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Home My WebLink AboutF2021-0216 - Permits�rtt, City of Newport Beach - Building Division II�IIIIIIIII'IIIIIIIIIIIIIIIIIIIIIIII II y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 . '�31gd1W FIRE Permit: F2021-0216 Project No : 1236-2021 Inspection Requests Phone (949)644-3255 Job Address: 3991 MACARTHUR BLVD NB St: 1 FI: 3 Unit: 300 Description: COMM FIRE SPRINKLER TI (X2021-0549) 94 HEADS Inspector Area: FIRE Legal Description: P BK 61 PG 9 PAR 1 Owner: MAC ARTHUR BUILDING LLC Contractor: AXIS FIRE PROTECTION INC Architect: INSF"IECTOR Address: 2700 N MAIN ST #780 Address: P O BOX 11323 Address: SANTA ANA, CA 92705 $0.00 GLENDALE CA 91226 $0.00 Records Management : $2.00 Phone: Phone: 818.546-2947 Phone: State Lie: Applicant: GARIBIAN VIGGEN Con State Lie: 603205 Engineer: Address: 3457 OCEAN VIEW BLVD Lie Expire: 05/31/2023 Address: $0.00 GLENDALE CA 91208 Bus Lie: BT30074358 $0.00 $0:00 - Phone: 818-2664419 Lie Exp Date: 02/28/2022 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: SHAMIR HOVIK Type of Construction: V -B -SPR Carrier: STATE FUND Address: 3457 OCEAN VIEW BLVD Occupancy Group: B Policy No: WSD503879503 GLENDALE CA 91208 Added /New sq.ft. Bldg: 0 Expire: 01/01/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 4 Issued Date: 06/03/2021 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: PROCESSED BY: - Yl OTHER DEPARTMENVcI sd y m o sz- — �. c ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: ` so ce<+ m o oeo PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIPN ` •c ccu : o cu uc� eec FEES INSF"IECTOR Construction Valuation: $18,200.00 Building PC Fee: $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $2.00 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: $305.00 Public Works PC Fee : $0.00 $0:00 - Fire Permit Fee : $483.50 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $790.50 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $790.50 PROCESSED BY: - Yl OTHER DEPARTMENVcI sd y m o sz- — �. c ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: ` so ce<+ m o oeo PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIPN ` •c ccu : o cu uc� eec )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 below by the checkmark(s) I have placed next to the applicable item(s) lection 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 ie 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or `) 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 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). 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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:http://v w .leginfo.ca.gov/calaw.html. ',ignature 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 Profe , ions Code, d my licen is in full force nd effect. / icense Class License No 4c. C 2— In Date _G/.;9&2_1 Contractor Signature r VORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 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: - 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 ekormance 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 ie of Agent certify that, in the performance of the work for which , if I should become subjgct to the workers -c pen: Date 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 1 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p(ovisions. signature of Applicant Date. )ECLARATION REGAR I CONST UCTION LOPING AGENCY hereby affirm under penalt of perjury t t there is construction lending agency for the performance of the work for which this permit is issued Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner'sJbIalfI have read this application and the information I have provided is tI agree to comply with all applicable city and coun y ordinances andlaws relating to building construction. I authorize representatives of this city or couQty t enterthen ove-Iled property for inspection purposes. of Prooertv Owner or Authorized ACTION PERMITEXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FWAL CERTIFICATEOF OCCUPANCYISSUED DATE J 11 8y . + FEDERAL REGULATIOIVSPART 61 OF TITLE40AND AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD ❑ ASBESTOS NOTtFICA71ONISNOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE. 3097, Civil Code). mWA