Loading...
HomeMy WebLinkAboutF2019-0182 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIII�II�IIIIIIIIIIII II ' P4 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 d R "• Permit Counter Phone (949)644-3288 Job Address: 957 NEWPORT CENTER DR NB Inspector Area: FIRE Owner: IRVINE CO Address: 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: JOHNSON RICHARD Address: 3750 SCHAUFELE AVE STE 200 LONG BEACH CA 90808 Phone: Code Edit: 2016 Type of Construction: V -B -SPR OgptiparmyGroug:°Oo-o. B Added,Jhlew sq.ft. ©ldg: 0 Added /NSw sq. ft. Garage: 0 No of Stcpas: ....000 1 Mp.gJ,U its : , 0 F,qod Zone: o o 0 Bldg Unnklers:� o Y 00 0 . o 0 o coot e co a*oo . m FIRE Permit: F2019-0182 Project No: 0783-2019 Inspection Requests Phone (949)644-3255 Construction VAUFItion: $3,900.00 *somoe o Bbild ng k Vee Building Overinfig PC Fee: Building exter ilon Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee: TOTAL FEE $0.00 $0.00 $0.00 $0.00 $199.00 $238.00 $0.00 $449.00 FEES Fire Residential Alarm PC Fee Planning Counter Review:... -Planning Zoning PC Fee i Public Works PC Fee: Public Works Traffic Plan Check Fee; Plan Check Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Records Management Fee Due at Permit Issuance $12.00 $0.00 $0.00 $449.00 PROCESSED BY:. A 1 Description: FIRE ALARM TI - 6 DEVICES (X2019.0036) *SPEC SUITE* Legal Description: P BK 221 PG 30 PAR 6 FIRE APPROVAL: , LT Contractor: INTERFACE SECURITY SYS LLC Architect: Address: 3750 SCHAUFELE AVE #200 Address: LONG BEACH CA 90808 - Phone: 562-353.4440 Phone: State Lic: Con State Lic: 469046: Engineer, Lic Expire: 08131/2019 r-AddJres'9 .t ISI Bus Lic:BT30046473 \ = Phone Lic Exp Date; 03131/2020 .a,` , • 1 ;1 State Lic: Worker's Compensation Insurance Designer: SMART KAYLEEN Carrier: TRAVELERS {+ ' Address: 3750 SCHAUFELE AV STE 200 Policy No: UB9K0634481843G LONG BEACH CA 90808 Expire: 1 0101/2 01 9 Phone: Issued Date: 04/0912019 Special Conditions: Setback- Front: Rear: Left: Right: Construction VAUFItion: $3,900.00 *somoe o Bbild ng k Vee Building Overinfig PC Fee: Building exter ilon Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee: TOTAL FEE $0.00 $0.00 $0.00 $0.00 $199.00 $238.00 $0.00 $449.00 FEES Fire Residential Alarm PC Fee Planning Counter Review:... -Planning Zoning PC Fee i Public Works PC Fee: Public Works Traffic Plan Check Fee; Plan Check Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Records Management Fee Due at Permit Issuance $12.00 $0.00 $0.00 $449.00 PROCESSED BY:. A 1 OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: , LT APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 (_) all of or L) 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 im roved for the purpose of sale). 1, 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). f I am exempt from licensure 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 legall, 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 site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr a ns Cod d my license is in full force and effect. /I _icense Class License No Date Contractor Signatur NORKERS' COMPENSATION DECLARATION YARNING: 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 :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. , ., • , e ° ° heratIf affirm under penalty of perjury one of the following declarations: ; ' ,. • , o ° ° o I 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 Lgbpr Code, fol to FeK prmance of the work for which this permit is issued. Policy No. ;' • : o o ° ° ave 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 worRers' compgfli?6661 nsu nce carrier and policy number are: • • • • , ° ° ° °' ,_a er Policy Number Expiration Date •• °° _ Jame of Agent Phone # ..... ❑1 certify that, in the perfor c of the work fo which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of Californis, and agrz� hat, if I should become N t h? for mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. " C q •••. ° signature of Applicant _ Da 4 9 - / / _ .• rreby 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). .•••• 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 countAnt CBS " ate laws relating to building construction. - I authorize representatives of this city or county t� �k .0 entfied property for inspection purposes.i./Z.fn Inature of PrODertv Owner or Authorized ADentf�l,� �y'' Print Prooertv Owner's or Authorized AGent's Name CX C QJ A MrjSa n. Date ACT70M DATE - BY Ucucratw r1v1Y yr uvwv"Affuc M? n uvvc yr tUR UhHLt Un UNLY FEDERAL REGULATIONSPART 61 OF TIILE40AND AQMO RULE 1403. PERMITEXP/RED © ISUBMITTEDASBESTOSNOTIF/CATIONTO. 13 EPA 0 AQMD PERMITCANCELLED PERMITEXTENDED ASBESTOS NORFfCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL t�Q1fL.1Q� CERTI€iCATEOF _ OCCUPANCYISSUED SIGNATURE.