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HomeMy WebLinkAboutF2022-0404 - PermitsF`v�WnoR�' City of Newport Beach O Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 3 S Permit Counter Phone: (949) 644-3288 o- Inspection Requests Phone: (949) 644-3255 CgG1FORH�P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement COMB Permit : F2022-0404 Plan Check No : PC2022-1957 Issued Date: 08/08/2022 Inspection Area : 7/FIRE INSPECTOR 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 : 545 NEWPORT CENTER DR Legal. Desc : P BK 221 PG 30'PAR 1 Description: COMM FIRE ALARM SYSTEM W/ (21) DEVICES - Owner: IRVINE COMPANY LLC THE Contractor: INTERFACE SYSTEMS Architect Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Address : 3750 Schaufele Ave Long Beach CA Address Phone Applicant: INTERFACE SYSTEMS Address : 3750 Schaufele Ave Long Beach, CA Phone: (562)353-4680 Owner/Builder : Address Phone: Code Edition : - Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone: Use Zone: PROCESSED BY: 2019 III-B M X PC - North Newport Center SPECIAL CONDITIONS: 90808 Phone :._ (562),353 4680 : Phone Con State Lie : 469046 S '. State Lie Lie Expire : 08/31/2023 :. )808 Bus Lie : BT30046473 i Engineer: Bus Lie Expire: 03/31/2023 Address Workers' Compensation Insurance Phone: ' Carrier: TRAVELERS PROPERTY CASUALTY '. COMPANY OFAMERICA Policy No : UB9K06344821 Designer: INTERFACE SYSTEMS r W. C. Expire : 10/1/2022 Address : 3750 Schaufele Ave Long Beach, CA 90808 Phone: (562) 353-4680 Fire Sprinklers : YES Construction Valuation : $3,000.00 Fire Hazard Zone: , ` No Added/New/Ti sq. ft. Bldg : 0 No of Units : ." 0 Alteration sq. ft. Bldg : • ° ° ° °• No of Stories:. 1 - :Added/Newsq. ft. Garage : 0 °°°° .• ° ° oa° a °°°• •s o ° a°ooa 00 00 ° °° 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 items) .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 he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions Code) or that he or she is exempt from ticensure 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 iot more than five hundred dollars ($50D). 11. as owner of the property, or my employees with wages as their sole Compensation, will do U all of or t—) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usmess 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 mprovements 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 m 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 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 1 am exemptfrom licensure under the Contractors' State License Law for the following reason: By my signature below 1 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[) 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 sfte:http.,It v.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivision 3 of the Business and. Professions de •ease is in toll force and effect. License Class License No Date 2 Contractor Signature WORKERS' COMPENSATION'. DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSA.TION'. COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO CRR6INAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND OOLI.ARS (5100.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3746 OF THE LABOR CODE, INTEREST. AND ATTORNM FEES. t hereby affirm under penalty of perjury one of the following declarations: V1h and wilt 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, forth e of the work for which this permit is issued. Policy No. nd will maintain workers' compensation insurance, as required by Section 3700 nt the Labor Code, for the performance of the work for which this permit is issued. My wodcers" CompensDWI Insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 0I certify that, in the performano work for witich 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 agre that, if I should become subjoC rk mpensation provisions Of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. Signature of Applicant IL � tYale Z� DECLARATION REG ROIN CONSTRU ON LENDING AGENCY Iihereby affir+n mAter penalty of perjury ittat there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code). anHerc NarnQ_ _ _. __..__. _ Lender's Address • yfiy signaylrggelow, l reruay to eacn of me iokowmg: • •1 am tfkogpeRy owner or authorized to act on the property owner's behalf. • • I have read this application and the information I have provid d is correct • I agree to'comply with all applicable city and county or i a s a to laws relating to building construction, ..•. X • • I authoilze reprosentabves of this city or coup toe t e enlihed properly for inspection purposes. nature of%! • e, Owner or Authorized A ent Print ProDenyOwner's or Authorized Agent's Name C. ate ii • 22. • • •ACTION • • • DATE BY CLARATION F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY .• •• • • •• REGULATION PART bS OF TITLE 40AND AOMD RULE .. • f403 � fRJT EXP hEO •• ISUBMITfED ASBESTOS NOT] FICATION TO • �gcaAEt1ED• EPA All required alarms, latches gates and fences which serve as part of a pool pa barrier, shall • •JiPPERMIT ERTex;nn uu\\OMDbe in place prior to approval to fill pool/spa &shall remain in place& be maintained for the T FINAi • • (� I /tilLt ASBESTOS NOTIFICATION 15 NOT APPLICABLE 70 life of the pool. CEATIFICArE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: _ __