HomeMy WebLinkAboutF2021-0320 - Permits.City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
a .
Job Address: 1700 16TH ST NB i ZXL d.
Inspector Area: FIRE
Owner: CORONADO SOUTH APARTMENTS
Address: 1745 SHEA CENTER DR #200
HIGHLANDS RANCH CA 80129
Phone:
Applicant: READ MARK
Address: 2961 W MACARTHUR
SANTA ANA, CA 92704
Phone: 949-337-9679
Code Edit: 2019
Type of Construction:
V-A- SPR
Occupancy Group:
R2
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
0
Flood Zone:
Bldg Sprinklers:
N
Construction Valuation
Building PC Fee :
Building Overtime PC Fee:
Building Extention Fee :
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee
$10,000.00
*F2021-0320*
INS EC"
FIRE Permit: F2021-0320
Project No : 1715-2021
Inspection Requests Phone (949)644-3255
FL. Description: MFR FIRE SPRINKLER SYSTEM 228 HEADS (X2020-2697)
Legal Description:
P BK 15 PG 36 PAR 2
Contractor:
APEX FIRE SYSTEMS INC
Address:
2961 W. MACARTHOR BLVD STE 118
SANTA ANA CA 92704
Phone:
949-337-9679
Con State Lic:
732396
Lic Expire:
09/30/2023
Bus Lic:
BT30006908
Lic Exp Date:
01/31/2022
Worker's Compensation Insurance
Carrier:
EMPLOYEE CRVS GRP
Policy No:
C69981185
Expire:
11/01/2022
Issued Date: 01/12/2022
Setback- Front:
Rear:
Left:
Right:
FEES
$222.00
Fire Residential Alarm PC Fee
$0.00
Planning Counter Review :
$0.00
Planning Zoning PC Fee
$0.00
$0.00
Public Works PC Fee
$0.00
Public Works Traffic Plan Check Fee;
$269.00
II TOTAL FEE : $497.00 Plan Check Fee
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
State Lic:
State Lic:
Designer: READ MARK
Address: 2961 WMACARTHUR BLVD
SANTA ANA, CA 92704
Phone: 949-337-9679
Special Conditions:
$0.00 Records Management
$0.00
$0.00
$0.00
$0.00
$497.60 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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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)
ac5on 7031.5, Business and Professions Code: Any city or county that requires a perk to Construct, alter, improve, demolish, or repair any structure, priorto its;. issuance, also requires the applicant for
permit to file signed statement that he or she is,ficensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing. with Section 7000) of Division 3 of the Business and
Aessions Code) or that he or she isexemptfrom flcensure 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
more than five hundred dollars (WO). -
I, as owner of the property, or my employees with wages: as their 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,
siness and Professions Code: The Contractors' State License Law does not apply toan owner of property who, through employees' or personal effort, builds or improves the property, provided that the
)rovements are notintended or offered for sale, if, however, the building or improvement is sold within one year of completion, the Owner -Builder wifl have the. burden of proving that 1 was not built or
)roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractorsto construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
9y 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:
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 pert, I cannot legally
I a structure that I have built as an owner -builder If it has not been Constructed In its entirely by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
Ifessions Code, is available upon request when this application is submitted or at the following Web sde:http:flwww.leginfo.ca.gov/calaw.html.
mature of le periy Owner or Authorized Agent Date
'ENSED V MTRAGTOR'S DE L TION
tby a1FrtM under penalty of pelju ��the m licensed under provisions of Ct�pr 9 (Commencing with Sectio 0) of hrisio 3 of the Business and Pro ons Cod , d my license is in full force
f effect. ' ense,Class ' License No ` 7 < 7.'4 L# 1 Da ontractor Signature
3RKERS' COMPENSATION D CLARATION u
NDNG: FAU.UJE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML I9NES OP TO ONE HUNDRED THOUSAND DOLLARS 1j100,000), IN ADDITION TO THE
OF COMPJNSW M, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, RJTEREST, ANDATroRNENS FEES.
:raby affirm under penalty of perjury one of the following declarations:
have and wih jlSaintain 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 thi
Ifortnance Bethe work for which this permit is issued. Policy No.
{lave and will n1pintain workers' compensation insurance, as required by Section 3700 of the tabor Code, for the performance of the work for which this permit is so suee��!!. My workers' compensatioor
brarce ca o' number are: // !! / f / ��Z Z IigC J Policy Number c.eolg il-7 �3 Expiratfon Date
qlg bf Agent • Phone #
JI certify that, in the performance of the work for which this permitis issued, I shall not employ any person in any .manner so as to become subject to: the workers' Compensation laws of C lifomia, and agm
tat, if I should becorntspblect to the worke nsatio isfons of:Section3700 of the. Labor Code, I shall forthwith comply with those provisions.
'ignature ofApplteant A Date 11,3 Z-
iECLARATION REG GCONSTRU ONt NDINGAGENCY
hereby affirm under penalty of perjury that there s a'construction lending agency for the performance of the work for which this permit is issued (Section3097, Ctvl Code).
enders Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on theproperty 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 Cou enter t , ve-Id mad property for inspection purposes.
t � ionature of Property Owner or Authorized Agen7 __ Print Property Owner's or Authorized Agenrs Name '' M p
A 94— k^0 D t �� 2z
OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 61OFTITtE40ANDA0MDRULE
-
9-1
PERMITEXTENDED
PERMfTFINAL OCCVICATEISSUED �S ON IS NOT APPLICABLE TO
I I SIGNATURE- DDE TiON