HomeMy WebLinkAboutF2018-0496 - Permitsu City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII��IIIIIIIIIIIIIIII I'
p 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 4 9 6
N Permit Counter Phone (949)644-3288
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Job Address: 1801 BAYSIDE DR NB
Inspector Area: FIRE
W POR OF
Owner:
BALBOA YACHT CLUB
Address:
1801 BAYSIDE DR
Phone:
CORONA DEL MAR, CA 92625
Phone:
949-673-3515
Applicant:
APEX FIRE SYSTEMS INC
Address:
18009 SKY PARK CIRCLE #L
Lie Exp Date:
IRVINE CA 92614
Phone:
949-387-2859
Code Edit : 2016
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
V-BSPR
B/A3/S2
0
0
FIRE Permit: F2018-0496
Project No : 2166-2018
Inspection Requests Phone (949)644-3255
Description: COMM ADD & TI FIRE SPRINKLERS (18 HEADS) X2017-3483 "BALBOA
Legal Description: TACAT NO 6927 LOTS A & B POR OF LOT B ALSO SEC 36 T 6 SR 10
Contractor: APEX FIRE SYSTEMS INC
Address:
18009 SKY PARK CIRCLE #L
FEES
IRVINE CA 92614
Phone:
949-387.2859
Con State Lie:
732396
Lie Expire:
09130/2019
Bus Lie:
BT30006908
Lie Exp Date:
01131/2019
Worker's Compensation
Insurance
Carrier:
EMPLOYEE SVC GRP
Policy No:
RWCC64404362
Expire:
11/01/2018
3 Issued Date: 0911212018
0 Setback- Front:
Rear:
Y Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
II VV JOR
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: � PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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FEES
State Lie:
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$2,500.00
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Fire Residential Alarm PC Fee :
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$2.00
Building Overtime PC Fee:
$0.00
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$0.00
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$0.00
Planning Zoning PC Fee:
ee o
State Lie:
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Fire Plan Check Fee:
$139.00
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TAYLOR JACK
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Fire Permit Fee :
18009 SKYPARK CIRCLE
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IRVINE CA 92614
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949-307-2859
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TOTAL FEE :
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$0.00 Fee Due at Permit Issuance :
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PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: � PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$2,500.00
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:
$139.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$212.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee:
$0.00
TOTAL FEE :
$353.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$353.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: � PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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
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).
❑ 1, 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).
'.❑ 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
..apply Wan ownef'of-property who builds 3rAmproves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 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; L pave 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 Cotlg,•ig pfailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Fop t.& of Property Owner or Authorized Agent Date
LICENBED CONTRACTOR'S DECLARATION
I hereby affirm un(%r penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr fes ions Co , and my license is in full force
5ndsf{€ct. C
License Class • • License No AE
iZ C�l Contract r Si nature r
1V(5l9nRS' COMPL*NSATION DECLARATION
IaQQr{1r:tG: FAILURF.TO •SE(aIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT ANER TO CRIMINAL PENALTIES ANO CN NES UP TO ONE HUNDRED THOUSAND DOLLARS 15700,0001, IN ADDITION TO THE
COST OFCOMPENSALON, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND AY'S FEES.
•••
hereb•y affirm under penalty of perjury one of the following declarations:
and•4iu pAntain 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
z of the wod( for which this permit is issued. Policy No.
qqd A snalGtain 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' compensa
;at rierantl'policy number are:
Policy Number
of Agent
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 subje to e w rker ' o pensalion provisions of Section 3700 of the Labor Code, I shall forthwith com ith those provisions.
Date _ q i Z /lrp
lal re of App ant. / / ri
Ireby aiFhm-under.perWty of perjlry thAt.there. is a. construction lending agency for the performance of the work for which thiapegfiit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
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 this
c city and cop nonce to laws relating to building construction.
I authorize representativ eof of this i runty t IT t ab I t!fled property for inspection purposes.
nature of Property Owne o_rAuorized Agent Print Property Owner's or Authorized
ACT70N
DATE 6, BY
DECLARATION OFCOMPLIANCEWTTHCODEOF
lr"' RGTRCE USO LY
FEDERAL REGULATIONSPART 61 OFTLTLEW AN
AQMD ROLE 1603.
PERMITEXPIRED
❑ I SUBMfTr€DASSESTOS HOJIFLCATLON TOr
❑ EPA
❑ AQMD
PERMIT CANCELLED
P£RMITEXTENDED
[3 ASBESTOS NOBDCATIONIS NOT APPLICABLE TO
PROPOSED. DEMOLITION.
PERMITFINAL
'
CERTfFICATE OF
OCCUPANCYISSOED
SIGNATURE: