HomeMy WebLinkAboutF2024-0215 - Permits04).
City of Newport Beach it il111111111p11111111111111111111111111111111111p111p111l ilCOMB Permit: F2024-0215
Community Development Department- Building Division F 2 0 2 4 - 0 2 1 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0902
Permit Counter Phone: (949) 718-1688 Issued Date : 06/06/2024
newportbeachca.gov/civic Final Date:
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, 100
Legal Desc : N TR 12528 BLK LOT 2
Description: COMM FIRE SPRINKLER TI -ADD 60 HEADS AND PLUG 30 "BEST CHOICE PRODUCTS" *XC2023-0491*
Owner: GPI BAYVIEW LLC
Contractor: APEX FIRE SYSTEMS INC
Architect
Address : 100 BAYVIEW CIR, 270
Address : 13900 ALTON PARKWAY, 122
Address : L
NEWPORT BEACH, CA 92660
IRVINE, CA 92618
Phone : (949) 725-9900
Phone : (949) 337-9679
Phone
Con State Lic : 732396
State Lic
Lic Expire : 09/30/2025
Applicant: APEX FIRE SYSTEMS INC
Bus Lic: BT30006908
Engineer
Address : 13900 ALTON PARKWAY, 122
Bus Lic Expire : 01/3112025
Address:
IRVINE, CA 92618
Phone: (949) 337-9679
Workers' Compensation Insurance
Phone:
Carrier: ACE AMERICAN INSURANCE COMPANY
owner/Builder:
Policy No: C5556226A
Designer: APEX FIRE SYSTEMS INC
Address :
W. C. Expire : 11/1/2024
Address : 13900 ALTON PARKWAY, 122
IRVINE, CA 92618
Phone: (949) 337-9679
Phone:
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $4,006.D;i-
Type of Construction : I -A
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
No of Units : 1
Alteration sq. ft. Bldg : 0
Bldg Height:
No of Stories : 1
Add/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks
Flood Zone :
Use Zone : PC - Bayview
—
PROCESSED BY:
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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 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
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
rrofessions Code) or that he or she is exempt from licensure 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
rot more than five hundred dollars (3500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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).
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
Ipply 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 am exempt from licensure under the Contractors' State License Law for the following reason: _
3y 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,
:ell a structure that I have built as an owner -builder if ilhas 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:http:ilw .teginfo.ca.gorlcalaw.html,
Signature of Property Owner or Authorized Agent-_________ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirDOPUnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section NOD) o�f D,iu�ision 3 of the Business and Professio C e, a y tic is In full force
and effect. License Class License No Date(1j _(p/_5_-_ Contractor Signature
PORKERS' COMPENSATION DECLARATION /— r
rARNING: PAILUREYi SECUTr WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 3N ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYe FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 in
21Lp-mance 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'
c• rjrier and policy number are:
r7 Qs.� Policy Number L d « gs Expiration Date
1e of Agent _
Certify Thal in the P if illanC of the work for whic 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
t, if I Should become sublet t w rs' DO sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions,
nature of Applicant Da
CLARATION 11-O.a* ING CONSTRUCT[ LENDING AGENCY
+reby affirm unds- n,76alty 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).
•d"•'^ Name Lender's Address
my signature ueiow. t 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 ce.nply wih all applicable city and cotnTty ord�i noes and state laws relating to building construction.
I ccthor¢e representatives of this city Or county io enteJ/C/th ab�iden%i d property for inspection purposes, //�1/�
na(L;e of Pro,,er:y Groner or Authorized Agent -_ CG/II� e Print Property Owner's or Authorized Agent's Name �/"1 I(LGf a �116 r iso Dal.=
AC
I'ER.L; C:XPIRED
PLL XJ,-CANCELLED
PER, T EXTENDED
PLRM FLNAL
CERTIFICATE OF .f
OCCUPANCY ISSUED Y
BY I. DECLARATfON OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE
( REGULATIONS PART 61 OF TITLE 40 AND AONID RULE
TO
UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
IZR /AC PROPOSED DEMOLITION
r'G I SIGNATURE: