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Home My WebLink AboutF2019-0619 - Permits�k3%77}� City of Newport Beach Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII II FIRE Permit: F2019-0619 >'* 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 6 1 9 Project No: 2511-2019 ,fin Permit Counter Phone (949)644-3288 �4, 0,a Inspection Requests Phone (949)644-3255 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Job Address: 2001 WESTCLIFF OR NB St: 1 FI: 1 Unit: 103 Description: COMM - FIRE SPRINKLERS (40) "MEMORIAL CARE BREAST CARE Inspector Area: FIRE Legal Description: V Owner: HANKEY INVESTMENT COMPANY Contractor: APEX FIRE SYSTEMS INC Architect: 41l� Address: 4751 WILSHIRE BLVD #110 Address: 18009 SKY PARK CIRCLE #L Address: LOS ANGELES, CA 90010 IRVINE CA 92614 Phone: Phone: 949-387-2859 Phone: State Lic: Applicant: APEX FIRE SYSTEMS Con State Lic: 732396 Engineer: Address: 18009 SKY PARK CIR, SUITE C Lic Expire: 09/30/2021 Address: ° IRVINE CA 92614 Bus Lic: BT30006908 0000°.°o Phone: 949.337-9679 Lic Exp Date: 01131/2020 Phone: State Lic: ° 0 ° ommmmo o°0000 ° Code Edit :2076 Worker's Compensation Insurance Designer: CARLOSIAPEX FIRE ° ° Type of Construction: V -B -SPR Carrier: EMPLOYEE SVC GRP Address: 18009 SKY PARK CIR, STE C Occupancy Group: B Policy No: C65210897 IRVINE CA 92614 0 Added /New sq.ft. Bldg: 0 Expire: 11/01/2020 Phone: ...... ° Added/New sq. ft. Garage: 0 No of Stories: 3 Issued Date: 11/14/2019 Special Conditions: 0omm No of Units: 0 Setback -Front: °00000 Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: ° ° °o 000moo ° FEES Construction Valuation: $0.00 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: $216.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $293.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $51 00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $511.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: !� , •1 I ICT.Y APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-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) 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 ie 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 'rofessions 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, lusiness 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 n roved for the purpose of sale). 1,. 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). I am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 legally 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:/Avww.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirmurder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions and my license is in full force nd effect. /� ioanes Class License No Date � 7 Contractor Signat t VOVERS' COMPENSATION DECLARATION IARNINO: FAILURE It SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE OSf 8F COMPENSATION,OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • • 11p•reEX affirm •under•penalty• of perjury one of the following declarations: I•have andVift=naintain 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 th lVormence of thewft 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' carriej:iV4 Dalicy number are: • Policy Number Expiration Date 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 if I should become subject to the workers' cpm eJ�> nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / lature of Applicant �/ _ _. Date /��/ / 7 /Z 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) ender's 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 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 enter thVbov/eidentifi property for inspection purposes. innature of Pmnerty Owner or Authorized Anent z�- Print Prooertv Owner's or Authorized Agent's Name �'"�= ��'e TG Date ACTION DATE BY UrLLAtw rruin Ur lVFWrIJAIVtCVVI In �VIJZ VV run urrl. .c u1V1r FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMDRULE1403. PERMITEXPIRED I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED D ASBESTOS RON13 NOT APPLICABLE TO PROPOSED DEMOLITION, PERMIT FINAL / D 12-1�%i� CERURCATEOF SIGNATURE: OCCUPANCYISSUED