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Home My WebLink AboutF2021-0140 - Permits�r City of Newport Beach - Building DivisionIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 u: FIRE Permit: F2021-0140 Project No : 0807-2021 Inspection Requests Phone (949)644-3255 Job Address: 1083 NEWPORT CENTER DR NB Construction Valuation: Description: COMM FIRE ALARM CORRIDOR (4 DEVICES) X2020.2762 Inspector Area: FIRE Legal Description: P BK 221 PG 30 PAR 6 $0.00 i g %3 PE �T® r•� 11 !@R1( Owner: IRVINE CO Contractor: INTERFACE SECURITY SYS LLC Architect: Planning Counter Review: $0.00 Address: 550 NEWPORT CENTER DR Address: 3773 CORPORATE CENTER DR Address: $0.00 NEWPORT BEACH, CA 922660 $0.00 EARTH CITY, MO 63045 $0.00 Fire Plan Check Fee: Phone: Phone: 314-565.0100 Phone: State Lie: $241.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: eeee Applicant: INTERFACE SECURITY SYS LLC Con State Lie: 469046 Engineer: • • - Address: 3750 SCHAUFELE AVE #200 Lie Expire: 0813112021 Address: •emt « o LONG BEACH CA 90808 .Bus Lie: BT30046473 mtm• maeeoo Phone: 562-3534440 Lie Exp Date: 0313147924 Phone: State Lie: °OfO m e m o n Code Edit: 2019 Worker's Compensation Insurance Designer: PETTY PAUL Type of Construction: III -B -SPR .Carrier: TRAVELERS PROPERTY Address: 3750 SCHAUFELE AVE#200 a°Omoo m c Occupancy Group: M Policy No: U89K06344820 LONG BEACH CA 90808 m e ° e m o Added /New sq.ft. Bldg: 0 Expire: 1010112021 Phone: oeoe m oomoo Added/New sq. ft. Garage: 0 00Cm °oiecu No of Stories: 1 Issued Date: 0411412021 Special Conditions: m 0 of Units 0 Setback -Front: an o m o 0 o c o 0 0 0 Flood Zone: Rear: • • • o Bldg Sprinklers: Y Left: m o 00 • t e° o Right: c000cm teoo PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: C � OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $1,995.00 Building PC Fee: $0.00 Fire Residential Alarm PC Fee, $0.00 Records Management: $0.00 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: $159.00 Public Works PC Fee: $0.00 $0.00 Fire Permit as : $241.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : $410.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $410.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: C � OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 checkmark(s) I have placed next to the applicable item(s) ction 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved 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 ly 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 exempt from licensure under the Contractors' Slate License Law for the following reason: 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 legal) 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 fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of PrgM%wner or Authorized Agent Date :EN§ED COM-RACTOR'S DECLARATION betty -affirm endBi penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the slness and Pro �s ' Cod nd my license is in full force I effect. ••+• %pst.class License No D t{�Iy �-1 Contract ignature ARERS' COMPENSATION DECLARATION WING.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 IT OF COMPENIATI V, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •abY affirm undeiO%epalty of perjury one of the following declarations: I We 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 the fp"Oce of the wcWlgfor which this permit is issued. Policy No. ;;9ve and wlll•mainlain 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' compensation 1Wel carrier and policy number are: .••••• ner� • Policy Number Expiration Date of Agent certify that, in the performance of the work for 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 , if 1 should become subject to the workers' compfffs99n prc)41 fans of Section 3700 of the Labor Code, I shall forthwith comply with those provision. of NO - hereby 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) tinder's Name Lender's Address ly 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 IT I I agree to comply with all applicable city and county y�nancsq a d state laws relating to building construction. I authorize representatives of this city or county r Identified property for inspection purposes. y nature of Property Owner o e Agent Print Property Owner's or Authorized Agen ' Ns AC730M DATE BY MPLIANCEINITHCODEOF FEDERAL REGULATIONSPART 64 OF T17LE40AND PERMITEXPIRED AQMDRULE1403:. ❑ I SUBMITTEOASBESTOS NO17F/CATION TO: PERMITCANCELLED ❑ EPA PERMfTEXTENDED ❑ AQMD ASBESTOS N07iRCAITOMIS NOT APIPLICABLE TO PERMIT FINALPROPOSEU DEMOLITION. CERTIFLCATEOF ' OCCUPANCYISSUED SIGNATURE: