HomeMy WebLinkAboutF2022-0471 - PermitsCity of Newport Beach II II
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Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
C9G/FOftN�P
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
COMB Permit : F2022-0471
Plan Check No: PC2022-2252
Issued Date : 09/07/2022
Inspection Area : FIRE
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCEZATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL MEAS
Job Address : 500 NEWPORT CENTER DR, 800
Description: TI RELOCATE 36 FIRE SPRINKLERS "FIFTH
Owner: 50 NEWPORT CENTER DRIVE LLC
Address :
NEWPORT BEACH, CA 92658
Phone:
Applicant: APEX FIRE SYSTEMS INC
Address: 2961 W MACARTHOR BLVD STE 118
SANTA ANA, CA 92704
Phone: (949)337-9679
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
2019
I -A
B
X
PC - North Newport Center
SPECIAL CONDITIONS:
SK 387 PG 41 PAR 2
'022-0497)
3EX FIRE SYSTEMS INC Architect
d61 W MACARTHOR BLVD STE 118 Address
SANTA ANA, CA 92704
Phone : (949)'337-9679
Phone:
Con State Lic : 732396
State Lic
Lic Expire: 09/30/2023
Bus Lic: - BT30006908'
Engineer
Bus Lic Expire : 01/31/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: ACE -AMERICAN.INS CO
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Policy No: C69981185 Designer: APEX FIRE SYSTEMS INC
`-. W. C. Expire: 11/1/2022 Address: 2961 W MACARTHOR BLVD STE 118
SANTA ANA, CA 92704
Phone: (949)337-9679
Fire Sprinklers: :YES
Construction Valuation : $3,600.00
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg: 0
No of Units : 0
r' Alteration sq. ft. Bldg:
No of Stories : 9
Added/New sq. ft. Garage: 0
t 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 keri
coon 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
permit to file -asigned 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
fessions Code) or that he or she is exempt from foansure, and the basis for the aileged;exemption. Any violation of Section 7031.5 by applicant fora permit subjects the applicant to a civil perialtyof
more than five hundred dollars ($500),.
t; as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered far sale (Section 7044,
mass. and Professions Coder. the Contrerfors State License Law does notapply to an. owner of property who, through employees or personal effort, builds or Improves the:property, provided that the
rovemonts are not intended or offered for sale. It 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
roved for the puOPaa® of sale)::
1, as owner of theyxeperty, am exclusively contracting With licensed Contractors to construct the project (Section 7044, Business and Professions Code: The. Contractors` State License Law does not.
Iv:oanowneroc aropafij 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 f6i,4Woansure-under the Contractors' State License Lawfor the following reason:
n'y,sigriaturebelow t 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 legai
I sitdctut that] pgve built as an owner -builder It it has not been constructed in its amirmy by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
fessirtns Goderis available Upon request when this application is submitted or at the following Web site:http:/hvww.leginfo.ca.gov/calaw.html,.
of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) _ " iom3.#if the Business and Rrdfe=�ij7ns C e, and y license is 3n full force
License No Date ^ � 2 Z Contractor. Signature �C Z�
gQRKEI;S' C0PPI;Ny;AT10N DECLARATION
rAFOjIVG:FJJ-URETOSI!CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TOONE HUNDRED THOUSAND DOLLARS t8368,000i, IN ADDITION TO T
DST oftdCOPENSATIQN. DWORS AS PROVIDED FOR IN SECTION 3746 Of THE LABOR CODE,INTEREBT, AND ATTORNEY°$ FEES.
heretf affirm un8grptnaty:of perjury one of the following declarations:
I I have and will maintain a certificate of consent to self3nsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
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ante of the work for which this permit is issued. Policy No.
and unit 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' compense
rance carrierand policy number are:
Policy Number — ..
re of Agent.
certify that, in the performance of the work for wttich this permit is issued, 1 !
t, if I should become subject to the workars' compensation provisions of Sect
nature of Applicant
CLARATION REGARDING CONSTRUCTION LEN ING AGENCY
u'eby affirm under penalty of perjury that them is a Construction lending agen
titer's Name. .
my signature below, I certify to each of the following:
Lam the property owner or authorized to: act on the property owner's behalf,
I have read this application and the information 1 have provided is correct,
i agree to comply with all applicable city. and county ordinances and state IS
authorize representatives of this city or county tq eni4r the above -identifier
BY
CEIMFICATEOF
.00CUPANCY ISSUED
OF
Date
arson in any manner soas to become subject to the workers' Componsation laws of California, and agree
Code,.. I:shall forthwith comply withthose provisions.
Date tre % 7— 2 z
of the work for which this. permit, is issued (Section 3097, Civil Code),.
building construction,
inspection purposes.
EMMIME
NOTAPPLICABLE TO