot- FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 6? OF TIILE40AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS N071FICATION TO:. ❑ EPA ❑ AQMD PERMITCA.NCELLED PERMITEXTENDED PROPOSEDASBESTDEMOLIIP ION.7fON IS NOT APPLICABLE TO PERMITFINAL f CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: