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HomeMy WebLinkAboutF2023-0469 - Permits�EwPORT„ City of Newport Beach II �III���� ���� �II I�I �� �� I���� � I II COMB P-rmit r-2023-0469 ior`,' 1 Ie Community Development Department - Building Division p 2 e 2 3 0 4 s s 1 ? 100 Civic Center Drive, Newport Beach, CA 92660 PIau (,heck No: )r)r Permit Counter Phone: (949) 718-1888 Issued Date : 09/26/2023 „ fnewportbeaohca.gov/civic Final Date: "' o"c�FoaN�P Combination Type - Permit Stitus: iss-ieN Work Class - Other h.spectHr. Area . FIRe PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 2806 LAFAYETTE AVE Legal Desc : A TR LANCASTERS ADD BLK 425 LOT 4 Description: MIXED USE FIRE ALARM RELOCATE SMOKE, HORN, HANDLE, PULL STATION Owner: GALLIAN GEORGE TR G & B Address : 3334 E COAST HWY CORONA DEL MAR, CA 92625 Phone : Applicant: ALL AMERICAN FIRE SYSTEMS Address: PO BOX 2306 MISSION VIEJO, CA 92690 Phone: (714)476-3169 Owner/Builder : Address : Phone: Contractor: ALL AMERICAN FIRE SYSTEMS Address : PO BOX 2306 MISSION VIEJO, CA 92690 Phone: (714) 476-3169 Con State Lic : 1034609 Lic Expire : 01 /31 /2024 Bus Lic : BT30080638 Bus Lic Expire : 02/29/2024 Workers' Compensation Insurance Carrier: WESTCHESTER FIRE INS CO Policy No: 71827709 W. C. Expire : 11/22/2023 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : MU No of Units : Bldg Height : No of Stories: Building Setbacks Flood Zone: AE, 8 FT; X Use Zone: -W2 - Mixed -Use Water PROCESSED BY: '4 ,/MU') SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: Address : Phone Designer: ALL AMERICAN FIRE SYSTEMS Address : PO BOX 2306 MISSION VIEJO, CA 92690 Phone : (714) 476-3169 YES Construction Valuation : $1,000.00 NO Added/New/Ti sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARAf1(N I hereby affirm under penally of pe4¢ury that j or,. e.:ernptfrcymm the Contractors' Slate 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 eaa: Any city or coul,ty that requires a permit to construct, 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 ,o the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and )rofessions 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 (: bOJ). 1, as owner of the property, or my empmyee•„ witi -vages as, their _olc c�mpensatlon, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness and Professions Code: The (,ontraetors' SWa License La'v does -iot apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale, It, hoi or, the b, lildmg or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or reproved 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 �ip ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). I am exempt from licansure under the Contractors' Slate License Law for the following reason: _. ly 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 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:/Avww.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent _____ Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section IJZT) of DIv pn he Business and Prolks>EI Cotl �rlfj IIS nse is in full force nd effect. License Class License No Date �x'S (� ontractor Signature VORKERS' COMPENSATION DECLARATION v DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIYM FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10(1,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 IN 4,14[nance 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: Policy Number of Agent Date I 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 agre 1, if I should becomER ' bje o thew kern' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q nature of Applican __ ,` / /—.. Date�(_ -- CLARATION REG1N CO S UCTION LENDING AGENCY J )reby 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). tder's Name _ -Lender's Address my signature baiow, 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 tgenoy�hq,apgge-Identified property for lyspaclicip purposes. ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY , DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE ASBESTOS NOTIFICATION TO ❑ASBESTOS NOTIFICATION 15 NOTAPPLICABLE 10 PROPOSED DEMOLITION FOR OFFICE USE ONLY