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Home My WebLink AboutF2023-0435 - Permits"wupD City of Newport Beach 4d l D i C ?� ommunty Development Department- Building Division COMBPermit: FZO23-0435 ,rlO! F 2 0 2 3 0 4 3 5 Ai. y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2237 �ri S Permit Counter Phone:(949)718-1888 Issued Date : 09/1312023 's newportbeachca.gov/civic Final Date: �cci F2i i+NP CombinationType- Permit Status: Issued Work Class - New 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 : 845 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR Description : COMM FIRE ALARM - 30 DEVICES *845, 849, 853 NCD* Owner: IRVINE COMPANY Address: 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2000 Applicant: RICHARD JOHNSON Address : 3750 SCHAUFELE AV, 200 LONG BEACH, CA 9080E 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 Lic : 469046 Lic Expire : 08/31/2025 Bus Lic : BT30046473 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: TRAVELERS PROPERTY CASUALTY CO OF AMERICA Policy No : UBOK0634482243G W. C. Expire : 10/1/2023 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 Bldg Height : No of Stories : Building Setbacks : Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY SPECIAL CONDITIONS:IC2022-0076 - 849 XC2023-0224 - 849 X2022-0077- 853 X2022-0078 - 843 Architect : i Address: eqq, x,;LOr�1,--OD7(D Phone: Qqq,_ s(ti, State Lic : U N/ -1 Engineer: �53 XJOa3-�C71-I / Address Phone: sq �>' )(cDaa — col 8-- Designer: MASON SETTLEMOIR Address : 3750 SCHAUFELE AVE, 200 LONG BEACH, CA 90808 Phone : (562) 353-4680 Construction Valuation : $10,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby afflnn under penalty of perjury that I am exempt from the Contractors' Stale license Law for the reason(s) indicated below by the checkmark{s) I have placed nextto the applicable itern(s) (Section 7031,3, Business and Prolesslons Code. Any city or county that Tequires a pefrnit to Construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed staorrent that ha or she Is IISenGGd 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 fiat more than five hundred dollars ($500). ''.❑ 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 or Offered for sale (Section 7044, BlisinaSS and Professions Code: The Contrerinrs' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, provided that lha Inlprovsments are not Intended of -offered for sale. If, however, the building or]mprovement is sold within one year of completion. the Owner -Builder Will have the burden of proving that It was not built al' Improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7�044, Business and Professions Code: The Contractors' State License La's' does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exernpt from licenvure undur ifle Contractors' Slate License Law for the following reason __..._...... __._... .._.... _.. ._............ ,..._.._,..._ By my signature below I acknowledge that, except for my personal residenco In which I must have resided for at least one yell prior to completion of tho Improvements covered by this permit, I cannot legal' ,all a structure that I have built as an oemdr-builder if It has not boon constructed in its onliroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of rho Business and Professions Code, is available upon requestw'hen this application Is submitted oral the following Web si4e: hltp:flwwwtleginio.aa.govlcalaw•html. Signature of Property Owner or Authorized Agent_____.__..........._.,_.._..___.._.._______..__._..._.____.____._____._._.... D -_..__.._____._._.......__,_...._._.._,.._._.__. LICENSED CONTRACTOR'S DECLARATION I hereby affirm Under penalty of perµ' , that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Gf Iltio 3 of the Buslnaes and Profess' n ode and c sQ.ie In full tires and effect. License Class License No Date ' 13� Z Contractor SignalurE lL '.. WORKERS' COM..PENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T DUSAND DOLLARS S1040001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR iN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, I hereby affirm under penalty of perjury one of the fallowing declarations: I Have and vuill maintain e renilirale of Consentto self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the rmhi ance of the vmik for wcll INS permit Is ISSUGd. Policy No. _ Vol and Trill 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' compensator insur nce carrier and policy number are,: sr Policy Plumber Expiration Date lie of Agent certlry that. in the performance of for whin his pentnit is issued; I shall not employ any person in any manner so as to become subject to the workers compensation laws of Callforrtia and ith '9 pl P_._ ..__,_ _.____.,,.—._.__..__.__,_._____ comply ... T- those provisions. ry, 1aL It I should became subject 1D the 'r s cortup rsetlon provisions of Section 3700 of (he Labor nce Df IhelworkifoodlAWch ll s arrrrlth Y ✓ Y, � �) , nature ulA Jllcanl C (/��11- 'ECLARATION REGARDING CU U TIUN ENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance V p, is issued (Section 3097, Civil Code ender's Name Lendors Address ry my signature bocw, I certify to each Of the following: I am the property Owner or authorived to act or, the property owner's behalf. I have raid this application and the information I have pr vided Is correct. I agree to Comply 'wi h all applicable C€ty and count I ncos and state laws relating to hullding Construction. I authorize representatives of this city or count t .n r en oV entified property for Inspection purposes. lionature of Property Owner or Authorized Age11 __ l; Print Property Owner's or Authorized Agent's Name DL� CtfAa n JnH USr^ Date ACTION DATE BY V N DECLARATION'l 71MIPLIIINCC WITH CODF OF FEDCRAL nFu Llln -IONS FAR 51 JFTITLE 40 AND AONID RULE 1r0r _ j,J�ISyI R ITTFuA aE5TG5 NOTIFICATION TO FOR OFFICE USE ONLY PERA4TEXPIRED PFRMITCANC�LLED j t L..ICr1 -- P€Rh7ITEXTENDI LIALM-- PERMITFINAL Ell' %SB S OS NOT IFCA'ION IS NUTAPPLICABLE 10 CERTIFICATE OF j FPOAOSFC OFP^OLI710P' OCCUPANCY ISSUED sIrN11Fc,