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Home My WebLink AboutF2021-0184 - Permitsa"' - City of Newport Beach - Building Division IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II FIRE Permit: F2021-0184 �d 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 1 8 4 Project No :1037-2021 ": n ' Permit Counter Phone (949)644-3288 0U � e� � Inspection Requests Phone (949)644-3255 Job Address: 4440 VON KARMAN AVE NB St: 1 FI: 2 Unit: 240 Description: COMM FIRE ALARM (7) DEVICES (X2020.2911) Inspector Area: FIRE Owner: 4440 VKA TIC 3 LLC Address: 2 PARK PLZ #700 IRVINE CA 92614 Phone: Applicant: LOPEZ ARLYN Address: 501 W SOUTHERN AVE ORANGE CA 92865 Phone: 714.778.6070 Code Edit: 2019 Type of Construction: I -B -SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y Legal Description: BT30075154 Contractor: VFS FIRE & SECURITY SVCS Address: 501 W SOUTHERN AVE FEDERAL INS CO. ORANGE CA 92865 Phone: 714-778.6070 Con State Lie: 689284 Lie Expire: 05/31/2022 Bus Lic: BT30075154 Lie Exp Date: 04/30/2022 Worker's Compensation Insurance Carrier: FEDERAL INS CO. Policy No: 54309647 Expire: 03/31/2022 Issued Date: 05/11/2021 Setback- Front: Rear: Left: Architect: Address: Phone: Engineer: Address: Phone: State Lie: State Lie: Designer: LOPEZ ARLYN Address: 501 W SOUTHERN AVE / ORANGE CA 92865 Phone: 714-778-6070 Special Conditions: PROCESSED BY: <cc or.° 011-15R.DEPARTMENT: o ® e ZONING APPROVAL: - e ° c c ° ISCAli CHECKED BY:: o a a rn uco ° FIRE APPROVAL: c APPROVAL TO ISSUE: s o 000 rzc oao '° PERMIT EXPIRES 98& DAY, bF{at:4/1 VFAYCE �)R LAST VALID INSPECTIOA c , c °°m oem o 0 00° oo •oo nig"L: / FEES i l(, Construction Valuation: $4,000.00 Building PC Fee: $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $6.00 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: $193.75 Public Works PC Fee: $0.00 $0.00 Fire Permit as: $276.75 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $476.50 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $476.50 PROCESSED BY: <cc or.° 011-15R.DEPARTMENT: o ® e ZONING APPROVAL: - e ° c c ° ISCAli CHECKED BY:: o a a rn uco ° FIRE APPROVAL: c APPROVAL TO ISSUE: s o 000 rzc oao '° PERMIT EXPIRES 98& DAY, bF{at:4/1 VFAYCE �)R LAST VALID INSPECTIOA c , c °°m oem o 0 00° oo •oo 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 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 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.htmi. 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 Pr If sions Coc e, and my license is in full force and effect. /f Z License Class License No Dat Contractor Signatu NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 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, )Vormance of the work for which this permit is issued. Policy No. have and will main workers' comg ensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ier andi rance carrcv number ares l .. Date is of Agent K. 3=n�1 „ "tdq- Phone# 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 if I should become sutjject to the wor(ers_' compensa(ion provisions fiction 3700 of the Labor Code, I shall forthwith comply with those proyisiSIW. of =.reby affirm under penalty of perjury that there is a construction Tending 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 count to%enter ty� bov Iden " ertfor inspection purposes. 1 �(7 nature of Property Owner or Authorized Agent V Cb0�i y Print Property Owner's or Authorized Agent's Nargp� ' '"�" N' L" f 2— D9%N;�" l( - ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FED9WALREGULATIONSPART 61 OF TITLE40 AND ACJWDRb161403';• •.• .•. .•• ��` UBk1iTT,€D,�SBESTOS N>ajlFtC)tON TO:. • : MA • • • : ' � PERMITEXPIRED PERMIT CANCELLED . � AOMD PERMITEXTENDED S ESTOS NOTIFICATION IS NOT APPLICABLE TO OP SFD tI�MOLITtON. - • • • :� • ••• .. PERMIT FINAL S- Ml7 CERTIFICATEOF OCCUPANCYISSUED SIG T • •. • O O i � o Q a � Q � d V U O m o o (D v 4 co o o Nv U G 5 v Q m U Z 5 4 m 0 Z LLI ~ o o w O W E. 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