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HomeMy WebLinkAboutF2020-0407 - Permits9r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIII�IIIIIIIIIIIIIIIIIII FIRE Permit: F2020-0407 .fat 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 4 0 7 Project No: 1808-2020 = Permit Counter Phone (949)644-3288 r''4rnu> Inspection Requests Phone (949)644-3255 Job Address: 650 NEWPORT CENTER DR NB St: 1 Fl: 16 Description: COMM FIRE SPRINKLER TI 16TH FLR (X2020-1334) 0 HEADS Inspector Area: FIRE Legal Description: Owner: 650 NEWPORT CENTER DRIVE Contractor: APEX FIRE SYSTEMS INC Architect: INSPECTOR Address: PO BOX 2450 Address: 18009 SKY PARK CIRCLE #L Address: NEWPORT BEACH CA 92658 IRVINE CA 92614 Phone: Phone: 949-387-2859 Phone: State Lie: Applicant: APEX FIRE Con State Lie: 732396 Engineer: Address: 2961 W MACARTHUR Lie Expire: 09/30/2021 Address: SANTA ANA CA 92204 Bus Lie: BT30006908 Phone: 949.337-9679 Lie Exp Date: 01/31/2021 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: READ MARC Type of Construction: I -A -SPR -Carrier: EMPLOYEE SVC GRP Address: 2961 W MACARTHUR Occupancy Group: B Policy No: C65210897 SANTA ANA CA 92204 Added /New sq.ft. Bldg: 0 Expire: 1110112020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 20 Issued Date: 10/1912020 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $1,000.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $0.00 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: $119.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $181.25 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : $300.25 Plan Check Fee: $119.00 Fee Due at Permit Issuance : $181.25 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: C:Asm APPROVAL TO ISSUE: I I ~ 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 he 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 lot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved for the purpose of sale). 7 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 Ipply 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 am exempt from licensure under the Contractors' Slate License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalh yell 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/calow.htmi. 31gnature 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 (commencag with Sectio7 700 ) of Division 3 of Business and Profess' Code, and my license is in full force Ind effect. - .icense Class License No Da b Contr ignature YORKERS' COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ;OST 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: 7 1 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 th paprmance 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' carrier and policy number are: Policy Number Date is of Agent Phone # certify that, in the performance h war which this permit is issued, I shall not employ any person in any manner so as to becomg subject to the if I should become subject _ tFLe or s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tipse provisions. ;ignature of Apis ��P�'" )ECLARATION GARDING C ST UCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is ender's Name Lender's Address ly 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 correc I agree to comply with all applicable cit county I nces a ate laws relating to building construction. I authorize representatives this or county to 'A'(� r t - e -identified property for inspection purposes. linnaf ire of PmnPrIV Owner or orized ADent 9 Print Prooertv Owners or Authorized AlInO. ACTION I DATE PERANTFINAL CERTIFICATE OF OCCUPANCVfSSUEO FEDERAL REGULA77ONS PART Of OFTITLE4OAND AQMDRUL€1403. ❑ f SU13AUTFEDASBESTOS NODFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NODRCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: (Section 3097, Civil Code). laws of California, and