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Home My WebLink AboutF2019-0088 - Permitsn,�^gW70 � City of Newport Beach - Building Division II VIII IIIIIIIIIIIIIIII III�IIIIIIIIII IIIIII I� FIRE Permit.: F2019-0088 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 0 8 8 ..Project No 0381-2019 F Permit Counter Phone(949)644-3288 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: Records Management: $12.00 Fee Due at Permit Issuance : OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 $320.00 Building PC Fee $0.00 Fire Residential Alarm PC Fee : Inspection Requests Phone (949)644-3255 Job Address`: 133 NEWPORT CENTER OR NB $0.00 Description: COMM FIRE ALARMS 6 DEVICES (X2019.0115) $0.00 Inspector Area:.FIRE Legal Description: Planning Zoning PC Fee ; $0.00 Building Investigation Fee : $0.00 Fire Plan Check Fee: $136.00. Public Works PC Fee: $0.00 Owner. IRVINE CO Contractor: INTERFACE SECURITY SYS LLC Architect: $0.00 i. �; • °.. Building Permit Fee: Address: .550 NEWPORT CENTER DR Address: - 3750 SCHAUFELE AVE #200 Address: TOTAL FEE : .- ,.n• a °, ° Plan Check Fee: NEWPORT BEACH, CA 92660 LONG BEACH CA 90808 t, ..... +�, i• Phone Phone: 562-3534440 Phone: State Lic ,, °� • ems, ° ° ° • a° Applicant: SMART KAYLEEN Con State Lic: 469046 Engineer. �° Address: 3750 SCHAUFELE AVE STE 200 Lic Expire: 08/3112019 Address: _' ° LONG BEACH, CA 90808 Bus Lic: BT30046473° ®e • e ° Phone: 314-595-0252 Lic Exp. Date: 0313112019 Phone: State Lic: • ° •i a ®° ° Code Edit 2016 Worker's Compensation Insurance Designer. SMART KAYLEEN r_r-, ' • i ° ° Type of Construction: III-ASPR Carrier. TRAVELERS - Address: 3750 SCHAUFELE AVE STE 20' rT •, °.• 0 0 Occupancy Group: B Policy No: UBgK0634481843G : LONG BEACH, CA 90808 "'� =mus ®'Rem o • oo ° Added /New sq.ft. Bldg: 0 Expire: 10/01/2019 Phone: 314-595-0252 Added /New sq. ft. Garage: 0 e,::<•'m • ,m • 4.. o No of Stories: 1 Issued Date: 02/1912019 Special Conditions: .... No. of Units: 0. Setback- Front:. Flood Zone: Rear. Bldg Sprinklers: N Left: Right' 1 -Y"1��(� l � 1A— fti FEES Construction Valuation: $5,000.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: Records Management: $12.00 Fee Due at Permit Issuance : OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 $320.00 Building PC Fee $0.00 Fire Residential Alarm PC Fee : $0.00 Budding Overtime PC Fee: $0.00 Planning Counter Review: $0.00 . Building Extenhon Fee. $0.00 Planning Zoning PC Fee ; $0.00 Building Investigation Fee : $0.00 Fire Plan Check Fee: $136.00. Public Works PC Fee: $0.00 Fire Permit Fee : $172.00 Public Works Traffic Plan Check Fee; - $0.00 Building Permit Fee: $0.00 '. TOTAL FEE : $320.00 Plan Check Fee: $0.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: Records Management: $12.00 Fee Due at Permit Issuance : OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 $320.00 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 thecheckmark(s) I. have placed next to the applicable item(s) ction 7031.5, Business and Professions Code: Any city or county that requires permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for 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 �fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness and Professions Coder 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 Irovements 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 Proved 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 Ply 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 et0pt from licensure under the Contractors' State License Law for the following reason: my sigrretdPQ 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 legal a strucWre "t 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 fessioes•(;bdet is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date SENSED CONTRACTOR'S DECLARATION Preby af§rmerf*r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing h Section 7000) of Division 3 of the Business a Pr SA C09,11nd my license is in full force License No 7- JAI- /') :RS'•COMPENSATION DECLARATION I FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 'OMPEKSATO, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •• affirmHunderpenalty of perjury one of the following declarations: e ano'W4 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 nce oftWork for which this permit is issued. Policy No. have a 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 Date ie of Agent rnone s certify that, in the perfor anc of the work for w��++'ch this permit is issued, I shall not employ any person in any manner so as to become subject to , if I should become su jectmhe workers' cylifpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisk signature of Applicant Date_ 1ECLARATION REGA DIN CONSTRUCT DING AGENCY hereby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issuer ender's Name Lender's Address ly'imy signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I hive provided is correct. I agree to comply with all applicable city and cou fy o nces g ad state laws relating to building construction. I authorize representatives of this city or county t e -identified property for inspection purposes. lianature of Prooertv Owner or Authorized Agent _ Print Property Owner's or Authorized Agent's Name ACTION DATE BY uLLILA tr+vry Urt VIWVLIAMUcMtn aVVCUI- FEDERAL REGULATIONS PART 61' OFTI ME40AND AQMD.RULE1403. EXPJRED. ❑1SUBMITIED ASBESTOS NOTIFICATIONTO. ❑ EPA ❑ AQMD CANCELLED EXTENDED ASBESTOS M07IRCA7I0NIS IVOTAPPLICA13LE TO PROPOSED DEMOLITION. - FtNAf M b �L ,ATE OF . -.---------- SIGNATURE. compensation laws of California, and '(9-- 3097, Civil Code).