HomeMy WebLinkAboutF2021-0491 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 4 9 1
Permit Counter Phone (949)644-3288
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FIRE Permit: F2021-0491
Project No: 2436-2021
Inspection Requests Phone (949)644-3255
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Job Address: 4000 MACARTHUR BLVD NB St: 1 FI: 9 } 10 Description: COMM FIRE ALARM (44 DEVICES) 9TH FL, (42 DEVICES) 10TH FL
Inspector Area: FIRE Legal Description: P BK 114 PG 22 PAR 1
Owner: HG NEWPORT OWNER LLC Contractor: KIRKWOOD A J & ASSOCIATES INC Architect:
Address: 101 CALIFORNIA#1000 Address: 2762 WALNUT AVENUE Address:
SAN FRANCISCO CA 94111 TUSTIN CA 92780
Phone: Phone: 714-505-1977 Phone: State Lic:
Applicant: KEALEY CRANDELL
Address: 4300 N HARBOR BLVD
FULLERTON, CA 92835
Phone: 714.505.1977
Code Edit: 2019
Type of Construction:
I-A-SPR
Occupancy Group:
B
Added /New sq.ft. Bldg:
0
Added/New sq. ft. Garage:
0
No of Stories:
10
No of Units:
0
Flood Zone:
X
Bldg Sprinklers:
Y
Construction Valuation
Building PC Fee :
Building Overtime PC Fee:
Building Extention Fee :
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee:
Building Permit Fee
TOTALFEE
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
Con State Lic: 724633
Engineer:
Lic Expire: 07/31/2022
Address:
Bus Lic: BT30043733
Lic Exp Date: 0613012022
Phone:
Worker's Compensation Insurance
Designer:
Carrier: LIBERTY MUTUAL
Address:
Policy No: WC7Z91448559
Expire: 02/14/2022
Phone:
Issued Date: 11109/2021
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
$42,000.00
State Lic:
AJ KIRKWOOD
4300 N HARBOR BLVD
FULLERTON, CA 92835
$0.00
Fire Residential Alarm PC Fee: $0.00 Records Management:
$12.00
$0.00
Planning Counter Review: $0.00
$0.00
Planning Zoning PC Fee: $0.00
$0.00
$0.00
$357.50
Public Works PC Fee: $0.00
$0.00
$512.50
Public Works Traffic Plan Check Fee; $0.00
$0.00
$882.00
Plan Check Fee : $521.50 Fee Due at Permit Issuance :
$360.50
•a• •Y• Y•c ••Y OTHER DEfla1RTMENT:
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APPROVAL TO ISSUE:_
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PERMIT EXPIRES 180 DABS AF.TkRY1$�WLANJ.EQR L24S'r VALID INSPECTION
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JWNER-BUILDER DECLARATION
I 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 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
:he 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 `) 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
i�m roved 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).
❑ 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 legally
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
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Business and Professions Code, and my license is in full force
and effect.
License Class License No Date 1` O Contractor Signal;
NORKERS' COMPENSATION DECLARATION
NARNMG: 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 Ii100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 Labor Code, for the
oeVrmance of the work for which this permit is issued. Policy No.
have an maintain workers' compensation ii
rance frierInd policy nVPMMWre:,
ie of Age
certify that, in the performance
if I should become subjgct t4
of Applicant
as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Date
work for which As permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
ikers' compe/j\Is1�7I tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those visions.
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I hereby affirm under penalty of perjury that there is a onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name ILender'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 information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or countyR`o a arth/� a�v�e-1ldentif^ierAyY1,,�Kerty for inspection purposes. q y�
Signature of ProDertv Owner or Authorized Agent X I 0 I I III nOh)\Y/I\ fll\Ok Print Property Owners or Authorized Agent's Name V Lyl1 &A Ma D to It
ACTION
PERMIT CANCELLED
PERMIT EXTENDED
CERTI FICATEOF
OCCUPANCYISSUED
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