HomeMy WebLinkAboutF2022-0207 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
r, 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 2 0 7
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Permit Counter Phone (949)644-3288
Job Address: 509 31ST ST NB
Inspector Area: FIRE
Owner: CANNERY PARTNERS LLC
Address: 660 NEWPORT CENTER DR #200
NEWPORT BEACH CA 92660
Phone: 949-999-4545
Applicant: ALEXIVFS FIRE & SECURITY SYSTEM
Address: 501 W SOUTHERN AV
ORANGE CA 92865
Phone: 714-778-6070
Code Edit : 2019
Type of Construction: V-B-SPR
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added lNew sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Flood Zone: X
Bldg Sprinklers: Y
Construction Valuation: $6,300.00
FIRE Permit: F2022-0207
Project No : 1046-2022
Inspection Requests Phone (949)644-3255
Description: COMM FIRE SPRINKLER MONITORING SYSTEM (X20 697)
Legal Description: LANCASTERS ADD BLK 530 LOT 5 AND BILK 530 LOT 6 >;Ca0g9 - ';_0 t 5
Contractor: VFS FIRE & SECURITY SVCS Architect:
Address: 501 W SOUTHERN AVE Address:
ORANGE CA 92865
Phone: 714-778-6070 Phone:
Con State Lic: 689284
Lic Expire: 05131/2022
Bus Lic:
BT30075154
Lic Exp Date:
04/30/2022
Worker's Compensation Insurance
Carrier:
FEDERAL INS CO.
Policy No:
54309647
Expire:
03/3112023
Issued Date:
04/20/2022
Setback- Front:
Rear:
Left:
Right:
Building PC Fee :
$0.00
Building Overtime PC Fee:
$0.00
Building Extention Fee :
$0.00
Building Investigation Fee:
$0.00
Fire Plan Check Fee:
$145.00
Fire Permit Fee :
$283.00
Building Permit Fee :
$0.00
TOTALFEE
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
FEES
Fire Residential Alarm PC Fee
Planning Counter Review:
Planning Zoning PC Fee :
Public Works PC Fee :
Public Works Traffic Plan Check Fee;
$434.00 Plan Check Fee :
Engineer:
Address:
Phone:
State Lic:
State Lic:
Designer: ONOFRE CLARO
Address: 501 W SOUTHERN AV
ORANGE CA 92865
Phone: 714-778-6070
Special Conditions:
$0.00 Records Management: $6.00
$0.00
$0.00 rl
$0.00
$0.00 $0.00
$0.00
$0.00 Fee Due at Permit Issuance : $434.00
OTHER DEPLSRTMCNT: -
PL At: Ca E,3KED'BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER IS3UANCE OR LASIT,VALID INSOECTION
UCI:LAKA I IUN
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 U all of or (_) 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 P�s Code. and my license is in full force
and effect. r/ ^ +
License Class License No Da Contractor Signatu"Ni,
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 I$100,0001, 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:
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�
3e ormance 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:
ie of Agent
certify that, in the p
if I should become
of Applicant
Policy Number Expiration Date
Ice 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
to tffe,7 c ars' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
areby affirm under penalty of p r'ury at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
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 a din and state laws relating to building construction.
Civil Code).
I authorize representatives of this city, or county to er the bov identified property for inspection purposes. `
nature of Property Owner or Authorized Agen�n, print Property Owner's or Authorized Agent's Name
7 /` % ��!• &ate/gip
AC7701V
DATE
8Y
DECLARATION OF COMPLIANCE KITH CODE OF
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AOdfiD RULE"103
.❑_ 13UBMITTED ASBESTOS NOTIFICATION TO:.
[J " EPA
❑ .4CMD
❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
Si,3KAT'/R-:
FOR OFFICE USE ONLY
PERMIT EXPIRED
—
PERMIT CANCELLED
_
PERMIT EXTENDED
PERMIT FINAL
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7Ulm
CERTIFfCA7EOF
OCCUPANCYISSUED