The URL can be used to link to this page

Home My WebLink AboutF2023-0538 - PermitsD�aEWnoRT City of Newport Beach O Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 i) ¢ Permit Counter Phone: (949) 718-1888 n. newportbeachca.gov/civic cgt�FoaN'P Combination Type - Work Class - Tenant Improvement iiiiiiiiiii II COMB Permit: F2023-0538 Plan Check No : PC2023-2669 Issued Date . 11/01/2023 Final Date: Permit Status: Issued Inspection Area : FIRE 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: 809 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 POI�i OF PAR Description: COMM FIRE ALARM TI WITH 28 DEVICES FOR "GOOD AMERICAN" (XC2023-0208) Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 9261E Phone: (714)366-7205 Applicant: RICHARD JOHNSON Address: 3750 SCHAUFELE AV, 200 LONG BEACH, CA 90808 Phone: (562)353-4680 Owner/Builder : Address : Phone Contractor: INTERFACE SYSTEMS Address : 3750 SCHAUFELE AV, 200 LONG BEACH, CA 90808 Phone: (562)353-4680 Con State Lie : 469046 Lie Expire : 08/31/2025 Bus Lie: BT30046473 Bus Lie Expire : 03/31/2024 Workers' Compensation Insurance Carrier: TRAVELERS PROPERTY CASUALTY CO OF AMERICA Policy No: UBOK0634482243G W. C. Expire : 10/1/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : III-B Fire Hazard Zone : NO Occupancy Groups : M No of Units : 0 Bldg Height : No of Stories : 1 Building Setbacks Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY: ap SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer Address Phone: Designer: INTERFACE SYSTEMS Address: 3750 SCHAUFELE AV, 200 LONG BEACH, CA 90808 Phone : (562) 353-4680 Construction Valuation : $12,000.o0I Added/New/Tl sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Acided/New, sq. ft. Garage: 0 TOTAL sq. ft. 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that € am exempt from the Contractem' State License Law for the reason(s) indicated below by the checkmark(si I have placed next to the applicable items) (Section 70315, 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 licensors 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). 0 I, as owner of the property„ or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended cr 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 properly, provided that the 'improvements are not intended or offered for sale. If, however, the building or Improvement is sold withinone year completion, the Owner -Builder will have the burden of proving that it Wes not built or improved for the purpose of sale). 0 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' Stale License Law). l0 I am exempt from licensure under the Contractors' Slate License Law for Ate 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 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 70" of the Business and Professions Cade, is available upon requestwhen this application is submitted or at the following Web site:http:flvwnv.ieginfo.ca.gov/calawthtml. Signature of Property Owner or Authorized Agent a e LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commending with Section 70 0 f Division 3 of the Business and Proles if n license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION t I WARNING: 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 (E1U4000j, IN AoordON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES.. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have 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 IN performance of the work for which this permit is issued. Policy No. have 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' lance carrier and policy number are: to of Agent certify that,in the perrormanyp of the work . if I should become subject�i tp� orker iatura of Applicant V% �lC/ (J Policy Number Expiration 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 provisions. If- I Date - Z Z hereby affirm urcwr ,eralty 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). enders Name [ Lender's Address r: ,r,y s,g„rature below, Icertify to each of the Following: I am the properly owner or authorized to act on the property owner's behalf. I hay., read thisapplication and the Information I have provided is orrect. agree to Domp'I v Rh all applicable city and county, di n nd state laws relating to building construction, I auth-cnze rep-rs?nlatives Of this city or county tove-identified property for inspection purposes, ' 'signature of Property Owner or Authorized Agent Print Prooarty Owners or Authorized Acenta Name t�i,r Le.,, A. —C.� — ACTION F?RMIT CQNCELLCD PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE I BY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS Nom ncATION TO L1. ASBESTOS NOTIFICATION 15 NOT APPLIC"ARLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY ICI