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HomeMy WebLinkAboutF2023-0111 - PermitsCity of Newport Beach p��EWPp�T @ Community Development Department- Building Division .` n 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c9GIFORN\P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement F 2 0 2 3 0 1 1 1COMB Permit : F2023-0111 Plan Check No : PC2023-0485 Issued Date : 03/06/2023 Inspection 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 : 100 BAYVIEW CIR, 510 Legal Desc : N TR 12528 BLK LOT 2 Description: COMM TI -RELOCATE (9) FIRE SPRINKLER HEADS FOR NEW WALL AND LIGHTING LAYOUT (X2022-0400) Owner: 100 BAYVIEW LLC 100 BAYVIEW LLC Contractor: ALL PRO FIRE PROTECTION INC Architect Address : 100 BAYVIEW CIR Address : 179 ROYMAR RD Address NEWPORT BEACH, CA OCEANSIDE, CA 92058 Phone: Phone: (951)244-9836 Phone: Con State Lie : 629993 State Lie Lie Expire : 12/31/2023 Applicant: ALL PRO FIRE PROTECTION INC Bus Lie: BT30029935 Engineer Address : 179 ROYMAR RD Bus Lie Expire : 08/31/2023 Address OCEANSIDE, CA 92058 Phone: (951) 244-9836 Workers' Compensation Insurance Phone: Carrier: OAK RIVER INSURANCE COMPANY Owner/Builder : Policy No: 345573 Designer Address : W. C. Expire: 3/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 6 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks Flood Zone : X Use Zone: PC - Bayview PROCESSED BY: SPECIAL CONDITIONS: a°oo $2,000.P 0 Uri OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Items) (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 Ithe permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter B (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors 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 C) 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❑ 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). 0 I am exempt from hcensure under the Contractors' Slate 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 requestwhen this application is submitted orat the following Web siteihttp://www.leginfo.ca.gov/calaw.html. Signature. of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION t hereby affirm under penalty of perju that I am licensed under provisions of hapter g commencing with Section 70 0) Df Division 3 of the Business and Professions Cc� �, and my license is In full force and effect, License Class 27 License No �� i 3 Date. —� ` Z3 Contractor Signature �fid�`� WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TNDU AND DOLLARS ($100.000), IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under parity of perjury one of the following declarations: 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 e of the Bork `or which this permit is issued. Policy 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' ra(,La carrier and policy number are: ler_ _ _ _ Policy Number Expiratic �a of Agent _ - _ _ Phone # Date certify that, is the �srformance of the work for which this permitis issued. I shall not employ any person in any manner so as to bocome subject to the workers' compensation laws of California, and it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant -_ Date _?- 6- Z3 hereby affirm under penalty of perjur/that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ender a Name _ Lender's Address y 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 county to enter a above -identified roperty for inspection purposes. ionature of Property Owner or Authorized Aaent Print Prooertv Owner's or Authorized Aaent's Name OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND A44AD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED -- -- -----QEpq - PERMIT EXTENDED PLRVIT FINAL I, ASBESTOS NOIIFICAIION IS NOTAPPLICABLE TO CERIIPROPOSED OCCUPANCY SUED f SIGNATURE: DEMOLITION,:/ Civil Cade). frr Date _ "d' Lf