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Home My WebLink AboutF2022-0202 - Permitsro T City o 0 CiviccDrive,enter Newport Beach ortaha- BuildoBuilding Division oII �F��I 0II�� 0IO2�� II x Permit Counter Phone (949)644-3288 Job Address: 4450 MACARTHUR BLVD NB Inspector Area: FIRE Owner: M4 MACARTHUR LLC Address: 4450 MACARTHUR BLVD #2ND FLR NEWPORT BEACH CA 92660 Phone: Applicant: JAYICODE 4 FIRE INC Address: 187 W ORANGETHORPE AVE #O PLACENTIA CA 92870 Phone: 949-439-1979 Code Edit: 2019 Type of Construction: I-B-SPR Occupancy Group: B/S2 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y Construction Valuation: $6,500.00 Building PC Fee Building Overtime PC Fee: Building Extention Fee Building Investigation Fee: Fire Plan Check. Fee: Fire Permit Fee : Building Permit Fee TOTAL FEE: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: FIRE Permit: F2022-0202 Project No : 1025-2022 Inspection Requests Phone (949)644-3255 Description: COMM FIRE SPRINKLERS (66) HEADS (X20221-3451) Legal Description: Contractor: CODE 4 FIRE INC Address: 187 W ORANGETHORPE AVE #O PLACENTIA CA 92870 Phone: —.844-"S-8334— Con State Lic: 905117 Lic Expire: 10131/2023 Bus Lic: BT30054263 Lic Exp Date: 05/31/2023 Worker's Compensation Insurance Carrier: PREFERRED PRO INS Policy No: ON1138602 Expire: 06/16/2023 Issued Date: 06/16/2022 Setback- Front: Rear: Left: Right: FEES $0.00 Fire Residential Alarm PC Fee $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee $0.00 $252.00 Public Works PC Fee: $396.50 Public Works Traffic Plan Check Fee; $0.00 $652.50 Plan Check Fee Architect: Address: Phone: Engineer: Address: State Lic: Phone: State Lic Designer: ARESLANDO RUBIN Address: 187 W ORANGETHORPE AVE #O PLACENTIA CA 92870 Phone: 949-439-1979 Special Conditions: 3i2 $0.00 Records Management $0.00 $0.00 $0.00 $0.00 $252.00 Fee Due at Permit Issuance F APPROVAL TO ISSUE: 4c sae 4 o U4 p C O O Ptl s' •B . y PERMIT EXPIRES 180 DAYS AFTER IZSS IANC;� OR &AS7•VALII) INSPECTION B4 9aB 4 6 6B CB C�+G Br> 4 44Y CG � • 0THER9EbFARTMEN a :. • o 0 4 4••PLANtHEC5EDBYn4 "o cc rI- �.1 pr,L vi Z $4.00 $0.00 $0.00 $400.50 IWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lawforthe reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(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 is 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 U all of or U 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 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 nproved 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 legall, ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ection 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. nn __ icense Class C-' 4 I License No G S) 1 -7 Date (a f I S Contractor Signat)_Ilk— VORKERS' COMPENSATION DECLARATION Ir 'ARNING: 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 ($100,000), 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: 7 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 e4mance of the work for which this permit is issued. Policy No. and 4 nn iotain worke%e Knnpensation insurance,.as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' is of Agent certify that, in the performance of if I should become suldect to the of Date for which 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 coc�m1pe�nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proovv sI'ons. CLARATION REGARgIRG CONSTRUCTION LENDINGWGENCY \ :reby affirm under perplty 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 correct. I agree to comply with all applicable city and count1vordinances and state laws relating to building construction. I authorize representatives of this city or count t enter thte�abo/v1e-identified property for inspection purposes. ' �, .1r. {n ^ nature of Property Owner or Authorized Agent �14Y i-1�U4b (aL Print Property Owner's or Authorized Agent's N-aNOJ —' ACTION HATE BY DECLARATION OF COMPLIANCE W TH CODE OF FOR OFFICE USE ONLY ,•, ,•• •fEDERALREK3ULOT}ONSPARTBIOFTITLE40AND A*.4 RULE WX. PERMIT EXPIRED s ,•�•• ❑; I St)bA4•TIrD.AWSTOS NOTIFICATION TO:: 10 EPA ❑ AQMD PERMIT CANCELLED • • • PERMIT EXTENDED • ASBESTOS 0PTION. HON IS NOT APPLICABLE TO 4P4S0 BE PERMIT FINAL �- a- o CERDFfCATE OF • • SiGNejTQR e i e OCCd1PANCYtSSt1ED • e a .. a e. .