HomeMy WebLinkAboutF2020-0470 - PermitsCity of Newport Beach - Building Division *F2020-0470*
100 Civic Center Drive, Newport Beach, CA 92660
v Permit Counter Phone (949)644-3288
Job Address: 509 31 ST ST NB
Inspector Area: FIRE
Owner: CANNERY PARTNERS LLC
Address: 660 NEWPORT CENTER DR #200
NEWPORT BEACH CA 92660
Phone: 949-9994545
Applicant: APEX FIRE SYSTEMS INC
Address: 18009 SKY PARK CIRCLE #L
IRVINE CA 92614
Phone: 949-387-2859
Code Edit: 2019
Type of Construction
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Flood Zone:
Bldg Sprinklers: Y
Construction Valuation
Building PC Fee:
Building Overtime PC Fee:
Building Extention Fee:
Building Investigation Fee:
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee:
TOTAL FEE :
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$20,000.00
FIRE Permit: F2020-0470
Project No: 2184-2020
Inspection Requests Phone (949)644-3255
Description: MIXED USE (X2018-2697) UNDERGROUND FIRE LINE
Legal Description: LANCASTERS ADD BILK 530 LOT 5 AND BLK 530 LOT 6
Contractor: APEX FIRE SYSTEMS INC Architect:
Address: 18009 SKY PARK CIRCLE #L Address:
IRVINE CA 92614
Phone:
949-387-2859
Con State Lie:
732396
Lie Expire:
09130/2021
Bus Lie:
BT30006908
Lie Exp Date:
01131/2021
Worker's Compensation Insurance
Carrier:
ACE AMERICAN INS CO
Policy No:
C68630538
. Expire:
11101/2021
Issued Date: 02/11/2021
Setback- Front:
Rear:
Left:
Right:
FEES
$0.00
Fire Residential Alarm PC Fee
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee
$0.00
$318.00
Public Works PC Fee:
$425.00
Public Works Traffic Plan Check Fee;
Plan Check Fee:
Phone: State Lie:
Engineer:
Address: • • •"
• o
{mmm
Phone: State Lie:> d
4 m
Designer: READ MARC m mm
Address: 2961 W MACARTHUR
SANTA ANA CA 92704 e m
cmn4am
Phone: 949-337-9679 m
Special Conditions:
m N
m0•msm
n
•m o
n 1 C
44
m c
$0.00 Records Management: $10.00
$0.00
$0.00
$0.00
$0.00 $0.00
$0.00
$318.00- Fee Due at Permit Issuance : $435.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
061mm
0
m0000
4osam4
0 0 0
a �
ocmm•c
c c
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
VNER-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)
Iction 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 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
Ifessions 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
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,
siness 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
)rovements 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
)roved for the purpose of sale).
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
)ly 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
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
I 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
Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
nature of Property Owner or Authorized Agent Date
TENSED COWT-RACTOR'S DECLARATION
�reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Profess* de, r(d my license is in full force
License No
JKEjtS' COMPENSATION DECLARATION
ING?FAILURE TQ E SECU WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CI
OFCOMPENSpT}QAye AGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
i affirm under penalty of perjury one of the following declarations:
/ _i.. Contractor Signature
LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN DOLLARS ($100,000), IN ADDITION TO THE
lav% and Alt irkRlain 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
Bnce of the work for which this permit is issued. Policy No.
e:and will inairgsin 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' compenss
3nc@camer-andfJo6cy number are:
AYAgent """
certify that, in the performance fVk�
for
if 1 should become subject to '
latum of Applicant
Policy Number
Date
this permit is issued, I shall not employ any person in any manner so as to become subject to the
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions;
hereby affirm under penalty of perjury lhat'there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
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 correct.
I agree to comply with all applicable city and county ordina and at aws relating to building construction.
I authorize representatives of this city or county to en ov entified property for inspection purposes.
"...,..+— ,.f o.. -. ,, rrn.,.,e r Print Pmnerty Owner's or Authorized ADent's Name
ACTION
DATE
v g
VCULAr r rWrr yr a.vinrusalrt.r_.rr r I I 1 v yr
FEDERAL REOULATIONSPART 61 OFTITLE40AND
AOMD RULE'1403.
-
PERMITEXPIRED
❑ISUBMITTEDASBESTOSNDRFICATtONTO.'
❑ EPA
❑ AOMD
ASBESTOS NORRCATIONISNOT APPLICABLE TO
PROPOSED.DEMOUTION.
PERMIT CANCELLED
PERMITEXTENDED
^0
�,I ��] p� A -
PERMIT FINAL
Y)/1.
CERT7FICATEOF
SIGNATURE:
OCCUPANCYISSUED
Code).
6
laws of California, and