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Home My WebLink Aboutf2021-0214 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII�III�IIIIIIIIIIII II FIRE Permit: F2021-0214 w' 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 2 1 4 4; Permit Counter Phone (949)644-3288 Project No : 1232-2021 °+zrrasud'' Inspection Requests Phone (949)644-3255 Job Address: 1700 16TH ST NB Description: COMM FIRE SPRINKLER TI (X2020-2697) BASEMENT $-eHEADS Inspector Area: FIRE Legal Description: P BK 15 PG 36 PAR 2 Owner: CORONADO SOUTH APARTMENTS Contractor: APEX FIRE SYSTEMS INC Architect: Address: 1745 SHEA CENTER DR #200 Address: 2961 W MACARTHUR BLVD STE 118 Address: HIGHLANDS RANCH CA 80129 SANTA ANA CA 92704 Phone: Phone: 949-337-9679 Phone: State Lic: Applicant: READ MARC Con State Lic: 732396 Engineer: Address: 2961 W MACARTHUR BLVD #118 Lic Expire: 09/30/2021 Address: SANTA ANA CA 92704 Bus Lic: ST30006908 Phone: 949-337-9679 Lic Exp Date: 01/31/2022 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: READ MARC Type of Construction: V-B-SPR Carrier: ACE AMERICAN INS CO Address: 2961 W MACARTHUR BLVD #118 Occupancy Group: B Policy No: C68630538 SANTA ANA CA 92704 Added /New sq.ft. Bldg: 0 Expire: 11/01/2021 Phone: 949-337-9679 Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 0811112021 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: X Rear. Bldg Sprinklers: Y Left: Ir` fiL "- Right: FEES Construction Valuation: $10,000.00 Building PC Fee: $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management : $2.00 Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00 Building Extention Fee : $0.00 Planning Zoning PC Fee: $0.00 Building Investigation Fee : $0.00 $0.00 Fire Plan Check Fee: $145.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $223.50 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $370.50 Plan Check Fee : $145.00 Fee Due at Permit Issuance: $225.50 PROCESSED BY: ••• 6TI4*ER DESARVNT:a°„ „ ZONING APPROVAL: a•°° P�,4'PI CHEPIXEQ.16Y:' �Ql a FIRE APPROVAL: APPROVAL TO ISSUE: .aa 0 0• aao PERMIT EXPIRES 180 DAYS AFTER ISSUZNt E Oil L„$S'-VMLID INSPECTION a ao ao., a a a• •a aa€ LDER 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 permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is 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 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 of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, 'usiness 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 nprovements 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). 1 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 pply 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). 7 I am exempt from licensure under the Contractors' State 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 legall 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:http://www.leginfo.ca.gov/calaw.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 Division 3 of the Business and Professions Code, and my license is in full farce nd effect. .icense Class License No Date --_`/ Contractor Signatu _c= -� VORKERS' COMPENSATION DECLARATION rARNING: 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 ($100,000(, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tht Zrformance of the work for which this permit is issued. Policy No. have 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' compensatio s ranee carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I 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 that, if I should become subjecW the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date — /✓^ Z-/ DECLARATION REGARPING CONSTRUCTION LENDING AGENCY I 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 (Lion 3097, Civil Code). Lender's Name Lenders Address By 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 an er the a ve-Identif' property for inspection purposes. /+ r ' `Z Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name C�5 i"' Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE DAILY • • • • • 71EDE1MRTJj7LATIONSPART 51 OF T17LE40 AND •AQMDRVLE1403. , � 'I-W&ffItED ASBESTOS NOTIFICATION TO: ❑ • EPIr ❑ AOMD PERMIT EXPIRED ••• • • • PERMIT CANCELLED • PERMITEXTENDEO ❑ ASBESTOS NOTIRCARON IS NOTAPPLICABLE ICABLE TO pVW9E4 MOLtTLON. PERMIT FINAL • • • CERTLFICATEOF • • • OCCDPANCYISSDED ° . SdGPAWRE.•