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Home My WebLink AboutF2021-0138 - Permitswpm City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 FIRE Permit: F2021-0138 Project No : 0807-2021 Inspection Requests Phone (949)644-3255 Job Address: 1083 NEWPORT CENTER DR NB St: 1 FI: 1 Unit: B Description: COMM FIRE ALARM (3 DEVICES) X2020-2860 Inspector Area: FIRE Legal Description: P BK 221 PG 30 PAR 6 Owner: IRVINE CO Contractor: INTERFACE SECURITY SYS LLC Architect: Address: 550 NEWPORT CENTER DR Address: 3773 CORPORATE CENTER DR Address: NEWPORT BEACH, CA 922660 Planning Zoning PC Fee: EARTH CITY, MO 63045 e r Phone: Phone: 314-565.0100 Phone: Applicant: INTERFACE SECURITY SYS LLC Con State Lie: 469046 Engineer: Address: 3750 SCHAUFELE AVE #200 Lie Expire: 08131/2021 - Address: LONG BEACH CA 90808 Bus Lie: BT30046473 - Phone: 562-353-4440 Lie Exp Date: 03131AQ4-7b1/2- Phone: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: 111 -B -SPR Carrier: TRAVELERS PROPERTY Address: Occupancy Group: M Policy No: UB9K06344820 LONG Added /New sq.ft. Bldg: 0 Expire: 10101/2021 Phone: Added /New sq. ft. Garage: 0 m Demo r, No of Stories: 1 Issued Date: 04114/2021 Special Conditions: No of Units: 0 Setback- Front: 0 0 Flood Zone: Rear: Bldg Sprinklers: Y Left: moeooe Duo Right: 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: $2,735.00 FEES $0.00 •eee $0.00 Records Management: State Lic: •,mug Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 e r '' e•e• me••oo $0.00 • • o $0.00 s•ee • o Public Works Traffic Plan Check Fee; m e •e c State Lie: o o 000000 • $0.00 Fee Due at Permit Issuance : $404.50 PETTY PAUL 3750 SCHAUFELE AVE#200 oO°m mmmoo BEACH CA 90808 BOo• °om000 LONG 0 m Demo r, • m o 0 0 0 00 oueo° moeooe Duo 0 $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $0.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 $0.00 $166.75. Public Works PC Fee: $0.00 $0.00 $237.75 Public Works Traffic Plan Check Fee; $0.00 $0.00 $404.50 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $404.50 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: 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 reasons) 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 U 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 Ay 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 1 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 a structure that i R9ve 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 �fessiouns Code lie evailable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. rehire of Propsrty.Owner or Authorized Agent Date IENSIED CONTIUCTOR'S DECLARATION }}}��nnn !Aeby' affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commen ' with Section 7000) of Division 3 of theBusiness and Pr as}gns 6e, and my license is in full force I effect. - y- 21 ease, C lass .:... License No I SE. Cont ctor Signature �� )RKERS' CP.M� ENSATION DECLARATION 01*9: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL it UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE IT O7.ClOMPENSATItyA,bhMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. jiluvwt)y affirm unddr penalty of perjury one of the following declarations: . .. • I 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 0sapanceoftheworn for which this permit is issued. Policy No. e and w111fi9injain 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' compensa' 764�11mce carrier and policy number are: r Policy Number Expiration Date of Agent Phone # certify that, in the performan f e work fo hich 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 if.1 sh/pa1d-be�am\a subjec t work ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION REGARDING CONSTRUCTION LENDING AGENCY reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is 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 rovided is correct. I agree to comply with all applicable city and county ances nd state laws relating to building construction. I authorize representatives of this city or county n a ve-identified property for inspection purposes. nature of Prooertv Owner or AuthoLLUI sent Print PrODertv Owner's or Authorized ADent w tGffT�mnnw)71Fi�_ A Ill (N_MY1 1� FPl4:701190 t r . . OCCUPANCMISSUED (Section 3097, Civil Code). Name F t It -, I a lr So ^ FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. ❑ t SUBMfTTEDASBESTOS M017FICATION TO:. ❑ EPA AQMO ASBESTOS NOTIRCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: