HomeMy WebLinkAboutF2023-0177 - Permits�aEwPoRr
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
F 2 0 2 3 0 1 7 7� II COMB Permit: F2023-0177
Plan Check No : PC2023-0928
Issued Date : 04/24/2023
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
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Job Address : 817 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR AND POR PA R 1 OF P.M.
Description: COMM FIRE ALARM ADD (54) DEVICES (XC2022-1993)
Owner: IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone : (949) 720-3100
Applicant: INTERFACE SYSTEMS
Address : 3750 SCHAUFELE AV, 200
LONG BEACH, CA 90808
Phone: (562)353-4680
Owner/Builder:
Address :
Phone
Contractor: INTERFACE SYSTEMS
Address : 3750 SCHAUFELE AV, 200
LONG BEACH, CA 90808
Phone :
(562) 353-4680
Con State Lic
: 469046
Lic Expire :
08/31/2023
Bus Lic:
BT30046473
Bus Lic Expire : 03/31/2024
Workers' Compensation Insurance
Carrier: TRAVELERS PROPERTY CASUALTY CO OF
AMERICA
Policy No: UBOK0634482243G
W. C. Expire: 10/1/2023
Architect
Address
Phone:
State Lic
Engineer: MASON SETTLEMOIR _,
Address: 3750 SCHAUFELE AVE, 2OG ,
LONG BEACH, CA 90808 ,
Phone: (562)353-4680
Designer
Address
Phone:
Code Edition : 2022 Fire Sprinklers : YES Construction Valuation :
Type of Construction : III-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg
Occupancy Groups : B No of Units : 1 Alteration sq. ft. Bldg :
Bldg Height: No of Stories : Added/New sq. ft. Garage
TOTAL sq. ft. :
Building Setbacks
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY:
rl
SPECIAL CONDITIONS: iN6k ►-- ��
$10,00.03
0
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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 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 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensors 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),
0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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).
El 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 hcensure under the Contractors' State License Law for the following reason
By my signature below I acknowledge that, except for my pars on at residence in which I must have resided For at to eat one year prior to completion of the Improvements covered by this permit, I cannot legally
soil 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 Cade„ is available upon request when this application is submitted or at the following Web site:http:(iwww.teginfo.ca.gmicalaw,html.
Signature of Property Owner or Authorized Agent—— Date _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 000) p Divi ion 3of the Business and Professiogj�od�eense ll force
and effect. License Class License No Date Z ( Z Contractor Signatus��
WORKERS' COMPENSATION DECLARATION
✓DARNING: 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 ($400„000),IN AODmON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
Ir "hereby affirm under i.enalty of perjury one of the following declarations:
u hive 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
PPIlult+,,ance of the -work for which this permit is issued. Policy No,
and willmaintain 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'
carrier and policy number are:
f7 of Agent.
certify that, in ci, 0rformanee of
,.. should bec•Ime subje •t to t
Policy Number
Date
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 Calffomia, and
c e sation provisions of Section 3700 of the Labor Code, I shall forthwith comply wilh those provisions. _
!gralur„ of APPUcarl._ Z�-Z-
ECLARATICIN FKGAF ING NST CTIQ ENDING AGENCY
I,�Iaoy affirm under p,rnalty 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).
Name Lender's Address
y 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 andthe information I have pr vave
is correct.
I agree to comply with all applicable city and county o i- andte laws relating to building construction.
I authorize representatives of this city or courLYy to to th l lifted property for inspection purposes.
y-2Y•
ACTION
DATE
BY N DECLARATtON OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
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PERMIT EXTENDED
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