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Home My WebLink AboutF2023-0012 - Permits��WPORT City of Newport Beach Q Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u i Permit Counter Phone: (949) 644-3288 e.. Inspection Requests Phone: (949) 644-3255 CqG/F00.N�P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration F 2 0 2 3 0 0 1 2II COMB Permit : F2023-0012 Plan Check No : PC2023-0027 Issued Date: 01/19/2023 Inspection Area Tool n e PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1 WHITE CAP LN Legal Desc : Description: FIRE ALARM SYSTEM PANEL REPLACEMENT FOR 36 BUILDINGS Owner : NEWPORT RIDGE APTS LLC Address : 1 WHITE CAP LN NEWPORT BEACH, CA 92658 Phone Applicant: INTERFACE SYSTEMS Address : 3750 Schaufele Ave Long Beach, CA 90808 Phone: (562) 353-4680 Owner/Builder : Address: Phone Contractor: INTERFACE SYSTEMS Address : 3750 Schaufele Ave Long Beach, CA 90808 Phone: (562)353-4680 Con State Lie : 469046 Lie Expire : 08/31/2023 Bus Lie : BT30046473 Bus Lie Expire : 03/31/2023 Workers' Compensation Insurance Carrier: TRAVELERS PROPERTY CASUALTY CO OF AMERICA Policy No : UBOK0634482243G W. C. Expire : 10/112023 Architect Address : v�,,"`�'.� Phone State Lie Engineer: INTERFACE SYSTEMS Address : 3750 Schaufele Ave Long Beach, CA 90808 Phone: (562)353-4680 Designer Address Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $300,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R3,R1 No of Units : 422 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq, ft. 0 Building Setbacks Flood Zone : X - Use Zone : PC - Newport Ridge J� PROCESSED BY: SPECIAL CONDITIONS: 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 chackmark(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 7001 Division 3 of the Business and Professions Code) or that he or she is exempt from licensum 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). ❑ 1, 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, 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 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 pear tocompletion 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 boon constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca,govlcalaw.fitml. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prdfe n , nd I ense is In full force and effect. License Class License No D_ Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 IEr00,6001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST; AND ATTORNEY'S FEES - I horeby�nffirm under penalty of perjury one of the following declarations: 11 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 In, perXmance of the work for which this permit is issued. Policy No. ha a and will maintain 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' compensatiof a ura ce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone B 01 certify that, in the pe� lance n work fo this prmit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that if I should become bled t rkers ensabon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant �— Dated/ DECLARATION REOARDINCY CONSTRUCT(ON LENDING AGENCY —�j/ I 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). Lender's Name Lender's Address By my signature below. I certify to each of the following: I am the property owner or authorized to act on the property awn is behalf. - I have read this application and the information I have pr, is correct. I agree to comply with all applicable city and county or - es Ind sred relating to building construction. I authorize representatives of this city or coun to t ov = eoperty for inspection nurposes, I � Signature of Property Owner or Authorized Agent P,jnt Pruae+ty Owner's or Authorized Agent's Name Ic"1A-�� T w3.._ Date ACTION DATE BY I ClIECLARXTiON CP COMPLIANCE N+IT;! CCDE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS ".FT 61 Jl TITLt 40 AND AQMD RULE 1403 _ PERMIT EXPIRED I SUBMITTED ASBZ5I OS NOI gICATI')N TC PERMIT CANCELLED v IJEPA PERMIT EXTENDED L1 AQM D P[RMlT FINAL _ -J rl�'.l OYWu 1 ASeESTo5 NOTIFICA7ION 15 N01" APPLICABLE r0 CERTIFICATE OF , PROPOSED DEMOLITION OCCUPANCYiSSUED l SIGNATURE: