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Home My WebLink AboutF2019-0530 - Permits14 City of Newport Beach - Building Division +� 100 Civic Center Drive, Newport Beach, CA 92660 `=+ Permit Counter Phone (949)644-3288 FIRE Permit: F2019-0530 Project No: 2123-2019 Inspection Requests Phone (949)644-3255 Job Address: 700 NEWPORT CENTER DR NB St: 1 FI: 1 Unit: 120 Description: COMM - FIRE SPRINKLER/TI 1 HEAD (X2019-2769) $1,000.00 2123-2019 Fire Residential Alarm PC Fee: Inspector Area: FIRE Legal Description: IRVINE SUB LOT BILK 55 POR OF BILK Planning Zoning PC Fee: Owner PACIFIC MUTUAL LIFE Contractor: APEX FIRE SYSTEMS INC Architect: Address: - 700 NEWPORT CENTER DR Address: 18009 SKY PARK CIRCLE #L Address: NEWPORT BEACH, CA 92660 Plan Check Fee: IRVINE CA 92614. - OTHER D / Phone: Phone: 949-387-2859 Phone: Applicant: APEX FIREICARLOS Con State Lic: 732396 Engineer: Address: 18009 SKY PARK CIR #6 Lic Expire: 09/30/2021 Address: IRVINE CA 92614 Bus Lic: BT30006908 Phone: 949-387-2859 Lic Exp Date: 01/31/2020 Phone: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: 1 -A -SPR Carrier: EMPLOYEE SVC GRP Address: Occupancy Group: B Policy No: C65210897 Added /New sq.ft. Bldg: 0 Expire: 1110112019 Phone:. Added /New sq. ft. Garage: 0 - No of Stories: 6 Issued Date: 09/24/2019 Special Conditions: No of Units: 0 Setback- Front: Flood. Zone: Rear: Bldg Sprinklers: N Left: Right: Construction Valuation Building PC Fee : Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee: TOTAL FEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: I SPECTC� State Lic: mem P m D se aDeemo COIDC p O State Lic m• OP a me o r C0D U m0.0 oammr moan o eaeoo oamsmo. 6 O O mamom D o. � SPSWOD D� �mOma� DDxomm $0.00 Records Management: FEES $1,000.00 $0.00 Fire Residential Alarm PC Fee: $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee: $0.00 $138.00 Public Works PC Fee: $176.00 Public Works Traffic Plan Check Fee; $0.00 316.00 Plan Check Fee: OTHER D / I SPECTC� State Lic: mem P m D se aDeemo COIDC p O State Lic m• OP a me o r C0D U m0.0 oammr moan o eaeoo oamsmo. 6 O O mamom D o. � SPSWOD D� �mOma� DDxomm $0.00 Records Management: $2.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $316.00 MENT: PLAN CHE KED BY:: APPROVALTO PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID 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 im roved for the purpose of sale). 1, 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 a ply 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 Coda, isravailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Properly Avner or Authorized Agent Date MC SOED CON.TRACTOR'S DECLARATION I'hereby'affirm 4ryfPcg4nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions gode and my license is in full force lrid eft t _/ i ..�� icence Class License No Date 7 2% Cohtractor Signature OgRKWRS' OC PfiPE*ISATION DECLARATION RARNMC: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE ;Qsj'AE COMPEN§AT1*. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .1 p6%eby'affirm undbro&alty of perjury one of the following declarations: Eve 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 �e r once of,tlieworl[ for which this permit is issued. Policy No. 1'1% E and will plainsain 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' compensatior neu Ice carrier and policy number are: :arrier Policy Number Expiration Date ,lame of Agent / , Phone # :1I 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( hat, if I should beco a subject t e w rkers' com nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date )ECLARATION REGDING CONSTRUCTION LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is is ued (Section 3097, Civil Code). .ender's Name Lender's Address 3y 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 e t he bove-i�tified property for inspection purposes. 3ianature of Prooertv Owner or Authorized ADentllv_21��Print Prooertv Owner's or Authorized ADent's NarAe_� '--" ''t Gv/°�2- Date `O ACTION DATE BY OLULARAf1UIYUF(:UMPLIAN(:t YYIIN(:UDt OF FOR OFFICE USE ONLY / FEDERAL REGULATIONS PART Of OF TITLE40AND AQMDRULE1403. PERMITEXPIRED € SUBMITTED ASBESTOS NOTIFICATION TO. ❑ EPA E3 AQMD PERMITCANCELLED P€RMITEXTEND€D ASBESTOS NUIFFICATIONLS NOT APPLICABLE TO PROPOSEODEMOUTION. PERMIT FINAL I`k CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: