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Home My WebLink AboutF2023-0033 - PermitsEWPoRT Cily of Newport Beach 4 A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqG/Fn AN�� newportbeachca.gov/inspections Combination Type - Work Class - Other F 2 0 2 3 0 0 3 3 COMB Permit : F2023-0033 Plan Check No: PC2023-0122 Issued Date : 02/02/2023 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 LuCc,R't-SO AA-MONbs Job Address : 545 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR Description : COMM FIRE ALARM TI - 41 DEVICES (X2022-1438 8 1642) Owner: IRVINECO :Contractor: INTERFACE SYSTEMS :.. Architect: Address : 111 INNOVATION Address`:. 3750:SCHAUFELE AV, 200 -Address IRVINE, CA 92618 LONG'.. BEACH, CA 90808 Phone: (949)720-3100 Phone: (562)353-4680 Phone: Con State=Lic : 469046 State Lie Lie Expire: 08/31/2023 Applicant: RICHARD JOHNSON Bus Lie: BT30046473 Engineer Address : 3750 SCHAUFELE AV, 200 Bus Lie Expire : 03/31/2023 Address: LONG BEACH, CA 90808 Phone: (562) 353-4680 Workers' CompensationInsurance Phone: ` Carrier: TRAVELERS PROPERTY CASUALTY CO OF AMERICA Owner/Builder : Policy No: UBOK0634482243G Designer: MASON SETTLEMOIR Address : W.C. Expire : 10/1/2023 Address: 3750 SCHAUFELE AVE, 200 LONG BEACH, CA 90808 Phone: Phone: (562) 353-4680 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $20,000.00 Type of Construction : V-B Fire -Hazard Zone : _ NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : No of Units : 0 Alteration sq. ft. Bldg Bldg Height : No of Stories : :1 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone -: -X - Use Zone: PC - North Newport Center PROCESSED BY: "°" `": "�• aae o SPECIAL CONDITIONS: o° ° OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors': State License Law forthe reason(s) indicated below by the checkmark(s) I haveplaced next to the appitcable items) (Seotlon 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 appllcanttor the permit to file a. signed statement that he or she is licensed pursuant to the p€ovistons of the Contractors'Stale 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 liceisum and the basis for the alleged exemption. Any Violation of Section 7031 Z by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500} i 13 1, as owner of the property, or my employeaswith wages as their sole compensation, will doh) all of or U portions of �he work, andthestructure is not intended proffered -for sale (Section 7044-, Business and Professions Code: The Contractors' Stale License Law does not apply to an ownerof property who, throughamployees':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 not built or improved for the purpose of sale). - rl I, as owner of: the property,am exclusively contracting with licensed Contractors to construct the project jSecUon 7044, Business and Professions Code: The Contractors' State License Lawdoes not Ll EDly to an owner Of property who builds or improvesAboreon, and who contracts for the projects: With a licensed Contractor pursuantte the Contractors''State License Law),,. l am exempt from licansure under the Contractors' State License Low for the following reason: 7 By my signature below I acknowiedge that, except For my personal residence in which I must have residod for at least one:Year prior to completion of the improvements covered by this permit, I cannot iegall sail -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, Section7044 of the Business and Professions Code, is, available upon request when this application is submitted or at the following Web site:ht1pJAwnv.Seg1tfo.ca.govtcalaw.html. Signature of Property Owner or Authorized Agent e LICENSED CONTRACTOR'S DECLARATION I hereby affirm tinder penalty of perjury that am licensed under provisions of Chapter 9 (Commencing with':Sectio 7 00) f Division 3 of the Business and Prole D s C e, -ease is In full force: and effect. License Class. License No DAL 2• Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CaPhi P HAL ty p g ITI£S AND CIVIL FINDS UP TO OHE HUND THOt �4AND T kLLARS tStaD,SO0),IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROMPEO FOR IN SeCTiON 37e6 OF THE LABOR COOP, INTEREST, AND ATTORNErS FEES. I hereby afPvm under penal of a 'u one: of the foilowtn declarations: 13 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-=0 of the Labor Code; ;for O parfoonanceof the work for which This permit is issued, Policy No. and wiii maintain workers' compensation insurance, as required by Section 3700 of the Labor' Code, for the p larrormance- of the work: for which this permit is issued. My workers' compensatia insurance carder and policy itumiaer are Carver Policy Number; ExplrationDate Name of Agent Phone # 1 caNty that„in the pe mrance rk for whicf is permit is issued, 1 shall not employ any parson in any mannar�sb as to become subject to the wortters' Compensation laws ofGalifamia. and ogre that, it I should bec s bject a/r�• C P sation provisions of Section 3700 of the Labor Codes I shall forthwith comply with those provisions. f SignatureafAPDlicant Dale Z-2-2i ECLARA11ON RI GA C CONBTRIICTION ENDING AGENCY hereby affirm under natty f perjury that there (s a construction lending agency for the performance of the work for wh c{r this permit is issued (Set ton 3097 i H Code), Lender's Name Lender's Address By 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 lnformakon t ha -a provided -incorrect, i agree to comply with allity . applicable cand c rrdf and stet aws; relating to building construction. I authorize representatives of this city of coup t IT fled properly for inspection purposes. [signature of Proart Owner or Authorized A enK ' G Print Pro e Uwnar's or Authorized A- ent's Nanra .:Dot" 2' Z• * 3 ACTION DATE : BY il DE RA ION F COMPUANCE WITH CODE OF FEDERAL FOR OFFICE. USE ONLY REGUiAnoNlsPART 61 OF T€ rtE 40 AND AOMD RULE 1403 PERMIT EXPIRED ISUBMITr£.O ••' PERMITCANCELLE0 EPA _• PERMITEXTENDED UAQMD • • . PERMIT FINAL UASEIESTOS NOTIFICATIONN-I5 NOT APPLICABLE TO CENTIFICATEOF PROPOSEO DEMQIJgf9N OCCUPANCYISSUED SIGNATURE: ••• •�• ••• ••• .. - ae ou o o Dee ..o