HomeMy WebLinkAboutF2023-0396 - PermitsWPo"r City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III II COMB Permit: F2023-0396
19 Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2054
try^ z Permit Counter Phone: (949) 718-1888 Issued Date : 08/24/2023
newportbeachca.gov/civic Final Date:
oaN�P Combination Type - Permit Status: Issued
Work Class - Other 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, 4200 Legal Desc : N TR 12528 BLK LOT 2
Description: COMM FIRE- RELOCATE FIRE SPRINKLERS (10 HEADS) (XC207-3 - 02-01)
Owner:
GPI BAYVIEW LLC
Address :
5601 GRANITE PKWY STE1200
PLANO, TX 75024
Phone:
Applicant :
JOHN JOHNSTON
Address :
179 ROYMAR RD, H
OCEANSIDE, CA 92058
Phone:
(951)264-3912
Owner/Builder :
Address :
Phone
Contractor: ALL PRO FIRE PROTECTION INC
Address : 179 ROYMAR RD
OCEANSIDE, CA 92058
Phone:
(951)244-9836
Con State Lie
: 629993
Lie Expire :
12/31/2023
Bus Lie :
BT30029935
Bus Lie Expire : 08/31/2023
Workers' Compensation Insurance
Carrier: OAK RIVER INSURANCE COMPANY
Policy No : 345573
W. C. Expire: 3/1/2024
Architect
Address
Phone :
State Lie
Engineer:
Address:
Phone
Designer:
ALL PRO FIRE PROTECTION INC
Address:
179 ROYMAR RD
OCEANSIDE, CA 92058
Phone:
(951)244-9836
Code Edition : 2022 Fire Sprinklers : YES Construction Valuation :
Type of Construction : II-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg
Occupancy Groups : B No of Units : 1 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: •1 c+✓� 0A
SPECIAL CONDITIONS:
$2,300.00
0
0
0
t hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkinark(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
to permit to file a signed statemant 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
'rofessfons Code) or that he or she is exempt from l ce i5ure 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
of more than five hundred dollars ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do i_) all of or U portions of the work, and the structure Is not intended cr offered for sale (Section 7044,
usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, holds or improves the property, provided that the
nprovements 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
nproved for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project tSection 7044, Business and Professions Code: The Contractors' State License Law does not
poly 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).
7 1 am exempt from licensure under the Contractors' State License Law for [tie following reason __. ___—.—___._
iy my signature below I acknowledge that, except for my personal residence in which I must have rasided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
oil a structure that I have built as an owrOF-builder if It has not boon eonstructod in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 ofthe Business and
'rofessfons 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
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divi3 of the Business and Professions Co e, and my license is in full force
nd effect. License Class License. No Date _%�- `3 Contractor Signature
VORKERS' COMPENSATION DECLARATION
FANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS ND DOLLARS 15100,000i, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706. OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the fallowing declarations:
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 thi
crl]pPr cD of the work for 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'
ranee carrier and policy number are:
Policy Number
of Agent
Date
It certify that, in the performance of the work for which this permit is issued'., I shell not employ any person in any manner so as to become subject to the workers' Compensation laws of California, and agree
fat, If I should become subject to the workers' compensation prowsions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant_ Data O' Z aj
ECLARATION REGARDING CO STRLICTION LENDING AGENCY
hereby affirm under penalty of p Hury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
ender's Name _ Lenders 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 Io comply with all applicable city and county ordinances and state laws relating to building construction.
I. a At'todzn rep-e enl..11ns cT .h:s cif, or county to enter t//hhee// a��tiove-identified ro r inspection purposes.
ionatl re of Prooert Owner or: c thor_ed Aoent ° ! , Print Property Owner's or Authorized Agents Name j N}p'I J CIf;-l`S ZVJ Date
ACT101"
DATE.
BY OECL ATION OF COMPLIANCE WITH CODE OF FEDERAL
RF LATIONS PART 61 OF TITLE AO AND AOMD RULE
1403
FOR OFFICE USE ONLY
PERMITEXPTi D
- SUBMITTED ASBESTOS NOTIFICATION TO
PERVI1T CRr lCCLLED
_ pI
LJCPA _—
PfRMiTEXTENOEp
PERrLflT FINRL
fER71F7CAif OF
OCCUPANCYISSUED
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j r-„I ASI3ES T05 NOt IFICA'I[ON 15 NOT APPLICABLE 10
PROPOSED DEMOLITION
SIGNATURE: