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Home My WebLink AboutF2019-0467 - Permits9 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 ;. Permit Counter Phone (949)644-3288 raav`§ 4 6 7 FIRE Permit: F2019-0467 Project No: 1828-2019 Inspection Requests Phone (949)644-3255 Job Address: 11 SARTEANO DR NS Construction Valuation: Description: SFR FIRE SPRINKLERS 17 HEADS (X2018-3721 WSPE jT® Inspector Area: FIRE Legal Description: 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: 80"- 80" -Owner: SABOUNJIAN AZAD Contractor: DOMNICK NICHOLAS FIRE PROTECTION Architect: - ®,Ama • ' mmm°oe Address:. 11 SARTEANO Address: 16224 SPACE DR Address:. • • m NEWPORT BEACH, CA 92657 Public Works PC Fee: MORENO VALLEY, CA 92557 $0.00 •®• °.m m • m Phone: Phone: 951-807.1347 Phone: State Lie: Applicant: DOMNICK NICHOLAS FIRE PROTECTION Con State Lie: 682276 Engineer ° A ° • °° m° Address: 16224 SPACE DR: Lie Expire:. 05131/2021 Address: MORENO VALLEY, CA 92557 Bus Lic: BT30064964 ®° o m ° • ® o Phone: 951-807-1347 Lie Exp Date: 10131/2019. Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: DOMNICK NICHOLAS Type of Construction: V -B -SPR Carrier: WC EXEMPT- 16224 SPACE DR ;, m a ° c • ° Occupancy Group: R3/U Policy No: (NO EMPLOYEES) .Address: MORENO VALLEY, CA 92557 Added /New sq.ff. Bldg:. 0 Expire: Phone: 951-807-1347 Added /New sq. ft. Garage: 0 ° ... No of Stories: 1 Issued Date: 08/14/2019 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear. Bldg Sprinklers: N Left: Right PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: _ PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION - FEES Construction Valuation: $2,000.00 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 : $0.00 Fee Due at Permit Issuance : $446.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: _ PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION - )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) 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). 1, 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 7044, lusiness 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 oftthepproperty, 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`o)certy who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 201-amo exempt from licensure under the Contractors' State License Law. for the following reason: ly my 3ignaturetelt 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 legall, by assructure tflat--rave 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. 'rofeesions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent Date .%rillISED 66NI•I;ACTOR'S DECLARATION bergby affirm aprjer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with a ion 000) of Division 3 of the Business and rofession Code, and my license i in full force ceeffect. L. p' nse Class "" License No Date �� / Contractor Signature VOF!KERS'.COMPENSATION DECLARATION ARNING: FAILRIfY@-V SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TONE HUNDRED THOUSAND DOL ARS ($100,000), IN ADDITION TO THE QS�bF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 62reby affirm 1111114 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 Ormance 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: rier Policy Number Expiration Date _ is of Agent Phone # certify that, in the perform of work for which this p mitis issued, I shall not employ any person in any manner so as to become subject t the if I should become subLeetl9 thep/✓orkers' corr){?Sn�atiorriimvisions of Section 3700 of the Labor Code, I shall forthwith comply with those provu onr5r nature of Applicant Ih/ — CLARATION REGA ING CONSTRUCTION ING AGENCY -reby affirm under pe alty of perjury that ther6 is a construction lending agency for the performance of the work for which this permit is rder'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 owners behalf. - Ihave read this application and the information I provid is correct. I agree to comply with all applicable city and count oMinanc s and state Jrelg to building construction. I authorize representatives ofthis city or county t e r ov -id ntifi or inspection purposes. of PrODertv Owner or Authorized ACT70M DATE /I BY I PERMIT EXPIRED I -� I I PERMIT CANCELLED I �I_._ O I OCCUPANCYISSU€O AQMO ROLE 1403. t SUBMfTFEDASDESTOS NOTIFICATION i0: EPA © AQMD` 0 ASBESTOS NOUHCA770MIS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE. kers' compensation laws of California, and (Section 3097, Civil Code). OFFICE F