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Home My WebLink AboutF2021-0137 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FIRE Permit: F2021-0137 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 1 3 7 Project No : 0807-2021 w ', Permit Counter Phone (949)644-3288 9k} `c�tlra5i4 Inspection Requests Phone (949)644-3255 Job Address: 1083 NEWPORT CENTER DR NB St: 1 FI: 1 Unit: A Description: COMM FIRE ALARM (3 DEVICES) X2020-2759 Inspector Area: FIRE Owner: IRVINE CO Address: 550 NEWPORT CENTER DR NEWPORT BEACH, CA 922660 Phone: Applicant: INTERFACE SECURITY SYS LLC Address: 3750 SCHAUFELE AVE #200 LONG BEACH CA 90808 Phone: 562-3534440 Code Edit: 2019 Type of Construction: V -B -SPR Occupancy Group: M Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone: Bldg Sprinklers: Y Construction Valuation: $2,735.00 Building PC Fee : Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee INII[-lil PROCESSED BY: ZONING APPROVAL: � FIRE APPROVAL: Legal Description: P BK 221 PG 30 PAR 6 Contractor: INTERFACE SECURITY SYS LLC Address: 3773 CORPORATE CENTER DR $0.00 EARTH CITY, MO 63045 Phone: 314-565-0100 Con State Lie: 469046 Lie Expire: 0813112923y0 -k -A Bus Lie: BT30046473 Lie Exp Date: 031311 M02 'L07.a._ Worker's Compensation Insurance Carrier: TRAVELERS PROPERTY Policy No: UB9K06344620 Expire: 10/01/2021 Issued Date: 0411412021 Setback- Front: em o Rear: Left: 00000 Right: m FEES $0.00 Fire Residential Alarm PC Fee: $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee: $0.00 e o $166.75 Public Works PC Fee $237.75 Public Works Traffic Plan Check Fee; $0.00 $416.50 Plan Check Fee: Architect: � 1 Address: � '@,� IS -11—p� Phone: State Lic: ii Engineer Address: Phone: Designer: Address: Phone: Special Conditions: State Lie: PETTY PAUL 3750 SCHAUFELE AVE #200 LONG BEACH CA 90808 $0.00 Records Management $0.00 $0.00 $0.00 $0.00 eeee e o oeoe oea000 Doom a o • . o 0 m• o e e momemm e o m m o 0 em o mmeo m 00000 emmm m mmooe 000000 0o e m o 0 c m o o e e o0 eeeeoo 0 o e o mmoo coomom $12.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $416.50 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 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 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 not 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 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 Erim roved for the purpose of sale). 1, 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). ❑ 1 am exempt from licensure under the Contractors' State 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 sell 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 Professions Codei is available upon request when this application is submitted or at the following Web site:http:/ANww.leginfo.ca.gov/calaw.htmi. Signature of Properly Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1412tdb affirm A?Jlr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine s and Pr ssions Code, and my license is in full force and effect. L'aensa Class . License No D�tp� r - `� ' Z I Contractor ature e VYOR,KERS' qPffl€NSATION DECLARATION ✓� NARNINO: 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 ($100,000), IN ADDITION TO THE Cost QF COMPEIJV119N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I trdfa% affirm ungdrjWnally of perjury one of the following declarations: MI have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thI �$orhjance of fl a work for which this permit is issued. Policy No. and wllZilltain 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' compensatior os ranee carrier•and policy number are: errier • • • • • • Policy Number Expiration Date is of Agent i none r certify that, in the performan gg(( the work f which this permit is issued, I shall not employ any person in any manner so as to become su if I shovkLbecome subjpc o,tfle yaorJcBrp compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those IECLARATION REGARDING CONSTRUCTION LENDING 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 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 count 0d ina ved state laws relating to building construction. I authorize representatives of this city oVeu e r a -identified property for inspection purposes. nature of Property Owner or Aut Agent 7`/l Print Property Owner's or Authorized ey*s Nr ACTION DATE BY DECLARATION OF COMPLIANCE IM IHCOO FEDERAL REGULATIONSPART 69 OFTITLE40 ANO AQMD RULE 9403. PERMtTEXPIRED ❑ISUBN6TTEOASBESTOSNOBFiCATIONTO. ❑ EPA ❑ AQMD PERMITC,ANCELLED PERMiTEXTENDED EMOLITION.RONIS NOT .4FF1lCA8L€TO P❑ROPOSEDASBESTOS PERMIT FINAL ia—( t—�,Q a CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: the workers' compensation laws of California, and -iv-z (Section 3097, Civil Code). N