HomeMy WebLinkAboutF2023-0010 - PermitsCity of Newport Beach
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Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
F 2 0 2 3 0 0 1 0II COMB Permit: F2023-0010
Plan Check No : PC2023-0028
Issued Date : 01/04/2023
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 11) �FL Legal Desc : N TR 12528 BLK LOT 2
Description: COMM -RELOCATE (23) FIRE SPRINKLER HEADS (XC2022-2111)
Owner: GPI BAYVIEW LLC
Contractor: APEX FIRE SYSTEMS INC
Architect
Address : 5601 GRANITE PKWY STE1200
Address : 2961 W MACARTHUR BLVD, 118
Address
PLANO, TX 75024
SANTA ANA, CA 92704
Phone :
Phone : (949) 337-9679
Phone
Con State Lie : 732396
State Lie
Lie Expire : 09/30/2023
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Applicant: APEX FIRE SYSTEMS INC
Bus Lie: BT30006908
Engineer
Address : 2961 W MACARTHUR BLVD, 118
Bus Lie Expire : 01/31/2023
Address
SANTA ANA, CA 92704
Phone: (949) 337-9679
Workers' Compensation Insurance
Phone:
Carrier: ACE AMERICAN INS CO
Owner/Builder :
Policy No : C69981185
Designer
Address :
W. C. Expire: 11/1/2023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $2,300.00
Type of Construction : I -A
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg: 0
Occupancy Groups : B
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 6
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Building Setbacks
Flood Zone : X
Use Zone : PC - Bayview
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PROCESSED BY:
SPECIAL CONDITIONS:
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I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate. License Law for the reason(s) indicated below by the checkmark(s) I have placednext 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
:he 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 Itcensure 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
Tot 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 (_) 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
reprovements are not intended or Offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was riot built or
Improved for the purpose of sale).
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).
D I am exempt from licensers 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 lagall!
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. 1 understand that a copy of theapplicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:httplfwww.leginfo.ca.gov,'calaw.html,
Signature of Property Owner or Authorized Agent—_ _ Date
LICENSED CONTRACTOR'S DECLARATION
i hereby affirm uc,der oel,atty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio ndl my li rise is in full force
and effect. license Class License. No Date Contractor Signature
tKORKERS' CO.WFENSATION DECLARATION
NALNINC. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (St D0,000). IN ADDITION TO THE
C11S1 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 310E OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm unoe+pr:nalty of perjury one Of the following declarations:
I Kate and will maintain a Certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
D?rfmn,ince of the wnrk for which this permit is issued. Policy No.
1i ;,tn•a 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'
yrr3i^r carrier and policy number are:
Policy Number
C`Agent
Date
certify that, in fhe performance of the work for which this permit is issued. Ishall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
, if I should become subjectyo the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wlth those provisions.
of
Date 1� z 1
areby affirm under 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).
Iders Name Lenders Address
my signature [)slow, 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 andthe information I have provided is correct.
I agree to comply with all applicablecity and county ordinances and state laws relating to building. construction.
I authorize representatives of this city or county to t Tthe eve -identified property, for inspection purposes.
:nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
ftEGULATION5 PART 61 OF TITLE 40 AND AQNID RULE
PERMIT EXPIRED
L_I I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
Ep--L� PA
PERMITEXTENDED
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PERYFINAL
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CIASBESIOS Non FICATION I5 NOT APPLICABLE TO
CERTlFfCATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: