HomeMy WebLinkAboutF2020-0038 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111111111 Jill
Civic
C unterPhone(949)644-3288 Beach, CA 92660 F 2 0 2 0 0 0 3 8
Permit
Job Address: 247 NEWPORT CENTER DR NB
Inspector Area: FIRE
Owner: IRVINE COMPANY
Address: 111 INNOVATION
IRVINE CA 92617
Phone:
Applicant: RICHARDIINTERFACE SYSTEMS
Address: 2750 SCHAUFELE AVE
LONG BEACH CA 90808
Phone: 562.353-4680
Code Edit: 2016
BT30046473
Type of Construction:
III -B -SPR
Occupancy Group:
B
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
1
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
FIRE Permit: F2020-0038
Project No: 0155-2020
Inspection Requests Phone (949)644-3255
Description: COMM FIRE ALARM (7) DEVICES (X2019-3682)
Legal Description:
Contractor: INTERFACE SECURITY SYS LLC
Address: 3750 SCHAUFELE AVE #200
LONG BEACH CA 90808
Phone: 562-353-4440
Con State Lic: 469046
Lic Expire: 08131/2021
Bus Lic:
BT30046473
Lic Exp Date:
0313112020
Worker's Compensation Insurance
Carrier:
TRAVELERS
Policy No:
UB9K063448
Expire:
1 0101 /202 0
Issued Date:
01122/2020
Setback- Front:
om s
Rear:
Designer:
Left:
Planning Zoning PC Fee : $0.00
Right:
Address:
Architect:
Address:
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Phone:
State Lic:
FEES
Engineer:
$1,500.00
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Address:
$0.00
Fire Residential Alarm PC Fee : $0.00 Records Management :
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Phone:
State Lic
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Designer:
PETTY PAUL
Planning Zoning PC Fee : $0.00
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Address:
3750 SCHUFELE AVE
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Fire Plan Check Fee:
LONG BEACH CA 90808
Public Works PC Fee: $0.00
$0.00
Phone:
562-3534680
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Special Conditions:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$1,500.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee : $0.00 Records Management :
$2.00
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:
$201.00
Public Works PC Fee: $0.00
$0.00
Fire Permit Fee:
$241.00
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee:
$0.00
TOTAL FEE :
$444.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance :
$444.00
PROCESSED BY:
�j
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
FIRE APPROVAL:
---
APPROVAL TO ISSUE:
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
rrofessions 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
reproved for the purpose of sale).
I, as owner ofeh sproperty;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 o? property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
e.e•
I am exempt from licensure under the Contractors' State License Law for the following reason:
Qr'h ?gi§naturebebw•I.gcknowledge 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
sella stlucture that I haft 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
Wfessiuns Code, it; available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
,ignafure of Property Owner or Authorized Agent Date
ICIENUD CO'NTRAiTOR'S DECLARATION yyyggq
fleret)1l affirm unrler pppalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 7000) of Division 3 of the Business and a'ns Cod and my license is in full force
IA(f effec�.
.ICeRSe. lass License No Dat (- LL-2pzo Contractor Signatur �^
V®l�.P,EfV COgIIPFNSATION DECLARATION
EARNING: FAILURE TO SLCURE 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
:QSTJpfFPMPENSA'RdN, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
IWg4y,2ff1rm urL&? Ddr alty of perjury one of the following declarations:
I have and will .ma.i.
ntain 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 thi
eyAorniame of the work for which this permit is issued. Policy No.
and will(rrir
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'
carrier nd olicy numbWAre: r1a A
ie of Agentt�.�V- tF�.
certify that, in the performance of
, if I should become subject to the
Number
Date
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
gpWenXion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proveions.
signature of Applican �L- S-� uate� t- ��-cvcv
)ECLARATION REGARD G CO STRUCTION DING 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 issued (Section 3097, Civil Code).
.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 prov' ed is correct.
I agree to comply with all applicable city and county ordy0cesqndft6ie laws relating to building construction.
I authorize representatives of this cityor count en r identified property for inspection purposes. %
;Innahlre of Prnnertv Owner or Authorized ADenl , 9 Print PfODertv Owners or Authorized Agent's Name Ich4RD • Ja MN
ACTION DATE BY
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FEDERAL REGULATIONS PART 61OF TITLE40AND
AQMD RULE 1403.
PERMITEXPI RED
❑ f SUBMITTED ASBESTOS N077FICATIOIV TO:
❑ EPA
❑ AQMD
PERMITCANCECLED
PERMIT EXTENDED
❑ ASBESTOS N01IRCA170MIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT.FINAL 0 NkON99AS
CERTfFICATE OF
SIGNATURE:
OCCUPANCYISSDED