HomeMy WebLinkAboutF2023-0578 - Permits�EWPOnT City of Newport Beach
Community Development Department- Building Division F 2 0 2 3 0 5 7 8
Fy 100 Civic Center Drive, Newport Beach, CA 92660
u > = Permit Counter Phone: (949) 718-1888
.a.. newportbeachca.gov/civic
°'aFoa��P Combination Type -
Work Class - Tenant Improvement
COMB Permit: F2023-0578
Plan Check No: PC2023-2896
Issued Date : 11/30/2023
Final Date:
Permit Status: Issued Inspection Area : FIRE FpV,;L q—d i
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 : 2280 NEWPORT BLVD, 101 Legal Desc : N TR 16594 BLK LOT 1 UN HOLD LOT 1 OF TRACT 16594; 1 q r., .�, �„�
Description: COMM FIRE ALARM NOTIFICATION SYSTEM "RUMBLE"
i 7
Owner: 2250 NEWPORT BOULEVARD 201 LLC
Address : 413 HOWLAND CANAL
NEWPORT BEACH, CA 92661
Phone:
Applicant: INTERFACE SYSTEMS
Address : 3750 SCHAUFELE AV, 200
LONG BEACH, CA 90BOB
Phone: (562)353-4680
OwneriBuilder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks:
Flood Zone
Use Zone:
PROCESSED BY:
SPECIAL C
Contractor : INTERFACE SYSTEMS
Address : 3750 SCHAUFELE AV, 200
LONG BEACH, CA 90808
Phone:
(562)353-4680
Con State Lie
: 469046
Lie Expire :
08/31/2025
Bus Lie:
BT30046473
Bus Lie Expire : 03/31/2024
Workers' Compensation Insurance
Carrier: TRAVELERS PROPERTY CASUALTY CO OF
AMERICA
Policy No: UBOK0634482243G
W. C. Expire : 10/1/2024
2022 Fire Sprinklers : YES
V-B Fire Hazard Zone : NO
No of Units : 0
No of Stories :
AE, 8 FT; X
MU-W2 - Mixed -Use Water
Architect
Address
Phone:
State Lie
Engineer
Address
Phone
Designer: INTERFACE SYSTEMS_
Address : 3760 SCHAUFELE AV,'20L;,'
LONG BEACH, CA 90808
Phone: (562)353-4680
Construction Valuation : $6,000DO
Added/NeW/TI 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 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, dernollsh, or repair any structure, prior to Its issuance, also requires the applicant for
the permit to file a signed statement that lie or she is liconsad 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 fora 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 (_) all of or C_) 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 orofered for sale. fir, however, the building of 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).
0 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).
I am exempt from licensure under the Contractors' State License Law for the fallowing 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 legalll
sell a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:httpJhvww.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent __ m to
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with Secti 7000)o Div, tan 3 of the Business d Profess tie, an lie se is In full force
and effect License Class License No Dart a� Contractor at, 11�
VVORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU OREO THOUSAND DOLLARS (E100,000)., IN ADOPTION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm unde, penalty of perjury one of the following deriarations:
ova and will maint�In a certificate of consent to sell -insure for workers' compensation, issued by the Director of Indusinal Relations as provided for by Section 3700 of the Labor Code, for th
a of the, cork frr which this permit is issued. Policy No.
and Will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this Pemmit is issued. My workers`
..harrier and policy number are:
:artier_ _ _ Policy Number Expiration Date
lame of Agent Phone #
.wr I'y the. the pertcrma a of a work for whic this rmit is issued, shall not employ any person in any manner so as to become subject to the workers' compensali n laws of California, and 2gre
m c t l' rhould be ome s c t workers' com ns to provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
;Irmature of Al % � N N _.... Date / r 3a Z --
Il,CLARr,TION .BG, R G tl TRUCTItlN LE NG AGENCY
La ct; a'firm under penalty of perjury that thers is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, roll Code).
air, -Nr'F Name Lender's Address
ly my signature 66716a_., 1 Cartify 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 Inform Lion I hav p vided is -correct.
I agree to comply with all sop li Ie ci 7 and oon ances and t aws relating to building construction. /
I authorize representatives of this c or cou ty Inl the �ove d led property for inspection purposes. ✓
limmature of Prooenv Owner or Aut ❑ze A, Print Prooertv Owner's or Authorized A➢e is Name I vrc� / 9 JnA. <ON Data fr /Z3
ACTION DATE BY DECLARATION OFKOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TrrLE 40 AND AQMD RULE
PERMITEXPIREO I LJ I SIJRMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED i_ �FPA
PERMIT EXTENDED t—
-.__ -OAQM Q __ ..._. ...... ....
PERMIT FINAL �,C{ f�%f� p L-1 ASBEST05 NOTIEICA[ION 15 N01"APPLICABLE TO
CERTIF;CATE OF �"' �� JJ PROPOSED DEMOLITION
OCCUPANCYISSUEO 51GNATURE
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