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Home My WebLink AboutX2020-1212 - Permitsf, City of Newport Beach - Building Division *X2020-1212* COMB Permit: X2020-1212 a� o .y •,'+, 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)6443288 Project No: 0827-2020 M int a Record Management: :J err Inspection Requests Phone (949)6443255 CA Seismic Safety: "+<.rn¢�"' Combination Type - CIP Issued Date: 0611712020 $89.00 Inspection Area : 7 $0.00 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VAUD INSPECTION, PROJECTS MUST BE COMPLETED BY 06118/2023 OR PERMIT WILL BE INVALID Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 20201 BIRCH ST NB .... Description: COMM "LIV INTERGRATIVE HEALTH" CHANGE OF USE FROM OFFICE TO MEDICAL OFFICE WITH RELATED TENANT IMPROVEMENT (3233 SF) Legal Desc.: P BK 247 PG 12 PAR 2 Owner. BASSENIAN ARAM Contractor: ALLIANCE CONSTRUCTION SERVICES @^_ I}� Architect: a S 1^g�s� E VT® 8{ Address: '150 PAULARINO AVE 4194 COSTA MESA, CA 92626 Phone: Applicant YURKOVICH KARIN Address: 1677 MONARCH COSTA MESA, CA 92627 Phone: 949363-2462 Code Edit: 2019 Type of Construction: V-BSPR Occupancy Group: B Added /New sq.ft. Bldg: 3233 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units; . a Bldg Height: 0 Bldg Sprinklers: Y Construction Valuation: $13 Building Permit Fee: $283.00 Plan Check Fee: $246.21 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $24.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $89.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $7, PROCESSED BY: ZONING APPROVAL: Address: 1680 N DELILAH STREET Address: CORONA CA 92879 Phone: 714.790-3100 Phone: State Lic: Con State Lic: 1036468 Engineer. Lic Expire: 0313112022 Address: .... Bus Lic: ST30072192 m ° Lic Exp Date: 0813013021 Phone: State Lic: oaoo oomm Workers Compensation Insurance Designer: MENESES CARLOS Carrier: CLEAR SPRING PROPERTY Address: 9474 PARADISE PL m Policy No: CSWK0000029700 RIVERSIDE CA 92508 Expire: 06!0112021 Phone: 951333.8058 0 0 0 0 0 0 ° Building Setbacks Rear: ! Special Conditions: **NO EMP WORK** Front: I mmmm Left: / Right: I ° Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Excise Tax. $0.00 Planning Department - Fire Department 0 00 ocoo ...... Additional Fee: $0.00 Plan check Fee: $41.50 Fire Inspection: mmmo° $0.00 Grading Bonds Fee: $0.00 Fair Share : $6,488.33 Fire Plan Rev $6.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Grading Permit Fee: $0.00 In4ieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 WQ Insp. Fee : $0.00 Park Dedication: $0.00 Refund Deposit $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee: $6,914.93 Fee Due at Permit Issuance : $258.11 GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: t APPROVAL TO ISSUE: mons moec_ 000ca. o ° oo �loe<: as: 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 ftem(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 he permit to file a signed statement that he or she is licensed pursuant to the provisions of the ContractorsState 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lushness 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 sate. 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 canfracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at toast one year prior to completion of the Improvements covered by this permit. I cannot legall) all 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 'rofesstons Code, is available upon request when this application is submitted or at the following Web site:hrplAw .leginfo.ca.gov/calaw_htmi. signature of Property Owner or Authorized Agent 1 Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Cho I Q (commencing with S r 7000) f Division of the Bustne rid Profes o*� Code, a license is In full force no effect., LiLkmk@ Class a 1 C t o License No 102 Co °F (e 8 to U / Zd o Contractor Si ture/ i� PORKER$ t'UMPENSATION DECLARATION AfWING: F LU@Plb SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (f1eS,ODat, IN ADDITION TD THE OggTOF COPE WISH, DAMAGES AS PROVIDED FOR IN SECTION 3706 OFTHE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby aftirmaunder penalty of perjury one of the following declarations: 9 1 have Bad wili.maintafn 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 thl konnandbV fhlpvork for which this permit is issued. Policy No. lave and Wit rpaintain 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' compansatioi ance (% Ieand policy number are: er_C'-_ �!f1Yli'L 9VDIUA^4 C 0WARIM40icy Number CGIUMODOODIA400 Expiration Date b(PIM17,0`L1 e of Agent s-Qi'Vfa i- ILL b4- Zt/1S,12y1Ayi Ld_ Phone# Q4��---79 pa :er* fh `Ih Ile 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 wo rs' compensation laws of California, and agre if 1 sh I become subject he works enation revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 60 � ^ .••• /t/pJ l.�ri atur _ Qyplip>t'nt / '�� p p )reby affirm under pbaalty of perjury that there is a construction lending agency for the perrormance of the work for which this permit is Issued (Section 3097, Civil Code). Iders 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. 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 citymy to eqjar Sabove-i rpQedy for inspection purposes. '',,,�nn// �%/. /� nature of Property Owner or Authoriz gent % Print Pmperly Owner's or Authorized ALdnKa Name Alpha %3^ ACTION PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 El I SUBMITTED ASBESTOS NOTIFICATION TO EPA LJAQMD 6EPASBESTOS NOTIFICATION IS NOT APP rADL TO PROPOSED DEM01FROIN sal J [shin THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE. Permit No: X2020-1212 Address : 20201 BIRCH ST NB Owner: BASSF.NIAN ARAM Occupancy Group: 150 PAULARINO AVE #194 Number of Stories : COSTA MESA, CA 92626 Use Zone: SP -7 (BP Tenant: LIVINTERGRATIVEHEALTH Plan Check No: 0927-2020 Code Year Edition : 2019 Occupancy Group: B Number of Stories : 2 ConstructionType : V -B -SPR Fire Sprinklered : Y Total Occupant Load : 33 Description of Work: COMM CHANGE OF USE FROM OFFICE TO MEDICAL OFFICE WITH RELATED TENANT IMPROVEMENT (3233 SF) Special Conditions: **NO F.MP WORK** Chief Building Official: Samir Ghosn, MS, PE, CBO. Signature:C .) �''1.� Date : r / ' �Gp L C✓