The URL can be used to link to this page

Home My WebLink AboutF2020-0179 - Permits (2)CityOpot Division FIRE Permit: F2020-0179 Be-Buidiog s lllllllll 100 Civic CenterDrive, t Beach, Project No : 0721-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 716 HELIOTROPE AVE NB Description: MFR FIRE SPRINKLERS 44 HEADS (X2019-3289) "REVISED 10/2012020 Inspector Area: 6 Legal Description: CORONA DEL MAR BLK 735 LOT 18 Owner: BAHRAMI JAMI Contractor: (FIRE PROTECTION Architect: Address: 716 HELIOTROPE AVE Address: 9559 NIGHTINGALE AVE Address: CDM CA 92625 FOUNTAIN VALLEY CA 92708 Phone: Phone: 714-234-9633 Phone: State Lie: Applicant: ]FIRE PROTECTION Con State Lic: 1038755 Engineer: Address: 9559 NIGHTINGALE AVE Lic Expire: 04130/2022 Address: FOUNTAIN VALLEY CA 92708 Bus Lic: ST30067240 Phone: 714.234-9633 Lic Exp Date: 0513112021 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer: VU ANTHONY Type of Construction: V -B -SPR .Carrier: EXEMPT Address: 9559 NIGHTINGALE AVE Occupancy Group: R3IU Policy No: no employees FOUNTAIN VALLEY, CA 92708 Added /New sq.ft. Bldg: 0 Expire: Phone: 714-231-5108 Added /New sq. ft. Garage: 0 No of Stories: 3 Issued Date: 04/2712020 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: N Left: Right: FEES Construction Valuation: $6,400.00 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: $446.00 Fee Due at Permit Issuance: $0.00 PROCESSED BY: • ••o e�•=, •`G• .&I-199AMEPARTMENT: ZONING APPROVAL: G G� Y C• •• B e ° " `� ° 'ALAN PHECKED BY FIRE APPROVAL: APPROVAL TO ISSUE: cc G • oe• ' PERMIT EXPIRE!` 10 DA`S,AI TER7qSWINCfoOR LAST VALID INSPECTION oe .G. c 1 o- •G ••• OWNER -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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 improvements 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 improved 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 apply 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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legall) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 700P) of Division 3 of the Busin �PS-aa f salons Code, and my license is in full force and effect.nn,M., License Class License No Date vV Contractor S ilature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance of the work for which this permit is issued. Policy No. ICJI have and willnyeiRtain workers' compensation insurancFl as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi insurance carrier an o GY numb re^\ 1 I is of Agent certify that, in the , if I should becgm lature of Applicant Date for which this permit is issued, I shall not employ any person in any manner so as to become subject to the .serRpeRaptien provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ;reby affirm under penalty or perjury that there is a Construction lending agency for the performance of the work for which this permit is issued (Section $'97, CivJ Code). lder'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 party owner's behalf. I have read this application and the information I ha a rovided is correct. I agree to comply with all applicable city and; un es and state law relating to building construction. I authorize representatives of this city or cou- arty for inspection purposes. rL �' A �l— of ACTION I DATE BY I PERMIT EXTENDED I I I OCCOPANCYISSOEO Print Property Ownei ❑ AQMD ❑ ASBESTOS M017RCA170MISNOT APPLICABLE TO- PROP0&RDOC•M0Vg0q-. ;•• ;•, IGNATUgE: , W laws of California, and a � ff m �, F1 { .'� s ¢t9 �y cd dao a� rl ,SiI j dl IN I 3A DO 0 000 ❑ QM OF -Win I"A epi i') �I r�51 IF,,i�11 dnr �J Q ZI ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ H JY to h