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Home My WebLink AboutF2022-0555 - Permits�tiWPO"', ' City of Newport Beach OF a 61 rt'y Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H.. 5 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 o9<rronN`P newportbeachca.gov/inspections Combination Type - Work Class - Other F 2 0 2 2 0 5 5 5COMB Permit : F2022-0555 Plan Check No: PC2022-2704 Issued Date: 10/27/2022 Inspection Area : FIRE 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 : 4400 MACARTHUR BLVD, 8TH FLOOR Legal Desc : P BK 173 PG 31 PAR 1 Description: COMM FIRE ALARM SYSTEM 25 DEVICES (XC2022 1904) , Owner: 4400 MACARTHUR PROPERTY HOLDINGS Contractor: H C I SYSTEMS INC [t� Architect LLC , Address : 18301 VON KARMAN AVE STE250 Address : 1354 S PARKSIDE PL Address IRVINE, CA 92612 ONTARIO, CA 91761 Phone: (949)331-1300 Phone: (909)r628-7773 Phone: IL Con State Lic : 905493 State Lic : Lic Expire : 02/29/2024 Applicant: H C I SYSTEMS INC Bus Lic BT30042287 Engineer Address : 1354 S PARKSIDE PL Bus Lic Expire : 02/28/2023 Address ONTARIO, CA 91761 Phone: 909 628-7773 ( ) Workers' Insurance Phone: Carrier: FEDERAL; INSURANCE COMPANY Owner/Builder : Policy No: 54309498 Designer: H C I SYSTEMS INC Address : W.C. Expire : 3/2/2023 Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: - Phone: (909)628-7773 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $9,843.00 Type of Construction : I -A Fire Hazard Zone NO Added/New/Ti sq. ft. Bldg Occupancy Groups : B No of Units: 0 Alteration sq. ft. Bldg Bldg Height: No of Stories : 9 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : 0 Building Setbacks Flood Zone : X Use Zone: PC - Koll Center PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors! State License law for the reason(s) Indicaled below by the checkmark(s) I have placed next to the applicable item(s) rnnn 7n29 S Rne)nnec. and Prnfaccinna tlwi, Am P.Hvnr rnnnivthaf mvilron a: neenit to cnnsttuct attar_ imomvEdemolish_ or renair anv:Structure nnor to its Issuance. also reDuires the soolicant for hundred I; as owner of the property, or my empip liness and Professions Code: The Contra rovements are not intended or offered to roved for the purpose Of safe). I, as owner ofthe property,amexclusive ty to an owner of property who builds or I I am exempt from Iicensure under the G my sginature below 1 acknowledge that, t of insole compensation, will do U all of or U portions of the v Iw does not apply to an owner of property who, through emp building or Improvement is sold within oneyear of completic Tot intended oroffered for sale (Section 7044, builds or improves theproperty, provided that the have the burden of proving that It was not built or licensed Contractors to Construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law .does note and who Contracts for: the projects with a licensed Contractor pursuant to the Contractors' State License Law), Icense Law for the following reason: M ,No $HALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1100,000) IN ADDITION TO THE �=eby,affirm. uryyfeyd'eh%lty of perjury one of the following declarations: t hane and JI'maintain. a :Certificate Of Consent to. -.sell -insure for workers'. compensation, Issued by: the Director of Industrial Relations as .provided for by Section 3700 of the. Labor Code, .for th fommarre, of the vrrork for which this permit Is issued, Policy, No, 4 ave*and wilt r�l�aImaiin workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the wod( for which this permit is issued. My workers' compensatioi ireliar�carrer andd policy number arm; rA Tie'. tZo PA 14i 51,y YLL.COLArKA Policy Number v7'f'30R9"�$ ExpireUon pate 312023 . certify that, In theperformance of the work 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 agre if I should beep ubject too tthee'�workers' compensation provisions of SacTldn 3700 of the -Labor Code,.IShall forthwith comply with those provisions. iature of Applicant !f"Y� Date 161 ?-7 /ZX :LARATit1N REG RAING1`IINSTRUCTIGN LENDING AGENCY reby affirm under nalty of perjury that mere is a construction lending agency for the performance of the work for which: this permit is. issued (Section 3097,:. ivil ode) der`s Name — Lender's Address f am the property owner or authorized to act on the property owner's behalf. I have mad this application and the information 1 have provided is correct. eFiMGI� Ne.Y) I agree to comply with all applicable city and co M ordinances and state laws.. refuting to building construction. 1 authorize representatives of this city at counl y�o antel>gAtiove-ldentifi property for Inspection purposes, ACTION DATE BY / ( ,PTCLARATION OF COMPLIANCE: WITH CODE OF FEDERAL. REGULATIONS PART Sr' OFTITLE40ANDAQMO RULE 1403 FOR. OFFICE.. USE ONLY I / \ PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EIEPA P€RMJ7fXTENDED QMD PER,N7TFINAL 13 'a .ASBESTOS NOTIFICATION:15 NOT APPLICABLE TO CERTIF"T€OF PROPOSED DEMOLITION_ _ OCCUPANCYISSUED SIGNATURE: