HomeMy WebLinkAboutF2021-0591 - PermitsCity of Newport Beach -Building Division *F2021-0591* FIRE Permit: F2021-0591
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2751-2021
,e,, Permit Counter Phone (949)644-3288
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Job Address: 4000 MACARTHUR BLVD NB St: 1 FI: 10
Description: COMM FIRE SPRINKLERS (104) HEADS (1) PREACTION SYSTEMS 10TH F L
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Inspector Area: FIRE Legal Description: P BK 114 PG 22 PAR 1
Owner: 4000 MACARTHUR LP
Contractor:
FIRE PROT SPECIALISTS
Architect:
Address: 400 S HOPE ST #200
Address:
2810 E MIRALOMA AVE
Address:
LOS ANGELES CA 90071
ANAHEIM CA 92806
Phone:
Phone:
714-635-6500
Phone:
Applicant: ANDERSON ROBERT
Con State Lie:
464915
Engineer:
Address: 2810 E MIRALOMA AVE
Lie Expire:
1013112022
Address:
ANAHEIM CA 92806
Bus Lie:
BT30042894
Phone: 7141635-6500
Lie Exp Date:
05/3112022
Phone:
Code Edit : 2019
Worker's Compensation
Insurance
Designer:
Type of Construction: I-A-SPR
Carrier:
COMP WEST INS. CO.
Address:
Occupancy Group: B
Policy No:
WCV6502962
Added /New sq.ft. Bldg: 0
Expire:
12/02/2021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 10
Issued Date: 12/01/2021
Special Conditions:
No of Units : 0
Setback- Front:
Flood Zone: X
Rear.
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Bldg Sprinklers: Y
Left:
Right:
State Lic:
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FEES
Construction Valuation:
$9,000.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$2.00
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:
$328.00
Public Works PC Fee :
$0.00
$0.00
Fire Permit Fee :
$520.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$850.00
Plan Check Fee:
$328.00 Fee Due at Permit Issuance :
$522.00
PROCESSED BY: 0-5 OTHER DEPARTMENT:
ZONING APPROVAL:
FIRE APPROVAL:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
VNER-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 applicablEz item(s)
action 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 appfrcant for
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
,fessions 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
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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
ainess 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
Movements 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
)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
Ay 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:
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
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
�fessions Code, isavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of WmWeAy Owner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
McDy al inglingI penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, d m license is in full force
I effect. • • •
ense Class License No Date�-I Contractor Signature
)RKERS.COMP.ENSATION DECLARATION
ZNING: FAILUREtC SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
,II -OF COMPEN$ATIOry DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Fraby affirrrf Meet penalty of perjury one of the following declarations:
and will maintain a certificate of consent to self -insure for workers' compensation, issued by the
Ice of the work for which this permit is issued. Policy No.
and vAll" Lain workers' compensation insurance, as required by Section 3700 of the Labor Code,
came? �gq Qolicy number are:
/1 I ` Policy Number
1e of Agent /'
certify that, in the p(
. if I should become
Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
for the performance of the work for which this permit is issued. My workers'
Date
the work for h h this 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
.workers' r pI r n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r
nature of Applicant '--Y vu.t I V'`� ua[e
CLARATION REGA ING CONSTRUCTION LENDING AGENCY
6reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
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 cor e
I agree to comply with all applicable city and county or i antes an at laws relating to building construction.
I authorize representatives of this city or county to he ab ve Ide )fie roperty for inspection purposes. �� A�, A,' ,
nature of Property Owner or Authorized Agent _ Print Property Owners or Authorized Agent's Name �I/YN I
ACTION
DAATE
BY
DECLARATION OF COMPLIANCE MTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:.
❑ EPA
❑ AQMD'
PERAAIT CANCELLEO
PERMIT EXTENDED
❑ ASBESTOS NOTIFICATON IS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
PERMIT FINAL
12
CERTIFICATEOF
SIGNATURE:.
OCCUPANCYISSUED