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Home My WebLink AboutF2024-0154 - Permits�EWPoRT City of Newport Beach CF p Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S. Permit Counter Phone: (949) 718-1888 >� newportbeachca.gov/civic Combination Type - Work Class - Tenant Improvement iiiiiii4 II COMB Permit: F2024-0154 Plan Check No : PC2024-0621 Issued Date : 03/27/2024 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: 261 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 POR OF PAR Description: COMM FIRE ALARM TI WITH (13) DEVICES FOR "L SPACE" (XC2024-0049) Owner: IRVINE COMPANY Address : 110INNOVATION 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 : 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 Architect Address Phone: State Lic Engineer: Address : Phone Designer: INTERFACE SYSTEMS Address: 3750 SCHAUFELE AV, 200 LONG BEACH, CA 90808 Phone: (562)353-4680 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $1,300.00 Type of Construction : IV Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : M 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 S�-5 PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors Slate 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, after, 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 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 not more than five hundred dollars ($500). ❑ I, 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, 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). ❑ 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' Slate 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 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hftp:l/www.leginfo.ca.gov/ralaw.htmi, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 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 Professi C e(> n y license is in full force and effect. License Class License No Date 3-7-7- Z`f Contractor Signature WORKERS' COMPENSATION DECLARATION WARNNG: 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 ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 thi performance 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' rance carrier and policy number are: Policy Number is of Agent certify that, in the performance ol the work for which , if 1 should become subject t e rkers'&omperl; lature of Aoolicanl ! (7/�—i) Date permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agree 1 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date_ -3 -7-7ZV 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) enders Name Lender's Address y my signature peIjw, I certify to each of the following: I amthe property owner or authorized to act on the property owner's behalf. i have read 1ois application and the Information I have provided is correct. I agree to ccn.pl, ,.vith all applicable city and county ordi ances and to laws relating to building construction. I authorize repr.sentatives of this city or county to � Fyeyn e- enti0ed property for inspection purposes. innature of Pfob2rIv Tvner or Authorized Agent (/ Print Property Owner's or Authorized Agent's Name _WIc F1/HCr) COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY IT 61 OF TITLE 40 AND, RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLCO DEPA PE4M'T EXTENDED OMD rEPYf'7 FINAL CERTIFICATEOF OCCUPANCYISSUED r �/ y a I p "uZ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Date