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HomeMy WebLinkAboutF2024-0251 - PermitsCipp rty of Newport Beach t ,�u�ld�ng Division COMB Permit : F2024-0251 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 CivicI.Cenila� Dri,7e. Ne'wpflrt�Beach-n CA 92660 Plan Check No: PC2024-0994 Permit Coninter Phone: j9Aj'94-3889 ; Issued Date : 06/25/2024 newporthqoachci�.gov .Ric Final Date: tip OR�"`" Combination Type - Permit Status: Issued Work Class - Tenant Improvement Inspection Area : FIRE © oo c ©ors e e Job Address: 4000 MACARTHUR BLVD, 1050 Legal Desc : P BK 114 PG 22 PAR 1 Description: COMM FIRE ALARM TI W/ (9) DEVICES FOR "SAGEVIEW ADVISORY GROUP" ( C-ZOZA- 0 2ZA-) Owner: HG NEWPORT OWNER LLC Contractor: A J KIRKWOOD & ASSOCIATES INC Architect Address : 101 CALIFORNIA ST STE1000 Address : 4300 N HARBOR BLVD Address SAN FRANCISCO, CA 94111 FULLERTON, CA 92835 Phone : (858) 435-4026 Phone : (714) 505-1977 Phone Con State Lic : 724633 State Lic Lic Expire : 07/31/2024 Applicant : SUZANNE RAY Bus Lic: BT30043733 Engineer: Address : 4300 N HARBOR BLVD Bus Lic Expire : 06/30/2024 Address FULLERTON, CA 92835 Phone: (714) 732-1524 Workers' Compensation Insurance Phone: Carrier: AMERICAN CASUALTY COMPANY OF READING PA Owner/Builder : Policy No: WC2Z91448559042 Designer: Address : W. C. Expire : 2/14/2025 Address : Phone : Code Edition : 2022 Fire Sprinklers : YES Type of Construction : I -A Fire Hazard Zone: NO Occupancy Groups: B No of Units : 0 Bldg Height : No of Stories : 1 Building Setbacks Flood Zone : X Use Zone: PC - Koll Center PROCESSED BY: %`+',«� SPECIAL CONDITIONS: Phone A J KIRKWOOD & ASSOCIATES INC 4300 N HARBOR BLVD FULLERTON, CA 92835 (714) 505-1977 Construction Valuation : $1,600.00 Added/New/TI sq. ft. Bldg: 0 Alteration sq. ft. Bldg : 0 Add/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 (COMM­nr' ig Wifrl 8�ecl,,orP7CDO�qf'DiW.',i,Ian 3 of the Business and Professions Code) or that hear she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicani iGr�a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 13 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) sit or or u portions of the work, and the structur , is not intepds-1 or Wired t-r sale Section 7044, Business and Professions Code-, The Contractors' State License Law does not apply to an owner W property who, through employees' or personal e4br�, bWIqs orirqp44vis tie p;qpe4,;pr0vIded 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-Bu0j, orvAll ;nave this b4rden pf pro�inG, 00t i( was not built or ff roved for the purpose of sale). 71 � I, as owner of the property, am exclusively contracting with ficartsad Contractors to construct the project (Section 7044, Business and Professions Code.: The Contractors' State License Law does not a�ply 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 ficensure under the Contractors' State License Law far the following reason: By 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 ponnit, I cannot togall) sell a structure that I have built as an owner -builder if it has not been constructed in its anfirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 cif gee Business and Professions Code, is available upon request when this application is submitted or at the following Web site-http://www.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION ivisi n 3 f the Business d ay� I hereby affirm under penalty of pequry that I am licensed tinder provisions of Chapter 9 (Commencing with Section 7000) and Pr ffiftsh)�;d I �ens, I , full force and effect. License Class License No mateContractor Signatur 7 Zn4l, rA WORKER S'COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKER S'COMPERSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CMMNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100A IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -Insure, for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th once of the work, for which this permit is issued. Policy No. and v ri ve will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is ISSUED. Mwo rkers' orkers' compensado I ance carrier and policy number are, ,let Policy Number Expiration Date is of Agent -Phone # certify that, in the pedorma e of the work which I permit is Issued, I shelf not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre c "" W S 0 0 If I should become subie t he worts'compe all n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. U isture of Applicant Da -a-* I 11.1nnfif 1 , nIN11 Art .Tlnw I n1mr V ARAIT'InN RPIr% n Ui. A(4 t'Y hereby affirm under penalty of peduff that there is a oonstruc($n lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). cinder's Name Lenders Address my signature below, I Certify to each of the following. TKMMTA�x PERMIT CANC-Ft LED PERMIT EXTENDED PERMIT FINAL CER TIFICA TE OF CODE OF FEDERAL I FOR OFFICE USE ONLY ID AQMD RiILE I SUSMfTTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPUCASLE TO PROPOSED DEMOLITION Name � &A?C4J11rJ­P VCIt-1 Date PERMIT FEE DETAILS FOR PERMIT F2024-0251 Fee Name Fee Amount Fee Paid Amount Transaction Date Payment Method Trans. Paid Amount Paid By Building Inspection - Fire Alarm Systems Base $240.00 $0.00 Inspection - Fire Alarm Systems Per Device $31.50 $0.00 Plan Review - Fire Alarm Systems Base $203.00 $203.00 05/23/2024 Check $203.00 SUZANNE RAY Plan Review - Fire Alarm Systems Per Device $27.00 $27.00 05/23/2024 Check $27.00 SUZANNE RAY GRAND TOTAL: $501.50 $230.00`'