HomeMy WebLinkAboutF2024-0055 - Permitsno'r City of Newport Beach IIIII II IIII IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2024-0055
1:ie Community Development Department- Building Division F 2 0 2 4 0 0 5 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0212
' > Permit Counter Phone: (949) 718-1888 Issued Date : 02107/2024
newportbeachca.gov/civic Final Date:
Combination Type- Permit Status: Issued
Work Class - Tenant Improvement 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 : 1075 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR
Description: COMM FIRE ALARM (17 DEVICES) *XC2023-0125*
Owner: IRVINE COMPANY
Address : 110 INNOVATION DRIVE
IRVINE, CA 92617
Phone: (949)720-2000
Applicant:
INTERFACE SYSTEMS
Address:
3750 SCHAUFELE AV, 200
LONG BEACH, CA 90808
Phone:
(562)353-4680
Owner/Builder
:
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
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
III-B Fire Hazard Zone :
NO
M No of Units :
1
No of Stories :
1
X
PC - North Newport Center
SPECIAL CONDITIONS:
Architect
Address
Phone :
State Lie
Engineer:
Address
Phone
Designer: INTERFACE SYSTEMS
Address : 3750 SCHAUFELE AV, 200
LONG BEACH, CA 90808
Phone: (562)353-4680
Construction Valuation : $6,000.00
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 thecheckmark(s) I have placed next to the applicable items)
'Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior toils issuance, also requires the applicant for
.he 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
'rofessions 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
iot more than five hundred dollars ($500),.
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovemants 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 bull( or
mproved for the purpose of sale)_
D 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y my signature below 1 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
roll a structure that 1 have built as an ownor-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
Drofessions Code, is available upon request when this application is submitted or at the following Web site:http:7lwww.leginto.ca,gov/calaw.html,
'signature of Property Owner or Authorized Agent �_____ _Date
_ICEN'..SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700� Division of the Business and Profess license license is In full force
and effect. License Class License No Date 2Y Contractor Signature
NORKERS' COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS pTD0,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR 7N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
-1 1 have and will maintain a Certificate of consent to self.irisure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
)erformance of the work for which this permit is issued. Policy No.
�f have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. My workers' compensatior
nsurance carrier and policy number are:
Policy Number
Date
to of Agent Phone N
certify that, in the performance of the work/for high 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
If I should become subject to the workers cpdmpensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with (hose provisions.
of
Date 2 - 7 - Zc(
Uki4 AI ILlN KLUAKUINU 4UNJ I rG IILIN L,LNUINU AULIN"
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).
Lenders 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 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 orcm c s and stale laws relating to building construction.
I authorize representatives of this city or county to ant ffed property for inspection purposes.
Signature of Property Owner. or Authorized Agent Print Property Owner's or Authorized Agent's Name — i r
ACTION I DATE i BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXhIRED
PERMITCAArr ELLED
PURrPWT FINAL P�t li UA$BE5T05NC)rJf ICA'I[ON 15 NOT APPLICAHLE 'I'0
CER'TiFlCATE OF I" PROPOSED DEMOLITION
OCCUPANCY 6b00 SIGNATURE: