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Home My WebLink AboutF2022-0506 - PermitsCity of Newport Beach ��EwPURT O ' @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 T Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CgG,F00.N\~ newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement F 2 0 2 2 0 5 0 6COMB Permit: F2022-0506 Plan Check No: PC2022-2434 Issued Date : 01/19/2023 Inspection Area : FIRE 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 Ni I(tt3t,��loot� hoofs Job Address : 343 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 3 Description: COMM FIRE ALARM TI - 53 DEVICES (X2021-3448) Owner: IRVINE COMPANY LLC Address: 111 INNOVATION DR IRVINE, CA 92617 Phone: (949)720-3100 Applicant: RICHARDJOHNSON Address: 3750 SCHAUFELE AV,200 LONG BEACH, CA 90808 Phone: (562)353-4680 Owner/Builder : Address : Fas=,R 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: 10/1/2023 Code Edition: 2019 Fire Sprinklers : Type of Construction : IV Fire Hazard Zone Occupancy Groups : B No of Units: Bldg Height : No of Stories Building Setbacks : Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY: a% SPECIAL CONDITIONS: E'✓ NO 0 1 Architect Address Phone: State Lie Engineer Address Phone Designer: MASON SETTLEMOIR Address: 3750 SCHAUFELE AVE, 200 LONG BEACH, CA 90808 Phone: (562)353-4680 Construction Valuation : $18,000.00 Added/New/Tl sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Lawlor 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 sho is licensed pursuant to the provisions of the Contractors' Stale 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 farina alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 7 1, as owner of the property, army employees with wages as their sole compensation, will do (_) all of er (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business and professions Cafe: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, 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). 71 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 13 I am exempt from licensure under the Contractors' State License Law for the following reason _ _ By my signature below f acknowledge that, except for my personal residence in which I must have resided for at least one year prior In completion of the improvements covered by this permit, (cannot lagall sell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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.leglnfo.m.gov/calaw,html. Signature of Property Owner or Authorized Agent D e 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 Professio hcens is In full force and effect. License Class License No Date 19 - Z'+. Contractor Signatur WORKERS' COMPENSATION DECLARATION be NARNWG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000). IN AOOFTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION ADS OF THELAROR CODE. INTEREST, AND ATTORNEY'$ FEES- hereby affirm under penalty of perjury one of the following declarations: D 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 tht iiftrmance of the work for which this permit is issued. Policy No. _ end 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' carrier and policy number are: 1e of Agent certify that, inthe performance , if I should become subject to Ialure of Appficsnii_ Policy Number Dale is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agrer lions of Section 3700 of the Labor Code. I shall forthwith comply With those provisions. Rl1y ._. DIM-- ireby affirm under penalty of perjury that there is a construction lending agency for theperformanceof the work for which this permit Is issued (Section 3097, Civil Code) lder's Name Lenders Address my signature below, I Certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information I have provided is come? I agree to comply with all applicable city and county or a as and s e laws relating to building construction. I authorize representatives of this cdv, o€ Lc.rnty'o etayjbv�P�i lifted property for inspection purposes. 7 ^ ACTION DATE V ' DECLARATION OF 17OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE i 1403 PERMIT EXPIRED Cj ;URPAIl"ED ASBESTOS NOTIFICATION TO PERMIT CANCELLED CIEEA PERMIT E.YTENDEL7 I �QM J PI MITFINAL v CERTIFICATE OF Y ILr/23 ASBESTOS "� EST S NOTIFICATION I5 NOT APPLICABLE TO �//� 1 PROPOSED DEMOLITION OCCUPANCY ISSUED 1.L 11 r _ v