HomeMy WebLinkAboutF2023-0565 - Permits�EwaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III II COMB Permit: F2023-0565
04 ,I Community Development Department- Building Division F 2 0 2 3 0 5 6 5
F n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2810
u : a Permit Counter Phone: (949) 718-1888 Issued Date : 11120/2023
a+ newportbeachca.gov/civic Final Date:
cq<<FORN�P Combination Type - Permit Status: Issued
Work Class - Tenant Improvement 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, 400 Legal Desc : N TR 12528 BLK LOT 2
Description : COMM TI FIRE SPRINKLERS *XC2023-0419* 6 HEADS
Owner: GPI BAYVIEW LLC
Address : 5601 GRANITE PKWY STE1200
PLANO, TX 75024
Phone: (949)725-9900
Applicant: ALL PRO FIRE PROTECTION INC
Address : 179 ROYMAR RD
OCEANSIDE, CA 9205E
Phone: (951)244-9836
Owner/Builder
Address :
Phone
Contractor: ALL PRO FIRE PROTECTION INC
Address : 179 ROYMAR RD
OCEANSIDE, CA 92058
Phone :
(951) 244-9836
Con State Lic
: 629993
Lic Expire :
12/31/2025
Bus Lic :
BT30029935
Bus Lic Expire : 08/31/2024
Workers' Compensation Insurance
Carrier: OAK RIVER INSURANCE COMPANY
Policy No : 345573
W. C. Expire : 3/1/2024
Code Edition : 2022
Fire Sprinklers :
Type of Construction : V-B
Fire Hazard Zone
Occupancy Groups :
No of Units :
Bldg Height :
No of Stories
Building Setbacks :
Flood Zone : X
Use Zone : PC - Bayview
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic:
Engineer
Address
Phone
Designer: ALL PRO FIRE PROTECTION iHC
Address: 179 ROYMAR RD
OCEANSIDE, CA 92058 ,
Phone: (951)244-9836 ;
YES Construction Valuation: $2,200.06,,,'
NO Added/New/TI sq. ft. Bldg : 0 ,
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itemfs)
aeotlon 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
in 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
'rofessions Code) or that he or she is exempt from ilcersure 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 Ihan five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure Is not Intended or offered for sale (Section 7044,
lusiness 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
emovements 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
nprovedfor the purpose of Sale)-
1 1. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
poky to an owner of propertywho builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 I am exempt from licensure under the Contractors' Stale License Law for the following reason _
ly 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
ell 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
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:hltpaiwvrw.leginfo.ca.govlcalavr.himl.
signature of Property Owner or Authorized Agent — ------ Date
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of peguhat I am licensed under provisions of Chapter 9 (commencing with Se on 700 Division 3 of the B ness and Professions ode and my license is In fu force
ad effect. License Class C-tr tLicense No &LLJV�yj D 2,:-2 Contr rSignature �✓
VORKERS' COMPENSATION DECLARATION
EARNING: 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 (5100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMADES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of peoury one of the fallowing declarations:
I have and wilt maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director or Industrial Relations as provided for by Section 3700 of the Labor Code, for
'or�anco of the Work for which this permit is issued. Policy No.
ind will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is Issued. My workers'
carrier aoJ policy number are:
e of Agent`
:eraf ial, in '.he p
If I she t1.nCDf^P
alure of A pii nl
Policy Number
Date
Ice of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to The
to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forti lh comply with those provisions.
ireb; affirm under penalty of pKrjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097
wer's Name Lenders Address
my .Igratu.ra alcw. I certify to each of the following:
I au, the proDer,y Lwner or authorized to act on the property owners behalf.
,onva read this application and the Information I have provided is correct.
agree to ,.amply Nth all applicable city nd county ordinances and slate laws relating to building construction.
I authorize representatives of thisccj ounty to enter the gbove-Identified pmpe \
compensation laws of California, and
/ / Z U-73 _
Civil Cade).
ACTION DATE /, \ BY i DECLA TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / 1
flEGUt TIONS PART 51 OF TITLE 40 AND AQMD RULE
1403
PERMiTEXPiRED _ (SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCEilED EPA.
FERilfii fXT£NDED _ ❑AGM D_ _ _ _ __ __ __
PLRNfIT FINA! � -`��(� PAOI iS �: CQASBEST'O5 NOT IFICAtION 15 NOT APPLICABLE TO
CERA`ICAI E OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
-LJ