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Home My WebLink Aboutf2022-0315 - PermitsI City of Newport Beach - Building Division 1pi11111111111111111111111111111p1111111p111111 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 F. FIRE Permit: F2022-0315 Project No : 1588-2022 Inspection Requests Phone (949)644-3255 Job Address: 4000 MACARTHUR BLVD NB St: 1 Ft: 2 Unit: 250 Description: COMM FIRE ALARMS 7 DEVICES (X2022-0516) Inspector Area: FIRE Legal Description: P BK 114 PG 22 PAR 1 Owner: 4000 MAC ARTHUR L P Contractor: KIRKWOOD A J & ASSOCIATES INC Architect: Address: 400 S HOPE ST #200 Address: 4300 N HARBOR BLVD Address: LOS ANGELES, CA 90071 FULLERTON CA 92835 Phone: Phone: 714-505-1977 Phone: Applicant: KIRKWOOD A J & ASSOCIATES INC Con State Lic: 724633 Engineer: Address: 4300 N HARBOR BLVD Lic Expire: 0713112024 Address: FULLERTON CA 92835 Bus Lic: BT30043733 State Lic: Phone: 714-505-1977 Lic Exp Date: 06/3012022 Phone: State Lic Code Edit : 2019 Worker's Compensation Insurance Designer: KEALEY CRANDALL Type of Construction: I -A Carrier: LIBERTY MUTUAL Address: 4300 N HARBOR BLVD Occupancy Group: B Policy No: WC2Z91448559042 FULLERTN, CA 92835 Added /New sq.ft. Bldg: 0 Expire: 02114/2023 Phone: 714-505-1977 Added /New sq. ft. Garage: 0 No of Stories: 10 Issued Date: 06/22/2022 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: N Left: Right: .•• • o• c e. .•.•• • o•eme• a• • • FEES Construction Valuation: $8,400.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $8.00 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: $179.75 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $255.75 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : $443.50 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $443.50 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION - 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 the 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 Professions 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 not 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, Business 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 improvements 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 improved 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 apply 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 icensure under the Contractors' State License Law for the following reason: By my signature below 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], cell a structure diet 1 Rave 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 ptd dA:bns CoV@,':j9 %%ailable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. SIC nature of PrepertyOwner or Authorized Agent Date LIGEAGED CONTRACTOR'S DECLARATION 1 hereey affirm usderpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes {ons Cod ,and my license is in full force ticertse Class License No D Contractor Signature ✓� t22 W0PVRS' 0QyI`PPNSATION DECLARATION &XWITG: FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNORED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CCST.gFFOMPENSA ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. (hereb;affirm yndejjnalty of perjury one of the following declarations: �•M•Ftfiie 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 per4wmance of the eiorrl for which this permit is issued. Policy No. 4I-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' Isurance carrier and policy number are: me of Agent I certify that, in the performance t, if I should become subject to re of Policy Number Date work f r 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 'kegs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - A ._Ai /% I Z IECLARATION REG;IRDnq&G9NSTRUCTION LENDING AGENCY - �/ T I I hereby 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). 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 behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county or ances d state law relating to building construction. I authorize representatives of this city or county tpe er the aL7 y -ider Ifiedroperty for inspection purposes. t. Owner's or Authorized ACDON DATE BY DECLARATION OF COMPLIANCE KITH CODE OF FOROFREEUS€ONLY FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMD RULE 1403 PERMI€EXPIRED ❑ / SUBMITFEDASBESTOS NORFICATION TO:. ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS M077RCA770NIS NOTAPPLICABI.ETD PROPOSED DEMOLITION. PERMIT FINAL CERTIRCATEOF OCCUPANCYISSUED SIGNATURE: