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HomeMy WebLinkAboutF2023-0201 - Permits�EwPoRr City of Newport Beach IIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2U23�U2U1 C� ,I Community Development Department - Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1045 Permit Counter Phone: (949) 718A888 Issued Date : 0510812023 newportbeachca.gov/civic Inspection Area : FIRE �9G/FOPN�P 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 Address : 100 BAYVIEW CIR, 270 Legal Desc : N TR 12528 BLK LOT 2 Description : COMM FIRE SPRINKLER SYSTEM 7 HEADS (XC2022-2128) Owner: GPI BAYVIEW LLC Address : 5601 GRANITE PKWY STE1200 PLANO, TX 75024 Phone : Applicant: ALL PRO FIRE PROTECTION INC Address: 179 ROYMAR RD OCEANSIDE, CA 92058 Phone: (951)244-9836 Owner/Builder : Address : Phone Contractor: ALL PRO FIRE PROTECTION INC Address : 179 ROYMAR RD OCEANSIDE, CA 92058 Phone: (951)244-9836 Con State Lic : 629993 Lic Expire : 12/31/2023 Bus Lic : BT30029935 Bus Lic Expire : 08/31/2023 Workers' Compensation Insurance Carrier: OAK RIVER INSURANCE COMPANY Policy No : 345573 W. C. Expire : 3/1/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 Bldg Height: No of Stories: 6 Building Setbacks : Flood Zone : X Use Zone : PC - Bayview PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address Phone: Designer: ALL PRO FIRE PROTECTION INC Address: 179 ROYMAR RD OCEANSIDE, CA 92058 Phone : (951) 244-9836 Construction Valuation : $1,850.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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) 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 lie 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 fora permit subjects the applicant to a civil penalty of of more than five hundred doliars ($500). 1 1, as owner of the property, or my employees with wages as thelr sole compensation, will do f_) 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. Ir, however, the building or improvement Is sold within one year of completion, the Owner -Builder will have theburden of proving that It was not built or reproved for the purpose of sale). 3 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 poly 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). 1 t am exempt from licensure under the Contractors' State License Law for the following reason: _ -y 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 ILgall) 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:liw w.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 Chapg toy,g,{cQm�mencing with Section 0) osidn 3of the Business and Prof ionsCods nd my license is in full force nd effect. License Class License No & L % i 7J Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TC ONE HUNOREO THOUSAND UOLARS (Si OD,000), IN AOOMON 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 I have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Diroctdr of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, erformance 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 pennii is issued. My workers' carder and policy number are: Policy Number of Agent Date JI 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 ago Ial, if I should become sub)ect to the workers' corn ensabon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignalure of Applicant Dale .5'�+'—z3 ECLARATIONREGA_:ONSTRUCTI LENDING,40ENCY ----- hereby affirm under penalty of perjury that t re is a construction lending agency for the performance of the work for which this permit isissued (Section 3097, Civil Code). ender's Name Lenders Address y Inv sig, lature below, I certify to each of the following: I am toe propzrt) owi,er or authorized to act on the property owner's behalf. I base read this application and the information I have provided is correct. I ag ee to comply with all applicable city and GoUIIV ordinances and slate laws relating to building construction. I au'horize representatives of this city or count t enter the ab/c �e•Identified property for inspection purposes. \/ J��� j,�y� y /% wnatj a of PrODertv Owner or Authorized Aoant /Ni-Z l� Print Pronerty Owner's nr Authnrizw i Anw.'. Names ) ),S Vz w' - i/nalP OATSDECLARCE WITH CODE OF FEDE I BY I REGULATIOONS PART 6.1 OF TN OF IITLE 40 AND AQMD RULERAL I FOR OFFICE USE ONLY FEAMIT EYPIRED I SUBMITTED ASBEST05 NOTIFICATION TO _ PE,f;h'.TCANCELLEO � E_PA _ PE.7�✓„I EXTENDED PER,L9iT FINAL CERT(RCATE Of OCCUPANCY ISSUED _ _ � J _ p. a3 [) 7J-�t-Q-gqM 0ASBESTO5 NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION 51GNATUREt