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Home My WebLink AboutF2022-0017 - Permitsw r City of Newport Beach - Building Division *F2022-0017* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ""a r ttvatr� Job Address: 4000 MACARTHUR BLVD NB 10 11'r�rt, Inspector Area: FIRE Owner: 4000 MAC ARTHUR L P Address: 400 S HOPE ST #200 LOS ANGELES, CA 92271 Phone: Applicant: HAYES SEAN Address: 433 W ALLEN AVE STE II I SAN DIMAS, CA 91773 Phone: 626-660-8255 Code Edit: 2019 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: I-A-SPR B 0 0 FIRE Permit: F2022-0017 Project No : 0084-2022 Inspection Requests Phone (949)644-3255 Description: COMM INSTALL OF 24V(DC) DETECTION AND CONTROLS TO SUPPORT .... ?M-A(A. 00 T'S ,y, '1' "h-1 a .... 4 Legal Description: P BK 114 PG 22 PAR 1 (l Contractor: D & H FIRE PROTECTION INC Architect: h J Address: 945 N CHESTER AVE Address: PASADENA CA 91104 Phone: 626-765.0115 Phone: State Lie: • .a Con State Lie: 1020679 Engineer: ma Lie Expire: 11/30/2022 Address: m Bus Lie: BT30078120 Lie Exp Date: 02/28/2023 Phone: State Lic: ° m Worker's Compensation Insurance Designer: D&H FIRE PROTECTION INC O mm� .. , Carrier: STATE COMP INS Address: 945 N CHESTER AVE m •� m Policy No: 9293637 PASADENA, CA 91104 Expire: 03/02/2023 Phone: 626-660-8255 10 Issued Date: 03/28/2022 0 Setback- Front: X Rear: Y Left: Right: Special Conditions: , . 1mOOCC m •. gee m o•.mo FEES Construction Valuation: $21,000.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $6.00 Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00 Building Extention Fee: $0.00 Planning Zoning PC Fee : $0.00 Building Investigation Fee: $0.00 $0.00 Fire Plan Check Fee: $472.00 Public Works PC Fee: $0.00 $0.00 Fire Permit as : $283.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $761.00 Plan Check Fee: $197.75 Fee Due at Permit Issuance : $563.25 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: 6:5 U OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) iection 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 ie 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements arpiwtintended 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 nproved for thE.9prpDSe of sale). � I,qJownerpf 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 . pply to -an owner WARr6perty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ],I alrLexempt frpm licensure under the Contractors' State License Law for the following reason: ly mgsignature beloq Iacknowledge 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 ell a Structure that 1-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 'rofesgitns Code`, 16 available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ��i nature of PrgA2 t V)pner or Authorized Agent Date 'It"EWSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio o , an y lic is in full force fcense Class ' License No Date �� Z'2 Contractor Signature JORkQRS' COMPFLNSATION DECLARATION ARAIAC: FAILURE`TQ$ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H RED THOUSAND DOLLARS I$100,00DI, IN ADDITION TO THE DST 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: 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 3700 of the Labor Code, for th erformance of the work for which this permit is issued. Policy No. I have and will 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' compensatior Isurance carrier and policy number are: .arrier ef 4M c� Policy Number Expiration Date lame of Agent Phone # 11 certify that, in the poperjury rk for which this perm' is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree eat, if I should becomrs' co atio isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date IECLARATION REGAION LENDIN CY hereby affirm under pthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's If. I have read this application and the information I have provided is ect. I agree to comply with all applicable city and county ordinance d stale 1 s re g to building construction. �C I authorize representatives of this city or county to enter the id tifie r rty for inspection purposes. L 7 \ Innnfure of PmnedV Owner or Authorized ADent X ZL Print Property Owner's or Authorized Agent's Name y �%-�C-� Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULA TIONS PART 61 OF TITLE 40AND AQMDRULE #403. PERMITEXPIRED ❑ I SUBMITTEDASBESTOS NOTtACATtONTO: ❑ EPA AQM0 ASBESTOS NOTIRCA NOTAPPLI BLETO PROPOSED DEMOUITIO . PERMIT CANCELLED PERMITEXTENOED PERMIT FINAL �I tea. (�� CERTIFICATEOF OCCUPANCYISSUED StGNATURE: �(