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Home My WebLink AboutF2023-0539 - Permits4��WPORr City of Newport Beach p Community Development Department- Building Division 0 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 718-1888 newportbeachce.gov/civic cqC/cO RN�P Combination Type - Work Class - Tenant Improvement F 2 0 2 3 0 5 3 9II COMB Permit: F2023-0539 Plan Check No : PC2023-2670 Issued Date: 11/0112023 Final Date: -- - - + Permit Status: Issued 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 Job Address : 1177 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 7, P BK 221 PG 30 PAR 8 P.M. 221-30 PAR 8 FOR OF PAR Description: COMM FIRE ALARM TI WITH 45 #ice"BARRY'S" FITNESS CENTER (XC2023-0274) IDVA S Owner: IRVINE COMPANY Contractor: INTERFACE SYSTEMS Architect Address : 110 INNOVATION DRIVE Address: 9750 SCHAUFELE AV, 200 Address IRVINE, CA 92617 Phone : (949) 720-2000 Applicant: RICHARD JOHNSON Address : 3750 SCHAUFELE AV, 200 LONG BEACH, CA 90808 Phone : (562) 353-4680 Owner/Builder : Address : Phone: 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 Phone: State Lie: Engineer: Address Phone : Designer: INTERFACE SYSTEMS Address: 3750 SCHAUFELE AV, 200 LONG BEACH, CA 90808 Phone : (562) 353-4680 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation Type of Construction : III-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : A3 No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER I hereby airm 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., Bus mess and Professions Cade: Any city or county that requires a permit to construct, altar, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for 10 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 Irofessions 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 at. more than fivehundred dollars ($500), 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_,) sit of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;usiness 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 nprovements 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 nproved for the purpose of sale). -1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not poly 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 ContractorsSlate License Law for the following reason: Iy 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 ell a structure that 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 'rofessions Code, Is available upon request: when this application Is submitted or at the following Web sito:http:llwww.leglnfo.ca.gov/calaw.html. ilgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio a �R license. is in full force nd effect. License Class License No Date (I - 1 - Z; Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 (St00,000),.IN ADDITION TO THE 057 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 07030F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 370D of the Labor Code, for the p4crmance of the Work for 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 permit is issued. My workers' carrier and policy number are: 1e of Agent _ certify that, in the be if I should become nature of Aoniicant Policy Number Date of the work for which this 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 he wo� rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'ram Date- //- (- t 9 hereby affirm undo, Htnalty 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). anders Name Lenders Address I; my denature hrinw, I certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I Iha"e read this application and the information I have r Ided is correct. I acres to comp,y with all applicable city and county n ces d state laws relating to building construction. I authorize rep,esa,Itatives of this city Gr county t I t ejt',J�''(vei-Identified property for inspection purposes. 1 Ilonatvre of Property Owner or Authorized Arent l/ Print Property Ovmer's or Authorized Aoent's Name z�A ., aA wq P C7"12_N DATE BY DECLARATION OF COMPLIANCE WITH CODE: OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMO RULE PERMIT£XP?R£D I 'I SUBMITTED A.55FST05 NOT] FICATION TO YEW01T CANCELL,-D D EPA PERMIT E%TENDED —� 0AQMD PERM1TFWAL j �Y I(�r,-,)'Ju '..ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTWlCAT € OF PROPOSED DEMOLITION OCCUPANCY ISSUED j SIGNATURE:: Date if-I-7-3