HomeMy WebLinkAboutF2023-0428 - Permits��w oRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0428
0� Community Development Department- Building Division F 2 0 2 3 0 4 2 a
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2200
u i Permit Counter Phone: (949) 718-1888 Issued Date : 10109/2023
newportbeachca.gov/civic Final Date:
cq</pppP�P Combination Type - Permit Status: Issued
Work Class - Other 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
FroNsi /'(1
Job Address : 587 NEWPORT CENTER DR Legal Desc :
Description: COMM FIRE ALARM (16 DEVICES) "VERONICA BEARD" 'XC2023-0340/XC_;)C)03 —b1(oC>
Owner: IRVINE COMPANY
Address : 110 INNOVATION DRIVE
IRVINE, CA 92617
Phone: (949)720-2000
Applicant: INTERFACE SYSTEMS
Address: 3750 SCHAUFELE AV, 200
LONG BEACH, CA 90808
Phone : (562) 353-4680
Owner/Builder:
Address :
Phone
Code Edition : 2022
Type of Construction : II-B
Occupancy Groups:
Bldg Height :
Building Setbacks :
Flood Zone : X
Use Zone: PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor: INTERFACE SYSTEMS
Address : 3750 SCHAUFELE AV, 200
LONG BEACH, CA 90808
Phone : (562) 353-4680
Con State Lic : 469046
Lic Expire : 08/31/2025
Bus Lic : BT30046473
Bus Lic Expire : 03/31/2024
Workers' Compensation Insurance
Carrier: TRAVELERS PROPERTY CASUALTY CO OF
AMERICA
Policy No : UBOK0634482243G
W. C. Expire: 10/1/2024
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
i rl NE S ` CTa
Architect
Address
Phone:
••�• '
State Lic
Engineer
Address
Phone:
• " "'
D -signer,
MASON SETTLEMOIR
A:dress :
3750 SCHAUFELE AVE',200,;
I
LONG BEACH, CA 90808
Pthone :
(562) 353-4680
YES Construction Valuation : $8,000.00
NO Added/New/Ti sq. ft. Bldg : 0
1 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
OWNER -BUILDER
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 items)
ction 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernGlish, 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 tho Business and
fessions 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
�iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, hullds 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).
L 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 I am exempt from licensure under the Contractors' State License Low for the following reason:
fy my signature below I acknowledge that, except for my personal residence in which I must have resided for at leas! one year prior to completion of the Improvements cover
oll a structure that I have built as an ownor-builder If it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/iwm .leginfo.ca.gov/calaw.html.
lignature of Property Owner or Authorized Agent ate,
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec n 7 f vision 3 of the Business el Profess C e,
nd effect. License Cliss License No Z Contractor nature
VORK?RS' COI`VENSATION DECLARATION
rARNING: FAILURE TC rS:URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE N DRED THOUSAND DOI
CST O` COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
nereh; affirm under penalty of perjury one of the following declarations:
his permit, I cannot
of the Business and
license is In full force
($100,0001, IN ADCnION TO THE
I have and will meiblow 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
or r. ante of the work for which this permit is issued. Policy No.
oe and will rc r.tain 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'
I,e carrier and policy number are:
Policy Number
of Agent
Dale
certify that tr, the pertdAto
e work for w ch this permit Is issued. I shall not employ any person in any manner s0 as to become subject to the workers' compens Ion I s of California, and age,
t, If I should be m-fubu&7-LENOIN.0
ensahon provisions of Section 3700 of the Labor Code, I shall fort'.hwith comply with those provisions.nature ofAppli `______. _._—. _____...,�_____. ____.-_._. oat J 2Ct_ARATION' EGRDIUCGBNCY=reby affirm under penalty of perjury thata contruction lending agency for the performance of the work for which this permit is issued' (Section 30,. , Civil Code).
rder'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 hav prpqided is c rrect.
I agree to comply with all applicable city and count r n aces state laws relating to building construction.
authorize representatives of this or Dirty t nt r e-identified properly for inspection purposes.
Si nature of Property Owner or Authidak,55 Agent Print Property Owner's or Authorized ent's Name
ACTION I DATE { BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
1 ` REGUTATION5 PART 51 DFTITLE 40 AND AO.MD RULE
PERNIr EXPIRED
( LJ I SUBMITTED ASBFSTOS NOTIFICATIONTO
PERMITCANCELLED
j CJEPA
PERPAIT EXTENDED
(
{ QMD
PERMIT FINAL
J 1 '�k�i
Q�L}TLL �ASBFSr05 N0111-ICAHON 15 N01 APPLICABLE TO
CERTI`ICATE OF
I
114 PROPOSED DEMOt ITION
OCCUPAPrCV ISSUED
I SIGNATURE