HomeMy WebLinkAboutF2022-0199 - Permits-, City of Newport Beach - Building Division p�IIIIIIIIIIIIIII�IIIIII�IIIIIIIIIIIIIII
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FIRE Permit.: F2022-0199
j + 100 Civic Center Drive, Newport
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Beach, CA 92660
F 2 0 2 2 0 1 9
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Project No: 0996-2022
a , � rl Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
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Job Address: 435 NEWPORT CENTER DR NB
Description: COMM FIRE ALARM TI (X2022-0311) 5 DEVICES
Inspector Area: FIRE
Legal Description:
Owner: IRVINE CO
Contractor:
INTERFACE SECURITY SYS LLC
Architect:
Address: PO BOX 2450
Address:
3773 CORPORATE CENTER DR
Address:
' .
IRVINE CA 92658
EARTH CITY, MO 63045
4a ....
Phone:
Phone:
314-565-0100
Phone:
`V State Lie:-
Applicant: MARCUS/INTERFACE SYSTEMS
Con State Lie:
469046
Engineer:
°
Address: 3750 SCHAUFELE AV STE 200
Lie Expire:
08/31/2023
Address:
LONG BEACH CA 90808
Bus Lic:
BT30046473
Phone: 562.3534680
Lie Exp Date:
03/31/2023
Phone:
°a a
State Lie,
Code Edit : 2019
Worker's Compensation
Insurance
Designer:
SETTLEMOIR MASON
Type of Construction: V-B-SPR
Carrier:
TRAVELERS PROPERTY
Address:
3750 SCHAUFELE AV STE 200v
Occupancy Group: B
Policy No:
UB91<06344820
LONG BEACH CA 90808
Added /New sq.ft. Bldg: 0
Expire:
10101/2022
Phone:
562-3534680
Added /New sq. ft. Garage: 0
°
No of Stories: 1
Issued Date: 06/02/2022
Special Conditions:
0 of Units : 0
Setback- Front:
OBOB°•
Flood Zone: X
Rear:Bldg
Sprinklers: Sprinklers: Y
Left:
Right:
r v
CA-QLU `J��•f: ,' `�" (fl L,-. 1.;
FEES
Construction Valuation: $4,000.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee :
$0.00
Records Management : $6.00
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:
$175.25
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$249.25
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$430.50
Plan Check Fee:
$430.50 Fee Due at Permit Issuance : $0.00
PROCESSED BY:
�.®-�
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED
BY::
FIRE APPROVAL. ��
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
DWNER-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 items)
(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 U 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-Builderwill 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 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 legal
sell a structure titat T Ra'1te 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 Udailabie upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
SI'gmatu:e'of Prop -wrier or Authorized Agent Date
L(CENStD COWRAtTOR'S DECLARATION
44191by gffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an P fessi o and my ense is in full force
altd effEbt. ....
I.,icense6l • • License No - Date I%^ q �. Contractor Signature
WORKERSS'' COMP�I;SATION DECLARATION fVo�Rmx
fARNTNt!FAILURE TO�$&U WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO AL PENALTIES AND CIVIL FINES UP TO ONE
(1STA LbMPENSATION DAE AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Wetyv q(firm under penalty of perjury one of the following declarations
THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
I have and Will m 1untain 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
VIcrnance of the work for which this permit is issued. Policy No.
ilr6lhtein 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
surance carrier and policy number are:
me of Agent
I certify that, in the performance
it, if 1 should become sut))ect to I
of Applicant
Policy Number
Date
for which thi 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
Gomp€'ir a ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proXisions.
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
ender's Name Lender's Address
y 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 ordi as and state laws relating to building construction.
1 authorize representatives of this city or county �,t\o g/ t entified property for inspection purposes.
ignature of Property Owner or Authorized Agent X Print Property Owners or Authorized Agent's Narf
3097, Civil Code).
ACTION
DATE
BY
DECLARATION OF COMPLIANCE KITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMD RULE 9403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NORRCARONIS NOT APPLICABLE TO
PROPOSED. DEMOLITION.
PERMIT FINAL
O
CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED