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Home My WebLink AboutF2020-0058 - Permits,wn�k City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII II FIRE Permit: F2020-0058 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 5 8 Project No : 0249-2020 Permit Counter Phone (949)644-3288 �*.,€., %vl•1 Inspection Requests Phone (949)644-3255 Job Address: 20272 SPRUCE AVE NB Description: RES ADD -ADD (38) SPRINKLER HEADS X2019-3814 Inspector Area: 8 Legal Description: N TR 1506 LOT 24 Owner: SHARIF NIMA Contractor: OWNER/BLDR Architect: Address: 1401 QUAIL ST#105 Address: Address: NEWPORT BEACH CA 92660 Phone: 949-677-7999 Phone: Phone: State Lic: Applicant: SHARIF NIMA Con State Lic: O/B Engineer: Address: 1401 QUAIL ST #105 Lic Expire: Address: NEWPORT BEACH CA 92660 Bus Lic: Phone: 949-677-7999 Lic Exp Date: Phone: State Lic: Code Edit : 2016 Worker's Compensation Insurance Designer:-REZAEI ALI Type of Construction: V -B -SPR Carrier: Address: 18021 SKYPARK CIR, E2 Occupancy Group: R31U Policy No: IRVINE CA 92614 Added /New sq.ft. Bldg: 0 Expire: Phone: 949.466.9394 Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 02125/2020 Special Conditions: No of Units : 0 Setback- Front: s^ Flood Zone: Rear:p Bldg Sprinklers: Y Left:; "af Right: Or® FEES Construction Valuation: $8,000.00 , Building PC Fee : $202.00 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: $0.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee: $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $240.00 TOTAL FEE : $446.00 Plan Check Fee : $202.00 Fee Due at Permit Issuance : $244.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: �'� a ••o ® •°• •Oo o15THER DEPARTMENT: O 9 6 a •G ° 4 O 0 O °i;L°AN CHECKED BY:: , APPROVAL TO ISSUE: PERMIT EX IRFS 180 &4 Y'S AFTER wSSU"NCE OR LAST VALID INSPECTION o c ° •• •o• o ° oo °° ooa IWNER-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 (_) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 1044, 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 it was not built or nproved for the purpose of sale). Il 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 pp o 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 a exempt from licensure under the Contractors' State License Law for the following reason: Iy my si nature 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 €11 -a -structure that 1 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 whetis Iication is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent ' Da 2 O .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 Contractor Signature YORKERS' 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 ($110,000), IN ADDITION TO THI 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: ] 1 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 tl erformance of the work.for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number Date of Agent vnone s rtify that, in the performance of 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , �Ignature of Applicant Dat )ECLARATION REG AR N CONSTRUCTION ENDING AGE CY hereby affirm under penalty of perjury that there is a constructi lending agency for the performance of the work for which this permit is issued Section 3097, Civil Code). Ender's Name Lender's Address iy 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 tenter the above -identified property for inspection purposes: licnature of Prooertv Owner or Authorized AGent ^I Print Property Owner's or Authorized Agent's Name ACTION DATE \ BY iItLLAKFi rIV1V V(LVIV/YLIHIV4t YV//r)I.VVCV( FEDERALR�t#_ ILAT/ONSPARF 41 OFZIZE4jt AND PERMITEXPIRED AQMDR 43 ❑ I SL434TFELEASBF•ST0?9NO77F] T#O1; Ta: PERMIT CANCELLED ❑ VPA • • •.• PERMIT EXTENDED ❑ AQMD PERMIT FINAL ❑ ASBESTOS NO'NRCARONIS NOT APPLICABLE TO rr2 PROPOSED DrMOVTJON•• �•• �.. �.• CERPFICAT€6F ' OCCUPANCYISSUED SIGNATURE: : .' •' �• ... .. .. . . ".