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Home My WebLink AboutF2018-0549 - Permitsr. City of Newport Bgacjl Bjuijrljng Division 100 Civic Center Drive, NewporrBeacb, 4�,A99660` o F Permit Counter Phon$ (94P)g44s3*8a "'� emm e e e eee •m � b }9 Y r"I 1 � `e omo e ocm o°o a �o mee Job Address: 4545 MACARTHUR Zvo Na Inspector Area: FIRE Owner: NEWPORT HOTEL HOLDING LLC Address: 148 S BEVERLY DR #204 BEVERLY HILLS, CA 90212 Phone: Applicant: MEHRABI ROBERT Address: 1047 E. SANTA ANA AVE BURBANK, CA 91501 Phone: 818-612-5737 ?(NA Code Edit: 2016 Type of Construction: V-BSPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone Bldg Sprinklers: Y FIRE Permit: F2018-0549 Project No : 1805-2018 Inspection Requests Phone (949)644-3255 Description: COMM FIRE SPRINKLERS 32 HEADS (X2018-2802) �PZJ\l.��otJ Legal Description: P BK 287 PG 37 PAR 1 Contractor: SHARP FIRE PROTECTION Architect: Address: 1047 E SANTA ANITA AVE Address: BURBANK CA 91501 Phone: 818-846-3657 Phone: State Lie: Con State Lic: 821845 Engineer: Lie Expire: 07/31/2019 Address: Bus Lie: BT30064710 Lie Exp Date: 10/31/2019 Phone: State Lie: Worker's Compensation Insurance Designer: MEHRABI ROBERT Carrier: STATE FUND Address: 1047 E. SANTA ANA AVE Policy No: 9056397 BURBANK, CA 91501 Expire: 11/09/2018 Phone: 818-612.5737 Issued Date: 10105/2018 Special Conditions: Setback- Front: Rear: Left: ;tr s wr Right: ; PROCESSED BY: FEES Construction Valuation: $10,000.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $6.00 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: $0.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $308.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : $314.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $314.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL : OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )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 be%w:by till c6e4w?k(s)J1iave §§aced 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 IBp'Dirp9J stf ldlure.priof ldits�il%uance, also requires the applicant for 1e 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 iot more than five hundred dollars ($500). ... 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or `) portions of the work And Wstwctu4is noCinfenler:or cKred for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employe es:or *rsona6ef(prt: bolds o: irVro4�es 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 OVe1BhBuilder will have the burderrol proving that it was not built or proved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BusinessandProfessions 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ty 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) 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:hftp://www.leginfo.ca.gov/calaw.htmi. 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, a d my license is in full force nd effect icense Class License No DateI�—..`J^- Contractor Signat ire y/ I/ORKERS' COMPENSATION DECLARATION DARNING: 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 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I. -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 Rrformance 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 Expiration Date of Agent certify that, in the performance 9f 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 if I should become subject tc worr' comfflation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions_ LX A Of :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. 1 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 tor th bov-identif�rpd property for inspection purposes. mature of Property Owner or Authorized Agent ;=, Print Property Owner's or Authorized Agent's Name(`�.n/' 1�1,.. �%%w�,-�r(h i Date Zo — ACTION DATE BY DECLARATION OF COMPLIANCEWITN CODEOF �, FOROFROPUSEONLY FEDERAL REGULATIONS PART 61 OF TIILE40AND AQMO RULE 1403. PERMITEXPIRED ❑ ISUBWTTEDASSESTOSNO7IFICATIONTO. ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATIONIS NOT APIDUCABL.E TO PROPOSED DEMOLITION. PERMITFINAL t_kc) VZA r, CERTWCATE OF OCCUPANCYISSUED SIGNATURE: