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HomeMy WebLinkAboutF2023-0383 - Permits,�Ewao�T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2U23-o383 O @ Community Development Department -Building Division F 2 0 2 3 0 3 8 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1973 n Permit Counter Phone: (949) 718-1888 Issued Date : 08/16/2023 newportbeachca.gov/civic Final Date: 111 qy//F 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 Sv F,A-VZ �iSH Job Address: 2600 COAST HWY E, 100 Legal Desc : P BK 216 PG 46 PAR 1 Description : COMM - FIRE SPRINKLERS 23 HEAD (XC2023-0086) Owner: SMM 2600 PCH LLC Contractor : APEX FIRE SYSTEMS INC Architect Address : 2618 SAN MIGUEL DR #370 Address : 2961 W MACARTHUR BLVD, 118 Address NEWPORT BEACH, CA 92660 SANTA ANA, CA 92704 Phone : (949) 750-2300 Phone : (949) 337-9679 Phone Con State Lie : 732396 State Lie Lie Expire : 09/30/2025 Applicant: APEX FIRE SYSTEMS INC Bus Lie : BT30006908 Engineer Address : 2961 W MACARTHUR BLVD, 118 Bus Lie 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 Address : W. C. Expire: 11/1/2023 Address : L.aY Phone: Phone: 1 5(c�-� Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $2,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : A —a 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 : CC - Commercial Corridor 1 PROCESSED BY: SPECIAL CONDITIONS: 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 item(s) ;Section 7031.5, Business and Professions Code: Any city or county that requires a permll 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 ticensum 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). 7. 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 net 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). ❑ 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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). ❑ I eat exempt here licerfsure 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 legall, sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I undorstand that a copy of the applicable law, Section 7044 of the Businoss and Professions Code, is available upon request when this application Is submitted or at the following Web site:http:llw ,leginto.ca.govlcalaw.html, Signature of Property Owner or Authorized Aganl Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f ivisrooIyZi of the Business and Professions Cod d my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION ,NARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN DOLLARS (S100p001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0T0a OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Direclor of Industrial Relations as provided for by Section 3700 of the Labor Code, for ol�naoce of the work forwhich this permit is issued. Policy No, 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` carrier and policy number are: Policy Number of Agent Date certify Oral in the performance 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 workers Compensation laws of Californ and ogre If I should become subject to Lh j ' compensabon provisions of Section 3700 of die Labor Code, I shall forthwith comply w4th those provisions. nature of Applicant _ Date GLARATION REGARDING C R ICTION LENDING AGENCY treby affirm under penalty of perjury tY t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name _ Lender's Address my signature below_ _, certify to each of the following: I am the property avatar 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 property for inspection purposes. nature of Prooefty Owner or Authorized Aclent Phnt Prooertv Owner's or Authorized ADent'a Name ACTION I DATE. BY DFCLARATILe�OF COMPLIANCE WITH CODE OF PFDERAL FOR OFFICE USE ONLY F 4 1 7Ub LATIONS PART 61 OF TITLF. 40 AND AOMD RI11,F �� % 2 PHRMITEXPiRE'D PERMITCAACRLED PERMIT EXTENDED VEA,bB r 11NAL CERi FICATE OF OCCUPANCY I5SUH0 I L-J I SURPAITTEDASAFSTOS NOTIFICATION TO .... ..... ... ..4...._.... . p�y................ ..... .... rLPA I ❑ASBESTOS NOTIFICATION 15 NOVAPPLICABLE PROPOSED DEMOLITION j SIGNATURE: TO