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Home My WebLink AboutF2019-0087 - Permits"'wna City of Newport Beach - Building Division FIRE Permit: F2019-0087 IIIIIIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 0 8 7 Project No: 0378-2019 N _ Permit Counter Phone (949)644-3288 o''>~tsn>tvx� inspection Requests Phone (949)644-3255 Job Address: 20360 BIRCH ST NB St: 1 FI: 2 Unit: 220 Description. COMM FIRE SPRINKLER TI"EDEN FERTILITY" (X2018.3342) 92 HcAb 5 Inspector Area: FIRE Legal Description: - Owner. .NEWPORT HEIGHTS VENTURES Contractor: .PRIME FIRE PROTECTION INC Architect: Address: 4100 MACARTHUR BLVD #120 Address: 1332 ALLEN AVE Address: NEWPORT BEACH CA 92660 Phone: GLENDALE GA 91201 Ste {e Phone. 818.876.8089 Phone.' Applicant: HATAMIAN VARAND Con State Lia 963462 Engineer. _ Address: 1332 ALLEN AVE Lie Expire: Address: GLENDALE CA 91201 Bus Lie: - Phone: 818-914-9313 Lie. Exp Date: Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: HATAMIAN VARAND...... Type of Construction: ll-BSPR: Carrier. - - - Address: 1332 ALLEN AVE Occupancy Group: IS Policy No: GLENADALE CA 91201 0 °:0 ' ° c ° ° • ° o. Added /New sq.ft. Bldgs 0 Expire: - Phone: e ° Added/New sq. ft. Garage: 0 ' No of Stories: 2 Issued Date: 0211912019 Special Conditions: No of Units : 0 Setback-Front- - : °.. Flood Zone:. Rear Bldg Sprinklers: Y left: Right:.... . °omo'o° FEES °°°... ° o` ° Construction Valuation: - $9,200.00" ° 0 Building PC Fee : $0.00 Fire Residential Alarm PC Fee: - $0.00 Records Management: ... °$0.00 Building Overtime PC Fee $0.00. Planning Counter Review: - $0.00 Building Extention: Fee : $0.00 'Planning Zoning PC Fee: $0.00 I. Building Investigation Fee: $0.00 $0.00 Fire Plan Check Fee: $182.00 - Public Works PC Fee : $0.00 $0.00 re arm Fee : $308.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee :. $0.00 TOTAL FEE : $490.00 Plan Check Fee : - $0.00 Fee Due at Permit Issuance : $490.00 ^ PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: 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 reasons) indicated below by the checkmark(s) I have placed next to the applicable items) 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 (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 1t was not built or n roved 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). I am exempt from licensure under the Contractors' State License Law for the following reason: lymy 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 legally 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 Se tion 7000) of Division 3 of the usiness a rofession and y license is in full force nd effect. icense Class License No A Dat Contra ignature YORKERS' G6Wr*NSATION DECLARATION .. 'ARNING FAILURES . `O BECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUDRE OUSAN D LLARS [E100,000), IN ADDITION TO THE OST"COMPENSATIOM DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereb;affirm uni penalty of perjury one of the following declarations: ] 1 J;Ile 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 erforMance of Jtp.%Wqi for which this permit is issued. Policy No. ii ue 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' compensatior IsLWjr1ce cane; 0511 policy number are: gryyr.' ''.' Policy Number Expiration Date pa pf,Agent // Phones _ certify that, ih4fi2 performance f the ork for hi his armit is issued, I shall not employ any person in any manner so as to become subject to iii should be �mesubject to th rkers' c sati provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi J REGARDING CON (CQFj701�iG AGENCY under penalty of perjury th ere is construction lending agency for the performance of the work for which this Lender's Address I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I%enr vide is or 1 agree to comply with all applicable city and couances laws relating to building construction. I authorize representatives of this city or county v tified property for inspection purposes. iature of Pi Owner or A�tho sed ADent Print Property Ownel compensation laws of California, and Civil Code). ACTION DATE V BY �� DECLARATION OF COMPLIANCEMTN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART Of OF TITLE40AND A42MO RULE 1403. PERMITEXPIRED I SUUIWTTED ASBESTOS NOTIFICATION TO:- ❑ EPA 'PERMITCANCELLED ❑ AQMD PERMITEXTENDED N0ITON.DONIS NOT APPLICABLE TO PERMIT FINAL ( ` DOPOS STOS CERTIWCATEOF SIGNATURE. . OCCUPANCYISSUED