The URL can be used to link to this page

Home My WebLink AboutF2023-0339 - Permitsawn{;fir City of Newport Beach c� tib Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 {j= Permit Counter Phone: (949) 718-1888 .y newportbeachca.gov/civic 9c��RN,. Combination Type - Work Class - Tenant Improvement F 2 0 2 3 0 3 3 9II COMB Permit : F2023-0339 Plan Check No: PC2023-1668 Issued Date Final Date: Permit Status: Applied 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 : 924 AVOCADO AVE Legal Desc : P BK 270 PG 15 PAR 1 P M 270-15 PAR 1 FOR OF PAR Description: COMM FIRE ALARM SYSTEM 2 DEVICES (XC2023-0016) Owner: IRVINE COMPANY Contractor: INTERFACE SYSTEMS Architect Address : 110 INNOVATION DRIVE Address : 3750 SCHAUFELE AV, 200 Address IRVINE, CA 92617 LONG BEACH, CA 90808 , Phone: (949)720-2000 Phone: (562)353-4680 Phone: � Con State Lic : 469046 State Lic Lic Expire : 08/3112023 Applicant: INTERFACE SYSTEMS Bus Lic: BT30046473 Engineer Address : 3750 SCHAUFELE AV, 200 Bus Lic Expire : 03/31/2024 Address LONG BEACH, CA 90808 Phone: (562) 353-4680 Workers' Compensation Insurance Phone: Carrier: TRAVELERS PROPERTY CASUALTY CO OF AMERICA Owner/Builder : Policy No: UBOK0634482243G Designer: INTERFACE SYSTEMS Address : W. C. Expire : 10/1/2023 Address : 3750 SCHAUFELE AV, 200 LONG BEACH, CA 90808 Phone: Phone: (562) 353-4680 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,500.00 Type of Construction : V-A Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : PC - Newport Village PROCESSED BY: SPECIAL CONDITIONS: Pq i OWNER -BUILDER DECLARATION i hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the MRSCEr(s) indicak ($eetion 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter. improve, demob the permit to file a signed statement that he or she is licensed pursuant. to the provisions of the Contmetors' State License Lev Professions Code) or that he or she is exempt from ticensure and the basis for the alleged exemption. Any violation of Section not more than five hundred dollars ($500). 71 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through am Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complet 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, BL apply to an owner of property who builds or Improves thereon; and who contracts for the projects with a licensed Contractor pt ❑ I am exempt frt>-r ticensure under the Contractors' State License Law for the following reason By my signature heinw I acknowledge that, except for my personal residence in which I must have resided for at least one yea ,oil a stucturc that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I undo Irofessons Co -le, is available upon request when this application is submitted or at the following Web sde;hitp:l/www.Iegmfo. Signature of Property Owner or Authorized Agent ....... LICEN3ED CONTRACTOR'S DECLARATION I hereby affirm under DL-nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of C ,.nd effe A. License Class License No Data VORKERS' CCN1PcYSATION DECLARATION V rARNINe; FAILURE `C SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE ,Ca; J, COMPENSATION, DAMAGFS AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, h€s,uuy affirm underpenalty of perjury one of the following declarations: „J I have and w'11 mel:ftain a ceflificata of consent to self -insure tot workers' compensation, Issued by the Director of IT a,ful n a=rice of the vAPk for which this permit is issued. Policy No.. e and w:tl m. ..loin workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perk rice carrier and policy number are: ;artier Policy Number Jame of Agent =1 certify that, in the performance of the wor or h this pormit,is issued, I shall not employ any person in any manner so riot, If I mould beGOm s bject to the wor Do p nsg,{io pr ions of Section 3700 of the Labor Code, I shalt forthwith c ilgnature of Applicam�„_,_. ._...__ ..__�. _ hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which tinder's Name, Lender's Address y any signature below, I certify to soon 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 ane�`tDo niy ordyi� a and sl laws relatfng to building construction. I authorize representatives of this city or ooulpty tto slot, / eye- lifted property for Inspection purposes. below by the checkmark(s) I have placed next to the applicable Items) . or repair any structure, prior to its issuance, also requires the applicant for 7hapter 9 (commencing with Section 7000) of Division 3 of the Business and )31.5 by any applicant for a permit subjects the applicant to a civil penalty of rt, and the structure is not Intended or offered for sale (Section 7044, earl or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). prior to completion of the improvements coven ;land that a copy of the applicable law, Section and ..,,.... __ ........ e Ision 3of the Business and Prot C license is in full force Z]y,, . Contractor Signature AND CI`AL FINES UP TO ONE HUNDRED HOUSANO DOLLARS 01100,0001, IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for whooh this permit is issued My workers' Date to become subject to the workers' compensation laws of CBlifdmia, and Iply, with those provisions. permit is issued (Section 3097 Cl 11 Code). ACTION j DATE ( BY F I -DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE EONLY r V \ REGULATIONS VAR]" 61 OF TEFLE 40 AND AGM D RU I E 1403 PERM; f Ex PI RED 0 1 SUBMITTED ASBESTOS NOTI FICATION TU CPA ............ ... ".__"_._. _..__ _. ." __._"_wt ...... LPERMIT CANCELLED - PERMIT 1ATPA6izD_ A4 ABS. .._"_...._. ,.,._.. _ _ PEWO(TFIfAl �y�L , NOTIFICATION IS NUT APPLICABLE 10"..._. CERTIHCATE OF PROPOSED DEMOLITION OCCUPANCY t55UER SIGNATURE: - 1 Z- 2