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Home My WebLink AboutF2023-0492 - PermitsaEWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2OZ3-0492 04 @ Community Development Department- Building Division F 2 0 2 3 9 a 9 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2475 Permit Counter Phone: (949) 718-1888 Issued Date : 10/10/2023 u'aS newportbeachca.gov/civic _ _ Final Date: C9<,Fp0.N�P Combination Type - �' -- Permit Status: Issued Work Class - Tenant Improvement EN..f 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: 265 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 TI WITH 16 DEVICES "GORJANA" (XC2023-0302) Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE 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 Code Edition : 2022 Type of Construction : III-B Occupancy Groups: M Bldg Height : Building Setbacks : Flood Zone: X Use Zone : PC - North Newport Center PROCESSED BY: 19 SPECIAL CONDITIONS: Contractor: INTERFACE SYSTEMS Address : 3750 SCHAUFELE AV. 200 LONG BEACH, CA 90808 Phone: (562)353-4680 Con State Lic : 469046 Lic Expire : 08/31/2025 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: 10/1/2024 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 0 No of Stories : 1 Architect Address Phone : State Lic Engineer: Address Phone Designer: INTERFACE SYSTEMS Address : 3750 SCHAUFELE AV, 200 LONG BEACH, CA 90808 Phone: (562)353-4680 Construction Valuation : $8,000.00 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 penally of perjury that I am exempt from the ContractorsState 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, demolish, or repair any structure, prior to its Issuance, also requires the applicant for he permit to file a signedstatement 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant OLD permit subjects the applicant to a civil penalty of mt more than five hundred dollars (3500), -1 1, as owner of the property., or my employees with wages as their sole compensation. Will do U all of or U 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 mprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year or completion, the Owner -Builder will have the burden of proving that it was not built or mproved for the purpose of sale). .1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cods, The Contractors' State License Law does not triply 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). 3 1 em exempt from licensore under the Contractors' Stale License Law for the following reason __..... _ _ _ _ —._ _._ _...-. .. 3y my signature holovr 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 Isgall} sell 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 aline Business and 'roressions Code, is available upon request when this application is submitted or at the following Web site:httpJ/www.leginfo.ca.govlcalaw,titmi, ilgnature of Property Owner or Authorized Agent _ _._ Date _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with. Section 7000) F g4vision 3 of the Business and Proles' U e r cense is in full force Ind effect. License Class License No Date /a 7V?V Contractor Signature VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADUMON TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE„ INTEREST, AND ATTORNEY'$ FEES, hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate or 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 th, rmanco of the work for which this permit is. Issued. Policy No. aye and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit Is issued. My Workers' compereatior hsmance carrier and policy number are: ;arrier Policy Number Expiration Date lame of Agent Phone# :1I certify that in the performance o he ork for which his 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 agree tat, if I should become subject to w er' c anon provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Jgnalure of Applicant Date_��/702YZ o9rl ACATrnN CCrewM Nn nuer I IrT1n I CUnIAIn nrcAll`v I 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 properly owner or authorized to act on file property owner's baholf. I have read this application and the Information I have provided Is correct. I agree to comply with all applicable city and county or ' at and stale laws refacing to building construction. I authorize representatives of this city or county to e th troy ntried property for inspection purposes. Signature of f'roporq Owner or Authorized Agent e- Pnnt PropertyOwner's or Authorized Agent's Name rc�.�¢D Rws Ow Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG A ATIONS PART 61 OF TITLE 40 AND ACINID RULF 1403 PE3M1AIT EXPIRECI LJ I SUBMITTED ASRFSTOS NOTIFICATION TO G F,iM1T G4NCEU.EO EPA --_. PEWnT EXTEVOED _ . L L�A4MD '-J,T;7FINALATEUi , ayfl�lt1 ASBESrpS NOtIFItAtION IS Not APPLICABLE TO LbTI FICATE Uf PROPOSED DEMOLITION ""UPANCY ISSUED I SIGNATURE: