HomeMy WebLinkAboutF2019-0171 - Permits. ' City of Newport Beach esuiltlifv Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII FIRE Permit: F2019-0171
` 6 100 Civic Center Drive, Ngwpk Beach, 4 9�6f(Y o e F 2 6 1 9 0 1 7 1 Project NO :0766-2079
�hyPermit Counter Phone (9064,4-$286 o m m m m°
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e„rrir"s"s Inspection Requests Phone (949)644-3255
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$0.00 Records Management: $12.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
° • •
Building Extention Fee :
$0.00
Planning Zoning PC Fee :
$0.00
Job Address: 1131 NEWPORT CENTER DR NB °
$0.00
Description: TI -FIRE ALARM
FOR'HAVIANAS' (X2019-0263) 6 DEVICES
i'.1
$199.00
Public Works PC Fee:
$0.00 $0.00
Fire Permit Fee :
$238.00
Public Works Traffic Plan Check Fee;
$0.00
Inspector Area: FIRE
Legal Description:
P BK 221 PG 30 PARE
¢'
Owner: IRVINE CO
Contractor:
INTERFACE SECURITY SYS LLC
Architect:
Address: 550 NEWPORT CENTER DR
Address:
3750 SCHAUFELE AVE #200
Address:
NEWPORT BEACH, CA 92660
LONG BEACH CA 90808
Phone:
Phone:
562-353.4440
Phone:
State Lie:
Applicant:. RICHARDIINTERFACE SYSTEMS
Con State Lie:
469046
Engineer:
Address: 3750 SHAUFELE AV STE 200
Lie Expire: -
08131/2019
Address:
LONG BEACH CA 90808
Bus Lie:
BT30046473
Phone:
Lie Exp Date:
0313112020
Phone:
State Lie:
Code Edit 2016
Worker's Compensation Insurance
Designer: PETTY PAUL
Type of Construction: V -B -SPR
Carrier:
TRAVELERS
Address: 3750 SCHAUFELE AV STE 200
Occupancy Group: B
Policy No:
UB9K0634481843G
LONG BEACH CA 90808
Added /New sq.ft. Bldg: 0
Expire:
10101/2019
Phone:
Added /New sq. ft. Garage: 0
No of Stones. 1
Issued Date: 04/0912019
Special Conditions:
1 OP
No of Units 0
Setback- Front:
Flood Zone:Rear.
�`
Bldg Sprinklers: Y
Lek:'tr/�
V
Right
ii�'D�P3" 12 1
Construction Valuation
$3,500.00
FEES
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee :
$0.00 Records Management: $12.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
Building Extention Fee :
$0.00
Planning Zoning PC Fee :
$0.00
Building Investigation Fee:
$0.00
$0.00
Fire Plan Check Fee:
$199.00
Public Works PC Fee:
$0.00 $0.00
Fire Permit Fee :
$238.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee:
$0.00
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
M
$449.00 Plan Check Fee
$0.00 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$449.00
IWNER-BUILDER DECLARATION
.. ...
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicatetl bl low 4 t!'ie'shackmajM(s) I hive placed next to the applicable item(s)
lection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish,.4 rQpa:r A%StrCitore-Qrior torts issuance, also requires the applicant for
IS 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 986ion 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 for a permit subjects the applicant to a civil penalty of
of 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 (_) portions of th ydrk, and tke striltare is pot jnt0nded or offered for sale (Section 7044,
'usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or pe/$8nal gffert, buNds.or: mbroves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complelidri, tPferOwner-Buiildenwill hate the bpfden of proving that it was not built or
nproved for the purpose of sale).
1 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
pply 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legall7
ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ignature 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) of Division 3 of the Business and Pro s' S Co my license is in full force
nd effect. C
icense Class License No Date 4—F-1 01 Contractor Signature
YORKERS' COMPENSATION DECLARATION
ARNING: 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 ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
hhave 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 th
rmance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
ne of Agent
certify that, in the performance oj4hAwork for
if I should become subjectto f kgrs'
lature of Applican ( M
Policy Number
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pjovisions.
/ 41/_ 9 _ /c;
CLARATION REGWFkDWG CONSTRUCTION LENDING AGENCY W
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 Lender's 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 county o nces an ate laws relating to building construction.
I authorize representatives of this city or county}g�'; Identified property for inspection purposes. f
mature of Prooertv Owner or Authorized Aoenth A Print Property Owner's or Authorized Agent's Namh toc L :Q
ACTION DATE BY
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PERMITEXPIR€D
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CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED