HomeMy WebLinkAboutF2022-0452 - PermitsatiWPORT City of Newport Beach IIII I I III II I II II IIII I I II
0� d Community Development Department -Building Division COMB Permit: F2U22-0452
> tl 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2120
m,� 2 Permit Counter Phone: (949) 644-3288
2312022
Inspection Requests Phone: (949) 644-3255 Issued Date :
C9L/F00.N�P newportbeachca.gov/inspections Inspection Areeaa :IRE
: FIRE
Combination Type -
Work Class - Tenant Improvement
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
cgoiuor'� covc-
Job Address: 3901 COAST HWY E Legal Desc : P BF
Description : COMM FIRE SPRINKLERS 9 HEADS (X2021-3394)
Owner: NEWPORT BEACH CA PROPERTY OWNER Contractor: API
LLC
Address : 1 TOWN CENTER RD #3 BOCA RATON, Fl- Address'`. 29E
33486 SAI
Phone: Phone: (94
Applicant: APEX FIRE SYSTEMS INC
Address: 2961 W MACARTHOR BLVD STE 11
ANA, CA 92704
Phone: (949)337-9679
Owner/Builder:
Address
Phone:
Code Edition: 2019
Type of Construction : V-A
Occupancy Groups
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
X
PC - Emerald Village - UP 3342
SPECIAL CONDITIONS:
,294 PG 29PAR 3 PARCEL: MAP PM. 294-24 PAR. 3 AND POR. O F ABAND.
X FIRE SYSTEMS INC Architect
I':WMACARTHOR BLVD STE118 ;Address:
TA ANA, CA 92704
).337-9679
Phone:
32396
State Lie
9/30/2023
T30006908 :
Engineer:
1/31/2023
Address
sation Insurance
Phone:
ERICAN'INS CO
9981185
Designer:
1/2022
Address
Phone:
IN3 "a.dtl
APEX FIRE SYSTEMS INC
2961 W MACARTHOR BLVD
SANTA ANA, CA 92704
(949)337-9679
Construction Valuation : $900.00
Added/New/TI sq. ft. Bldg: 0
Alteration sq. ft. Bldg:
Added/New sq. ft. Garage: 0
-C)
STE 118
OWNER -BUILDER DECLARATION
t hereby affirm under penalty of perjury that t am exempt from the Contractors:State license Law forille reason(s) indicated Wow by the checkmark(s) I Have placed next to the applicable Item(s)
ctlon 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
permit to fife 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
fessions Code) or that he or she is exempt from Ircensure and the basis for the alleged exemption. Any violation of Section 7031L5 by any applicant for a permit Subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages asthair sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sate (Section 7044, .
:mess and Professions Code. The Contractors'State License law does not apply to anowner of property who, through employees' or personal effort, builds or improves the property; provided that the
rovements are not intended or offered for sale. If. however, the building or improvement is sold within one year or completion, the Owner -Builder will have the burden of proving that If was not built or
I, as owner of the property, am exclusively contracting vAth licensed Contractors to construct the project (Section 7044. Business and. Professions Code; The Contractors State License Law does not
ply town 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),
I am exempt from licensura under the Contractors'. State License Law for the following reason
my signature: below I acknowledge that; except formy personal residence in which I must haver resided for at least one year prior to completion of the improvements covered by this permit, I.cannot legal
a structure that I have hu la 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
fassions Code, is available upon request when this application is submitted or at the following web sitehtipJAvwwleginfo.ca.gov/calaw.htmi.
nature of Property Owner or Authorized Agent. Date
TENSED CONTRACTOR'S DECLARATION
iteby affirm under penaltyof perjury theft am licensed under provisions of Chapter (commencing with Sectio 0 of Dluision'3.of the Business and Prole io 3de, and.. ylice re is in full force
effect. License Class License No Date � Z - 22 Contractor Signature
IRKERS' COMPENSATION DECLARATION
KIND: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND. SHALL SUBJECT AN EMPLOYER TO CROUNAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOU O OULARS t$100MP, IN ADDITION TO TH.
T OF COMPERSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.'
reby affirm under penalty of perjury one of the following. declarations:
I have and will maintain a certificate. at 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 tl
Formance of the work for which this permit is issued. Polley No.
have 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` compensafit
Hance carrier and policy number are:..
Tier Policy Number Expiration Date
Qloar* that; in they. rfDrmance of the work for which this permit is issued, t shalt not employ any person in any manner so as. to become subject to the workers' oo pensation laws of Callfomia, and agre
Mal. if I should become u ject tot workers' compensation provisions of Section 3700 of: the Labor Code:; I shall forthwith comply Will those provisions. GG
,Signature of Appl'Idant;— Dat o��3'� Z2
DECLARATION REGA IN G STRUCTION L RDING AGENCY.
i hereby affirm under peRallyof perjury that there is a construction :lending agency for the performance of the work for :which this permit Is issued- (Section 309. , Civi Code),.
Lender's Namo... Lender's'. Address.
By 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 have provided is correct
1 agree to comply with: all applicable city a d county ordinanoas and state laws, relating to building construction.
I authorize representatives of this city or to tar the "ve-identif pmperty for inspection purposes. � d
Signature of Pr arty Owner or Authorized Ag , print Propertyowner'sorAruthorized Agents Name': ✓ Z.
Oa
ACTION DATE B NQ DECLARATIONOF COMPUANtk,WITH CODE OF FEDERAL FOR. OFFICE USE: ONLY
GULATIONS PART 61 OF TITLE 40 AND:AOMO RULE
_114103
PERMIT EXPIRED , • .•. .... Q SL)WfJTED ASBESTOS NOTIFICATION. TO
PERMITCANCELLED ••. . . , E134 All required alarms, latches gates and fences: which serve aspart of a pool/spa barrier, shall
PERMITEXTE IXt' • • • • , , , , , grip:. be In place priortoapprovaltofillpool/spa&shallremainin:place & be maintained forthe
PEReMITPIIVAL n- . AssE5TOSNOTlr4CATIONtSNOTAPPUCABLE TO life of the pool.
CERTIFICATE OF /t� tZ 9W I PROPOSED DEMOLITION:
Z X_
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