HomeMy WebLinkAboutF2022-0421 - Permitso4�E POR F Community Development City of Newport Beament- BuildingDivision IIIII I I IIIIII I II II III II I II COMB Permit : F2022-0421
y 100 Civic Center Drive, Newport Beach, CA 92660 O 2022-1986
:: PC Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255 Issued Date : Plan Check08/10/2022
NPC Cgr(FORN�P newportbeachca.gov/inspections Inspection Area : FIRE
Combination Type -
Work Class - Tenant Improvement
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
;OVA—'0
Address: 4000 MACARTHUR BLVD
LegalDesc : P BK 114 PG 22 PAR 1
Description
: COMM FIRE SPRINKLER TI - 31 HEADS (X2022-0516)
Owner:
HG NEWPORT OWNER LLC
Contractor : APEX FIRE SYSTEMS INC
Address :
101 CALIFORNIA ST STE1000 SAN
Address..: W MACA BLVD STE 118
Architect
Phone :
FRANCISCO, CA 94111
SANTA
SANTA ANA, CAA 92702704
Address
Phone : (949) 337-9679
Phone:
Applicant :
APEX FIRE SYSTEMS INC
Con State Lic: 732396-
State Lic
Address:
2961 W MACARTHOR BLVD STE 118 SANTA
Lic Expire : 09/30/2023
Bus Lic;' BT30006908
ANA, CA 92704
Engineer
Phone:
(949) 337-9679
Bus Lic Expire : 01/31/2023
Owner/Builder:
'
Workers' Compensation Insurance
Address
Phone:
Address:
°i
Carrier:'' ACE+AMERICAN+INSURANCE+COMPANY
Phone:
Policy No: C69981185
W. C. Expire : 11/1/2022
Designer:
APEX. FIRE SYSTEMS INC
Address:
2961 W MACARTHORa •RI,VD
SANTA ANA, CA 92704,,,
Phone:
•
(949)337-9679
Code Edition : 2019
Type of Construction : I -A
Fire Sprinklers : YES
Construction Valuation
Occupancy Groups: B
Fire Zone : ': No
No Units:
Added/New/TI sq. ft. Bldg
Bldg Height:
off nits : 0
No of Stories : 10
Alteration sq. ft. Bldg :
_ Added/New sq. ft. Garage
Building Setbacks
Flood Zone: X
Use Zone: PC - Koll Center
PROCESSED BY:
SPECIAL CONDITIONS:
wa
$7,824.00
0
9Bbd 9
0 •V4G&•
9ud•
STE 118
•
p��woy
she
I,.as owner of the property, or
mess and Professions Code:
rovements are not untended or
roved for the purpose of S014
I, as owner of the property, an
ly to an owner of property who
I am exempt from licensure Lt
my signature below I acknowl€
a structure that I have built a
xempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable eemtsi
I city or county that requires a permit to construct, alter. improve, demolish, or repair any stricture, prior to Its Issuance, also requires the applicant for
icensed pursuant to the provisions of the COntraciors` State License Law (Chapter 9 (commencing with Section 7000) of Division 3Of the Business and
ensure and the basis for the alleged exemption. Any violation of Section 7031.5 by: any applicant for a permit subjects the applicant to a Civil pane ty of
Wages as their sole compensation, will do (_) all of or ( ,) portions of the work, and the structure is not intended or offered for seta (Section 7044, :
its license law does not apply to anowner of property who, through employees' or personal effort, builds or Improves the property, provided that the
however; the building or improvement is sold within one year of com[ letion, the Owner -Builder will have the burden of proving that itwasnot built or
oting with licensed Contractors to construct the project (Section 7049; Business: andprofessions Code: The Contractors' State License Law does not
thereon, and who contracts for theprojects with a licensed Contraclor pursuant to the Contractors State License Law),.
Property Owner or Authorized Agent
CONTRACTOR'S DECLARATION
m under penalty of perjury that l am licensed under provisions of Chapter (commencing. with Section 7000): Ivtsi n3.: of the Business and Pro essions � ar}d7ny tic is in full force
License Class LieenseNo
V COMPENSATION DECLARATION
nnuesNanvtnN rnVERA0E 13 UNLAWFUL. AND :$HALL SUBJECT AN EMPLOYER TO CRiRSNAL PENALTIES AND CIVIL FINES UP.TOONE HUNDRED THOUSAND DOLLARS tSSIID„ooal•ita ADDITION TO TH
hereby affirm under penalty Of perjury one of the following declarations:
31 have and will maintain a ee.ritgeate 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
Vance of the work for which this permit is issued, .Policy Na
a and will maintain Workers' compensation insurance, as -required by Section 3700:of the Labor Code, for the gerformanca of the work: for which this, permlf #s issued, My workers cpmpensa
ee Carrier and policy number are: Expiration Data
•gym>� _ Policy Number -n _,_
person: in any manner soas to become subject to the workers' compensation laws of California, and agree
�r Code; I shall forthwith comply with those provisions. , /' 2
Date A—f�L�, — -
under penaltyof perjury that there is a Construction lending agency for the Lender's
performance
Lender's Address
.. 4 ant the Properly owner or authorized to act on the:prc
.. d ague read this' Sopiication and the information.I have
.. I BiWe to comply with all applicable city and county c
1 aullorize Tpeagdrttatives of this cityor ceunty to ell
... •.I DATE By
2
ISSUED
is issued (section 3097, Civil Code),
is behalf.
correct,
io state taws relating to building construcfiom
a-idann.U*d property for inspection purposes.
FOR OFFICE USE :ONLY
M ASBESTOS NOTIFICATION. 3U
Ali required alarms, leaches gates and fences which serve as pare of a pool/spa barrier, shall
be in place priorto approval to fill pool/spa &shall remain inplace & be maintained: for the
NOTIFICATION IS NOT APPLICABLE TO life Of the pool.I