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Home My WebLink AboutF2023-0425 - PermitseW e Cnirtyof DewporttDpatment-Building Division ��II COMB Permit: F2023-0425 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2153 > Permit Counter Phone: (949) 718-1888 Issued Date: cl /5/23 newportbeachca.gov/civic Final Date: Combination Type - Permit Status:-Applwd I SSUEp ®' Work Class - New 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. C (1 � �-151`� Job Address: 690 NEWPORT CENTER DR Legal Desc : P BK 196 PG 13 PAR 2 PARCEL MAP 196-13 PAR 2 FOR O Description: COMM FIRE- RELOCATE 3 HEADS X aba3P6Z;i5- Owner : ISLAND HOTEL FINANCE LLC Contractor : APEX FIRE SYSTEMS INC Architect Address : PO BOX 2450 Address : 2961 W MACARTHUR BLVD, 118 Address NEWPORT BEACH, CA 92658 SANTA ANA, CA 92704 Phone: Phone: (949)337-9679 Phone: Can State Lic : 732396 State Lic: Lic Expire : 09/30/2025 Applicant: APEX FIRE SYSTEMS INC Bus Lic : BT3000690B Engineer Address : 2961 W MACARTHUR BLVD, 118 Bus Lic Expire : 01/31/2024 Address SANTA ANA, CA 92704 Phone: (949) 337-9679 Workers' Compensation Insurance Phone: Carrier: ACE AMERICAN INS CO Owner/Builder : Policy No: C69981185 Designer: APEX FIRE SYSTEMS INC Address : W. C. Expire : 11/1/2023 Address: 2961 W MACARTHUR BLVD, 118 SANTA ANA, CA 92704 Phone: Phone: (949) 337-9679 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $300.00 Type of Construction : II-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt front the Contractors' State License Law for the reason(s) indicated below by the checkrnark(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 iic-ansure 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). 0 1, as Owner of the property, or my employees with wages as their sole Compensation, will do (_) all of or i portions of the work, and the structure is not intended or offered for sale (Section 7044, BUS41e39 and professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves trip, property, provided that the improvements are not Intended or offered for sale It, however, the building or Improvement is soli within one year of completion, the Owner -builder wit I have the burden of proving that it was not built or improved for the purpose of sale). 0 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 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 IicenSWe uncut the Contractors' State License Law for the following reason By my sVgnaluro below I acknowledge that, except for my personal residence in which I must have resided for at coast one year prior to completion of the improvements covered by this permit, I cannotiegall; soli a structure that I have built w; an owner-buildor if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, $action 7044 of -the Business and Professions Code, is available upon request when this application is submitted or at the following Wee site:hlipWwww.leginfo.ca.govtcolawdttml. Signature of Property Owner or Authorized Agent ... _,_....... ,,.,_...._.__....._...._______ Date LICENSED CONTRACTOR'S DECLARATION �� m I hereby affirm under penalty of porjury that, I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professio odo, rid my license is in full force and effect. License Class _ License No _ Date ^.f Contractor Signature WORKERS' COMPENSATION DECLARATION NARKING: FAILURE r0 SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR M SECTION 3709 OF THE LABOR CODE. FNTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of per(ury one of the following declarations: I have and will maintain a crenfCate of Consent to self -insure for workore, Compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th cerfm mance of the work for which Ih is permit Is issued. Policy No_ _ and will maintain workerscompensation 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 end policy number are. Policy Number of Agent Date JI certify titer, in the performance of the work For which this count is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agn tat, if I should become euble> io the workers compensation provDacns of Section 3700 or the Labor Crude, I shall forthwith comply with those provisions. ignalure of Applicant _ Data ......_____ ___.., _........_,.__. ___. ,..,,...__...._.__. _ ...____...___.__. m.m_.... IECLARATION REGARDINGCGNSiRlfCTIGN LE ING AGENCY hereby affirm undoi 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), copper's Name _ Larder's Address y any signature below I Guilty to each of the fallowing:._.._..._v...._._.�..,._. ._._._. 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 laves rotating to building construction. I authorize representalives of t1i city or county to enter the above -identified property for inspection purposes. ignature of Property Owner Or Authorized Anent Print Prooertv Owner's or Authorbad Anent Noma �i�f �/"� Z nnro ' ACTION DATE f;v P(r7MtI tXFlHED GdCt4"ATION Or CONf PLIANCE WITH CODE OF FPDFRAL PECI IIA I OILS FART 61 OF TITLE AOAND AQl RULE �140d L.,.II SIIRMITTFDASRFSTOS NOTIFICATION TO FOR OFFICE USE ONLY PERMIT CAht EL[Ct) � .._ _.... _,.� _.............. �___.. __...... �rEA PE+iArtiT EXTENDED .. _.. ` i r-t ..... _.. .._ . QNH) .._.. WERA011 FINAL . .. f, ._.... ��(k3i i1VU9 .._..... __.... ........... ❑ ASBESTOS N0I IFICAI ION 15 NOT APPLICABUE f0 CERT6FICATE OF ( I PROPOSEDOUVIOLITiON OCCUPANCY VSSUEO i 91r.NAn1139.