HomeMy WebLinkAboutF2024-0187 - Permits�gWPORT City of Newport Beach II IIIIIII� IIIIIIIIIIII IIIIII III IIII III II II II COME Permit . F2024-0187
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1' dCommunity Development Department- Building Division F 2 0 2 4 0 1 8 7: �y100 Civic Center Drive, Newport Beach, CA 92660Plan ChEckN� : PC2024-J787
Permit Counter Phone: (949) 718-1888 Issued C3'e:04118/2C24
newportbeachca.gov/civic Final Date:
p�`P Combination Type - Permit Status: Issued
Work Class - Tenant Improvement Inspeutior, Area : FIRE
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FkUM 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 : 1301 DOVE ST, UNIT 300 Legal Desc : P BK 120 PG 27 PAR 1
Description: COMM FIRE SPRINKLER HEADS TI RELOCATE 69 HEADS (XC2024-0024)
Owner: OCEAN WEST, WEST CAPITOL PARTNERS
Address : 2101 ROSECRANS AVE STE3270
EL SEGUNDO, CA 90245
Phone: (213)326-4539
Applicant:
MARC READ
Address :
13900 ALTON PKWY, STE 300
IRVINE, CA 92618
Phone:
(949)337-9679
Owner/Builder
:
Address :
Phone
Contractor: APEX FIRE SYSTEMS INC
Address : 13900 ALTON PARKWAY, 122
IRVINE, CA 92618
Phone : (949) 337-9679
Con State Lic :
732396
Lic Expire :
09/30/2025
Bus Lic:
BT30006908
Bus Lic Expire :
01/31/2025
Workers' Compensation Insurance
Carrier: ACE AMERICAN INSURANCE COMPANY
Policy No: C5556226A
W. C. Expire : 11/1/2024
Code Edition : 2022
Fire Sprinklers :
YES
Type of Construction : I -A
Fire Hazard Zone :
NO
Occupancy Groups : B
No of Units :
1
Bldg Height:
No of Stories :
1
Building Setbacks
Flood Zone : X
Use Zone : PC - Newport Place
PROCESSED BY: _K
SPECIAL CONDITIONS:
Architect
Address
Phone :
State Lic
Engineer:
Address :
Phone
Designer: APEX FIRE SYSTEMS INC
Address: 13900 ALTON PARKWAY, 122
IRVINE, CA 92618
Phone: (949)337-9679
Construction Valuation : $5,000.00
Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
OWNER -BUILDER DECLARATirIN , -
I hereby affirm under penalty of pe-juryLPal ' am exnmpt f•om the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable items)
Section 7031.5, Business and Professions l iohe: Art, city br count,, that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
ra permit to file a signed statement dot I. ur she is li,,cnse,: purLLnt 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 lcensure 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).
11, as owner of the property, or m employees wi'h wt ges as the r sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usinesS and Professions Code: (hN Contraraorc' State License Lnw ,ioe.s not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
oprovements are not intended o, offered :ar salo.:f, hcNever, _he bu:fdi�,g 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).
3 1, as owner of the property, ant exclusively contracting with licensed Contractors to construct the project (Section 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).
I I am exempt from licensors under the Contractors' Stale License Law for the following reason:
fy 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 iegalll
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:httplFwww.leginfo.ca.govlcalaw.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 Divi ion 3 of the Business and Professions Cg�e, a9 my Tense is in full force
nd effect. License Class License No Date lc� Contractor Signature [S�— 7
VORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Sr00,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 I have and will maintain a certificate of consent to selPrisure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh
erformance of the work for which 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
Date
lame of Agent Phone #
3 certify that, 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 California, and agre
tat, if I should become subject /to /JJ}���,,,��t€€���te /woSkern' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
8gnature of Applicant _, L.1
IECLARATtON REGARNG C4NSTRUCTITING AGENCY
hereby 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).
enders Name Lenders Address m
Iy 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 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 ente e a ve-identified property for inspection purposes.
signature of PrODertv Owner or Authorized Agent ems— Print Property Owner's or Authorized Agent's Name e' ill ya-L Daly
ACTION
PERMIT EXPIRED
PERMIT CANCEtLED
PERMIT EXTENDED
PERINTFINAL
CERT0CATE OF
OCCUPANCY ISSUED
DATE BY l DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
I REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
TO
j�':,7,•' h{'O1'{G'.ts [, U ASBESTOS NOTIFICATION 15 NOT APPLICABLE '10
[ PROPOSED DEMOLITION
FOR OFFICE USE ONLY
Im