HomeMy WebLinkAboutf2022-0011 - Permits'r City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
y Permit Counter Phone (949)644-3288
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Job Address: 1087 NEWPORT CENTER DR NB
Inspector Area: FIRE
Owner: IRVINE CO
Address: PO BOX 2450
NEWPORT BEACH, CA 9258
Phone:
Applicant: INTERFACE SYSTEMS
Address: 3750 SCHAUFELE AVE #200
LONG BEACH CA 90808
Phone: 562-353-4680
Code Edit: 2019
Type of Construction: V-B-SPR
Occupancy Group: M/S2
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
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,
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$5,000.00
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FIRE Permit: F2022-0011
Project No: 0052-2022
Inspection Requests Phone (949)644-3255
Description: COMM FIRE ALARM (13) DEVICES (X2021-2598)
Legal Description:
P BK 221 PG 30 PAR 6
Contractor:
INTERFACE SECURITY SYS LLC
Architect:
Address:
3773 CORPORATE CENTER DR
Address:
EARTH CITY, MO 63045
Phone:
314-565-0100
Phone:
Con State Lie:
469046
Engineer:
Lie Expire:
08/31/2023
Address:
Bus Lie:
BT30046473
State Lie:
Lie Exp Date: 03/31/2023
Phone:
State Lie:
Worker's Compensation Insurance
Designer:
SETTLEMOIR MASON
Carrier: TRAVELERS PROPERTY
Address:
3750 SCHUFELE AVE #200
Policy No: UB91<06344820
LONG BEACH CA 90808
Expire: 10/01/2022
Phone:
562-353-4680
Issued Date: 06/2012022
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
$0.00
Fire Residential Alarm PC Fee :
$0.00 Records Management
$0.00
Planning Counter Review:
$0.00
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
$193.25
Public Works PC Fee :
$0.00
$275.25
Public Works Traffic Plan Check Fee;
$0.00
$0.00
$476.50
Plan Check Fee:
$193.25 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$8.00
$0.00
$0.00
$283.25
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OWNER -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
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 L) all of or U 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
improved 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 Iicensure 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 tbgt 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 -Code, It available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LZGENSEgCYWRACTOR'S DECLARATION
I hereby affiAn un'r%r penalty of perjury that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes ' ode n y license is in full force
VdWfect. ' `7
Liedhse Class. • • License No Daf %' (� ' ZZ Contractor Signature
N1tOR�(ERStEOMPENSATION DECLARATION
WARNING: FAILURE•TC'%CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Gr09TQF COMP�IN$4TPGN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
64%sb'y affirm under penalty of perjury one of the following declarations:
• •. tl4ve and willrtlaintain 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 th
peArnfance of fhe work for which this permit is issued. Policy No.
Atain 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'
pElicy number are:
me of Agent
I certify that, in the performal
t, if I should become subject
Policy Number
Date
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
1 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant C.i
CLARATION RE13pbtN2LCONSTRUCT141LENDING 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
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 ordin nd state laws relating to building construction.
I authorize representatives of this city or county jp) rr�e jWI lied property for inspection purposes.
(Section 3097, Civil Code).
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 4403.
PERMIT EXPfRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:.
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
[I ASBESTOS M07IRCARONISNOT APPLICABLE TO
PROPOSED DEMOLITION,
PERMIT FINAL
CERTIFICATEOF
SIGNATURE:.
OCCUPANCYISSUED
-