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Home My WebLink AboutF2021-0630 - Permits7M1.....% City of Newport Beach - Building Division II II II I II IIIII IIII II II II II II .� 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 6 3 0 Permit Counter Phone (949)644-3288 E•a [�XUY?fix. Job Address: 880 IRVINE AVE NB Inspector Area: FIRE Owner: UDR NEWPORT BEACH NORTH LP Address: 1745 SHEA CENTER OR #200 HIGHLANDS RANCH CA 80129 Phone: Applicant: CARLOS/APEX FIRE Address: 2961 WMACARTHUR#118 SANTA ANA CA 92704 Phone: 949-337-9679 Code Edit: 2019 Type of Construction: Occupancy Group: F Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y 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 TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $12,000.00 Description: MFR UNDERGROUND FIRE LINE Legal Description: 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: 0913012023 Bus Lic: ST30006908 Lic Exp Date: 01/3112023 Worker's Compensation Insurance Carrier: EMPLOYEE CRVS GRP Policy No C69981185 Expire: 11/01/2022 Issued Date: 0511912022 Setback- Front: Rear: Left: Right: FEES $0.00 Fire Residential Alarm PC Fee $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee $0.00 $325.00 Public Works PC Fee: $434.00 Public Works Traffic Plan Check Fee; $0.00 $763.00 Plan Check Fee Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: $0.00 $0.00 $0.00 $0.00 $0.00 FIRE Permit: F2021-0630 Project No : 2958-2021 Inspection Requests Phone (949)644-3255 State Lic: State Lic: MARC/APEX FIRE SYSTEMS INC 2961 W MACARTHUR BLVD #118 SANTA ANA CA Records Management $325.00 Fee Due at Permit Issuance OTHER DEPARTMENT: FLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRFS 186 DAYS PFTEF ISSUANCE OR LAST VALID INSPECTION $4.00 $0.00 $0.00 $438.00 ER -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 the 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 not 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, Business 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 improvements 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 improved 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 apply 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: By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 Profe ion Cnse is in full force and effect. �} / License Class 7t I it License No ! ^7 2� [ �� Date -( Z�— Contractor Signatur WORKERS' COMPENSATION DECLARATION JJARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST 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: 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 -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' cailt�ter (O a7 /n(— l "! 'd Deity number are: /� /�' n [� LJ QPolicy Number q/1 9I_ Expiration Date t I/ 1/Z2" of Agent certify that, in the performance of the work for)fhich 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 o kers' pe satio r Isloi s of/S/�j'Ion 3700 of the Labor Code, I shall forthwith comply with those pr�o�ve/,Ions. d // nature of Applicant X //� _ Date , /► � / / Z 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 (Section 3097, Civil Cede). Lender's Name Lender's 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 proyide9 is correct. I agree to comply with all applicable city and county Droll no s an t to laws rel t' g to building construction. I authorize representatives of this city or coun to ent a bov -id ified p y for inspection purposes. _P Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name r�Lt4/�n (/c-''tO°r Date AC77ON DATE BY DECLARATION OFCOMPLtANCEWITHCOD,EOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TI R F X0 AND AOMD RULE 1403. - PERMIT EXPI RED ❑ fEUE,MITLDASBt3TOE.iOTIF1(-MTIONTO: ❑ -P." - ❑ AOML' PERA,VTCAPJCELLED PERMITEXTENDED ASBESTOS PROPOSED DEMp II NOTOCLATtON lS NOT APPLICABLE TO PERMIT FINAL Z a3 CE,4tIC1CATEOF SIGNATURE: OCCUPANCYVSSUED