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HomeMy WebLinkAboutF2021-0487 - PermitsF'�vvPORr City of Newport Beach 0 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 �. Permit Counter Phone: (949) 644-3288 u Ya' Inspection Requests Phone: (949) 644-3255 ogc7FpaN�P'"� newportbeachca.gov/inspections Combination Type - Work Class - Alteration COMB Permit : F2021-0487 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Plan Check No : 2430-2021 Issued Date : 0212312022 Inspection Area : FIRE PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 880IRVINE AVE LegalDesc: Description: COMM FIRE SPRINKLERS (261) HEADS -BASEMENT REMODEL, CREATE (20) ADU'S @ THE 1ST AND 2ND FLOORS (X2020-2729) Owner: CORONADO SOUTH APARTMENTSLP Address : 1745 SHEA CENTER DR, 200 HIGHLANDS RANCH, CO 80129 Phone: (951)505-8008 Applicant : APEX FIRE SYSTEMS INC Address: 2961 W MACARTHUR BLVD, 118 SANTA ANA, CA 92704 Phone: (949)337-9679 Owner/Builder : Address : Phone Code Edition : Type of Construction : V-B Occupancy Groups: R-2 Bldg Height : Building Setbacks Flood Zone Use Zone: PROCESSED BY: SPECIAL CONDITIONS: Contractor: APEX FIRE SYSTEMS INC Address : 2961 W MACARTHUR BLVD, 118 SANTA ANA, CA 92704 Phone: (949)337-9679 Con State Lie : 732396 Lie Expire : 09/30/2023 Bus Lie: BT30006908 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: ACE AMERICAN INS CO Policy No : C69981185 W. C. Expire : 11/1/2023 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 0 No of Stories : Architect Address Phone : State Lie Engineer: Address Phone Designer: APEX FIRE SYSTEMS INC Address: 2961 W MACARTHUR BLVD, 118 SANTA ANA, CA 92704 Phone: (949)337-9679 Construction Valuation : Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft.: 0 LAW i,_u r�_r-�U OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (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 Ilcensure 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 (S500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, Will do (_) all of or L) 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 I�rm 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 .apply 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' Stale 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 jsell 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 70" of the Business and iProfessions Code, is available upon request when this application Is submitted or at the following Web site:httpl/www.leginfo.ca.gov/calaw.html, Signature of Property Owner or Authorized Agent Dale LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, no ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 IN performance of the work for which this permit is issued. Policy No. have 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' rance carrier and 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 L, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. nature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby affirm under 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). 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 applicable city and county ordinances and stale laws relating to building construction. I authorize representatives of this city or County to enter the above -Identified property for inspection purposes. nature of Property Owner or Authorized Agent _ _ Print Property Owner's or Authorized ADent's Name Data ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED qMD PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED 3 IL\fill�Z1J ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: