HomeMy WebLinkAboutF2022-0175 - PermitsCity of Newport Beach - Building Division(I�IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II .� 100 Civic Center Drive, Newport Beach, CA 92660
uSy d Permit Counter Phone (949)644-3288
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FIRE Permit: F2022-0175
Project No : 0895-2022
Inspection Requests Phone (949)644-3255
Job Address: 4695 MACARTHUR CT NB St: 1 Ft:
14 Unit: 1400
Description: COMM FIRE ALARM TI (X2021-3398) ADD 2 DEVICES
Inspector Area: FIRE
Legal Description:
P SK 196 PG 40 PAR 2
Owner: IRVINE CO
Contractor:
BUILDING ELECTRONIC CONTROLS
Architect:
Address: 550 NEWPORT CENTER DR
Address:
2246 LINDSAY WAY
Address:
NEWPORT BEACH, CA 92660
GLENDORA CA 91740
Phone:
Phone:
909-305-1600
Phone:
Applicant: TAYLOR KYNDALL
Con State Lic:
729905
Engineer:
Address: 2246 LINDSAY WY
Lic Expire:
11/30/2022
Address:
GLENDORA CA 91748
Phone: 909-305-1600
Code Edit: 2019
Type of Construction:
V-B-SPR
Occupancy Group:
B
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
16
No of Units:
0
Flood Zone:
X
Bldg Sprinklers:
Y
State Lic:
Bus Lic: BT97026666
Lic Exp Date: 10/31/2022
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
MORENO ARI BALTAZAR
Carrier: ZURICH AMERICAN
Address:
2246 LINDSAY WY
Policy No: WC302951002
GLENDORA CA 91748
Expire: 04/01/2023
Phone:
Issued Date: 04104/2022
Special Conditions:
Setback- Front:
I
ems
Rear:
II
Left:
Right:
FEES
Construction Valuation:
$1,935.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$4.00
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:
$168.50
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$239.50
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee:
$0.00
TOTAL FEE :
$412.00
Plan Check Fee :
$412.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL: _ 36
OTHER CEPARTMENT:
PLAN CHECKED RY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID IN.^PCC ION
)WNER-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
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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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).
J 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).
D I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legal)
all 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.htm].
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 Section 7000) of Division 3 of the Business and Professions Code and my license is in full force
nd effect. icense Class License No Date--` I7� Contractor Signature;/T XK{� o
CORKERS' COMPENSATION DECLARATION
'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
OST 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 the
Kormance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
ne of Agent
certify that, in the performance of the work for which this
, if I should become subject to \the/workers'comp n tio,
iature of Aoolicant , it cIC%mild Q
Date
is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
iong of Section 3700 of the Labor Code, I shall forthwith comply with those provision§, I ,
:reby 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 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 county o enter the b of d p cp y for inspection purposes.
1. _„PSU1 �.�.�
of Property Owner or Authorized
Name
Date
ACTION
DATE
By DECLARATION OF COMPLIANCE WTH CODE OF
FOR OFFICE USE ONLY
FEEDERAL REGULATIONS PART 61 OF TI7LE40 AND
QQMD RULE 1403.
PERMITEXPIRED
—
1 SUBMI TTED ASBESTOS NOTIFICATION TO:
— ❑ EPA
❑ AQMD
PERMITCA.NCELLEO
PERIVRTEXTENDED
ASBESTOS
P❑RQPOSED DEMOLITOCN TION IS NOT APPLICABLE TO
a 5?GNATURE:.
PERMITFINAL
CERTIFICATEOF
OCCUPANCI'ISSUEO
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