HomeMy WebLinkAboutF2022-0594 - PermitsCity of Newport Beach
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Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
11111111111111111111111111111111111111111111111111111111111111��IJillCOMB Permit : F2022-0594
Plan Check No: PC2022-2902
Issued Date : 02/02/2023
Inspection Area,,l {J Lf
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: 151 NEWPORT CENTER DR Legal Desc : N TR 6015 BLK LOT 17 TR 6015 LOT 17 FOR OF LOT AND LOTS R, R -1, R-2 &
Description: COMM FIRE ALARM SYSTEM 70 DEVICES (X2022-1503)
Owner: IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone: (949)608-9659
Applicant:
INTERFACE SYSTEMS
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 Lic
: 469046
Lic Expire :
08/31/2023
Bus Lic:
BT30046473
Bus Lic Expire : 03/31/2023
Workers' Compensation Insurance
Carrier: TRAVELERS PROPERTY CASUALTY CO OF
AMERICA
Policy No: UBOK0634482243G
W. C. Expire : 10/1/2023
Code Edition : 2019
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : A2
No of Units :
0
Bldg Height:
No of Stories :
1
Building Setbacks :
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer
Address
Phone :
Designer: INTERFACE SYSTEMS
Address: 3750 SCHAUFELE AV, 200
LONG BEACH, CA 90808
Phone: (562)353-4680
Construction Valuation : $35,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
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OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I. 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 items) '
(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 ho or she is licensed pursuant to the provisions of the Contractors' Stato 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 liceusure 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),
El I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
improved for the purpose of sale)-
❑ 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' State License Law).
11 1 am exempt from Rcensure under ttte 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 legal)
sell a structure that I have built as an ovwmor-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 ofthe Business and
Professions Code, is available upon request when this application is submitted or at the following Ahab site:httpa/"v.leginfo.ca,govYcalaw.htmi.
Signature of Property Owner or Authorized Agent _ D !
LICENSED CONTRACTOR'S DECLARATION r�y
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of Division 3 of the Business and Prof on. V y Cense is in full force
and effect. License Class License. No Date 7_-2 Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREO THOUSAND DOLLARS [S1 SS;000i, 3N ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TDS OF THE LABOR CODE, INTEREST, AND ATTORNFMS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 have and will maintalh 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 th
p
eranee of the work for which this permit Is issued. Policy No.
a an wI I 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' compensatio
carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the perfo once ot the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workeyllCode).
'ensation laws of California, and agre
that, if I should becom s fact to a r mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant L Date% - 2 - 7 3
DECLARATION REGA 1 CON15T TION LENDING AGENCY
I hereby affirm under p alty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097,
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the properly owner or authorized to act on the property owner's behalf.
I have read this application and the information I have pro. ad is correct.
I agree to comply with all applicable city and Tiy Droll es and i e laws relating to building construction.
I authorize representatives of this city or cou t. ant -i ntified property for inspection purposes.
Signature of Pro ert Owner or Authorized Agonl Pnm Pra arty Owner's or Authorized Agent's Name le Date 2• ' 2
ACTION DATE. BY D- ARATION F COMPLIANCE WI7H CODE OF FEDERAL FOR OFFICE USE ONLY
R FGULATIONS. PART 51 OFTiTLE 40 AND AQMD RULE
'? 1403
_PERMIT EXPIRED �E 1sumv, iTT-D.gSBESTO5 NOTIF'CArION 13
PERMIT CANCEIEED _-- ❑EPA—
PERMIT EXTENDED ❑ AOM U
PERMIT FINAL ���777 LI ASBESTOS NOT IFICA I ION 15 NOT APPLICABLE TO
CERTIFICATE OF ulmJLQ 4;�/ PROPOSFU DEMOLITION
OCCUPANCY 155UED �Y SIGNATURE: