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Home My WebLink Aboutf2022-0011 - Permits'r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 y Permit Counter Phone (949)644-3288 C�;3eaxY�'`w Job Address: 1087 NEWPORT CENTER DR NB Inspector Area: FIRE Owner: IRVINE CO Address: PO BOX 2450 NEWPORT BEACH, CA 9258 Phone: Applicant: INTERFACE SYSTEMS Address: 3750 SCHAUFELE AVE #200 LONG BEACH CA 90808 Phone: 562-353-4680 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: M/S2 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y Construction Valuation Building PC Fee : Building Overtime PC Fee Building Extention Fee Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee, TOTALFEE: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $5,000.00 III'�FI0� �II�� 0�I 0�� 1 II FIRE Permit: F2022-0011 Project No: 0052-2022 Inspection Requests Phone (949)644-3255 Description: COMM FIRE ALARM (13) DEVICES (X2021-2598) Legal Description: P BK 221 PG 30 PAR 6 Contractor: INTERFACE SECURITY SYS LLC Architect: Address: 3773 CORPORATE CENTER DR Address: EARTH CITY, MO 63045 Phone: 314-565-0100 Phone: Con State Lie: 469046 Engineer: Lie Expire: 08/31/2023 Address: Bus Lie: BT30046473 State Lie: Lie Exp Date: 03/31/2023 Phone: State Lie: Worker's Compensation Insurance Designer: SETTLEMOIR MASON Carrier: TRAVELERS PROPERTY Address: 3750 SCHUFELE AVE #200 Policy No: UB91<06344820 LONG BEACH CA 90808 Expire: 10/01/2022 Phone: 562-353-4680 Issued Date: 06/2012022 Special Conditions: Setback- Front: Rear: Left: Right: FEES $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $193.25 Public Works PC Fee : $0.00 $275.25 Public Works Traffic Plan Check Fee; $0.00 $0.00 $476.50 Plan Check Fee: $193.25 Fee Due at Permit Issuance OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $8.00 $0.00 $0.00 $283.25 eaeaco a ¢ ¢ ¢a � a¢ a a ¢ 9b. wH 03J3u1 a ¢ ¢3E5 OWNER -BUILDER 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 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, alter, 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 L) 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). I am exempt from Iicensure under the Contractors' State 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 tbgt 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, It available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LZGENSEgCYWRACTOR'S DECLARATION I hereby affiAn un'r%r penalty of perjury that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes ' ode n y license is in full force VdWfect. ' `7 Liedhse Class. • • License No Daf %' (� ' ZZ Contractor Signature N1tOR�(ERStEOMPENSATION DECLARATION WARNING: FAILURE•TC'%CURE 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 Gr09TQF COMP�IN$4TPGN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 64%sb'y affirm under penalty of perjury one of the following declarations: • •. tl4ve and willrtlaintain 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 peArnfance of fhe work for which this permit is issued. Policy No. Atain 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' pElicy number are: me of Agent I certify that, in the performal t, if I should become subject Policy Number Date 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 1 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant C.i CLARATION RE13pbtN2LCONSTRUCT141LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is 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 ordin nd state laws relating to building construction. I authorize representatives of this city or county jp) rr�e jWI lied property for inspection purposes. (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 4403. PERMIT EXPfRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED [I ASBESTOS M07IRCARONISNOT APPLICABLE TO PROPOSED DEMOLITION, PERMIT FINAL CERTIFICATEOF SIGNATURE:. OCCUPANCYISSUED -