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Home My WebLink AboutF2024-0066 - Permits04'. City of Newport BeachCOMB Permit: F2024-0066 Community Development Department- Building Division F 2 0 2 4 - 0 0 6 6100 Civic Center Drive, Newport Beach, CA 92680 Plan Check No : PC2024-0250 Permit Counter Phone: (949) 718-1888 Issued Date : 02/0712024 newportbeachca.gov/civic Final Date: Combination Type - Permit Status: Issued Work Class - Other 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: 849 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 SYSTEM 19 DEVICES "MENDOCINO FARMS" (XC2023-0297) 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 : 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: 10/112024 Architect Address Phone: State Lie Engineer: Address: Phone Designer: INTERFACE SYSTEMS Address: 3750 SCHAUFELE AV, 200 LONG BEACH, CA 90808 Phone: (562)353-4680 Code Edition : Fire Sprinklers : YES Construction Valuation : $10,000.00 Type of Construction : III -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups :.Pa, No of Units : 1 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 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 cbeckmark(s) I have placed needier 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 she is liconsud pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division ofthe Business and Professions Code) or that he or she is exempt from ]!censure 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 1$500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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). 171 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 witha licensed Contractor pursuant to the Contractors' State License Law). I am exernpl from licensure under the Contractors' State License Law for the following 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 legally sell a structure that I have built as an ownor-builder if ithas not been constructed in its entirety by liconsod contractors. I understand that a copy of the applicable law, Section 7044 of the Businoss and Professions Code, is available upon request when this application is submitted or at the following Web site:httpliwvAv.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION 2 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 Profes o�eyga my license is In full force and effect. License Class License No Date 2-47 4` Contractor Signature. WORKERS' COMPENSATION DECLARATION — WARNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS [E100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR W SECTION s700 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES_. I hereby affirm under penalty of perjury one of the following declarations: 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 'ormance of the work for which this permit is issued. Policy No. 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 permit is issued. My workers' compensa 'FRI a carrier and policy number are: Policy Number Date me of Agent Phone # certify that, in the parforma he work t r 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 t, If I should become supje w er compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Apphcanf_.,.,,,, _ .Date Z'1"ZiL __ CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby 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). ider'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 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 cowi ordma ces and state laws relating to building. construction. I authorize representatives of this city or county enter abovC.e(I�,�e Ifled property for inspection purposes. �i T nature of Property Owner or Authorized Aoant. Print Property Owner's or Authorized Aeent's Name C J o ACTION DATE. BY i DECLARATION OF CONIPLIANCE g171-i CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PART 51. OF TITLE 40 AND AQMD RULE 11403 LJ I SUBMITTED ASBFSTOS NOTIFICATION TO PERMITFINAL ^I` 1 -0l-t MFJYO(IA j t_I ASBESTOS NOTIFICATION 15 NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY 6SOLD & t SIGNATURE: Date