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Home My WebLink AboutF2019-0451 - Permits�1Rxv14r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2555 VISTA DEL ORO NB Inspector Area: FIRE Owner CITY OF NEWPORT BEACH Address: 2555 VISTA DEL ORO NEWPORT BEACH, CA 92660 Phone: Applicant: APEX FIRE (CARLOS) Address: 18009 SKY PARK CIR Worker's Compensation IRVINE CA 92614 Phone: 949-337-9679 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 -B -SPR B/A3 0 0 II �II I I�IIII�I II�I�I II� IIIII45 � 1 II FIRE Permit: F2019-0451 Project No: 1771-2019 Inspection Requests Phone (949)644-3255 Description: COMM FIRE SPRINKLER TI "BOYS AND GIRLS CLUB" (X2019-0768) Legal Description: IRVINE SUB LOT BLK 52 FOR OF BLK AS PER DD -75221161 OR - Contractor: APEX FIRE SYSTEMS INC Architect: I N ^ ^ E ^T® R Address: 18009 SKY PARK CIRCLE #L Address: `\J 1f••/ (V' IRVINE CA 92614 Phone: 949-387-2859 Phone: State Lic: Con State Lic: 732396 Lic Expire: 09/30/2019 Bus Lic: BT30006908 Lic Exp Date: 01/31/2020 Worker's Compensation Insurance Carrier: EMPLOYEE SVC GRP Policy No: RWCC64404362 Expire: 1110112019 1 Issued Date: 0 810 712 01 9 0 Setback- Front: Rear,. Y Lek: Right: Engineer: FEESmmmm Address: °O°• Doom $6,500.00 Phone: State Lic: Building PC Fee : Designer. LOPEZ CARLOS m•Om°o 0 0 •••°°° Address: 18009 SKY PARK CIRCLE #L Planning Counter Review: $0.00 IRVINE CA 92614 • o° m°° Phone: e000 ° °p o o momm m ° • Special Conditions: *CITY JOB* $0.00 m o Fire Permit Fee- $383.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: ° ° 00 ommme 0 m mom°o Plan Check Fee : $0.00 Fee Due at Permit Issuance : ° ooco°o PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: 2 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEESmmmm °O°• Construction Valuation: $6,500.00 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: $276.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee- $383.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE: $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: 2 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION DECLARATION I_.. 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) -- 3ection 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 to 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 U 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. 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 nproved for the purpose of sale). 1 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 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). 7 -I am exempt from licehsurd under the Contractors' State License Law for the following reason: ly 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://www.leginfo.ca.gov/calaw.html. ;ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of t e Business and Prof�slo Code, y license is in full force nd effect. .... G,c// icense Class .... License Nof- ! �! 9 Contrac or ignature V0FJAERS' PQRIPFNSATION DECLARATION DARNING: FAILURPTVSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($';00,000), IN ADDITION TO THE OST %COMPENSAJION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm updw penalty of perjury one of the following declarations: 9.1 Roue and wiM 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 the erf(tffhance of.the wodc for which this permit is issued. Policy No. L' and;Ift 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' compensatior 1 trance carrier and policy number are: �a'riier :._!_ _ _: Policy Number Expiration Date qj jgrjiiy that, n t'he�erformance 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 ag iat, if I should belt/oyne su/bjee toottFjp workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho revisions. ignature of�6ant Lam" Dat �r ` -/ IECLARATI GARDING CONSTRUC ON LENDING AGENCY hereby affirm unde 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 and_co/unty ordinances and state laws relating to building construction. I authorize representatives of this city or .ny ro en the ve-identifie property for inspection purposes. ;ignature of Property Owner or Authorized ent G Print Property Owners or Authorized A ent's N m Gni�J lir. "' ate ACTION DATE BY DECLARATION OF COMPLIANCEWITN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PARTBI OF TIILE40AND PERMITFIN L CERTiF{CAT€ OF OCCUPANCYISSUED I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AOMD ASBESTOS NORFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: