HomeMy WebLinkAboutX2018-3376 - Permits1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
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COMB Permit: X2018-3376
Plan check Fee
Construction Valuation:. 940.000.00
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Building Permit Fee:
$636.00
Excise Tax:
$0.00
Plan Check Fee: $553.32
Additional Fee
Park Dedication :: $0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
- San Dist: .$0.00
100 Civic Center Drive, Newport Beach, CA 92660
.$0.00
X 2 8 1 8.
3 3 7 6
Project No : 2617-2018
$10.00
r+ 1 Permit Counter Phone(949)644-3288
9x,ru
Energy. Compliance:
$0.00
Grading PC Fee:
ut. ' : Inspection Requests Phone (949)644-3255
CA Seismic Safety:
$0.00
WQ Insp. Fee:
'r`ys Combination Type - BLDG
$87.00
Issued Date: 04/01/2019
Hazardous Mat
$0.00
Electrical %:
Inspection Area : 5
$2.00
Mechanical %:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. -
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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: 341 BAYSIDE DR NB
Description:. COMM ADA UPGRADES "COMPASS".
Legal Desc :. SEC 26 T 6 R 10 RECTANGULAR LOT IN SW114
-:
.Owner: IRVINE COMPANY Contractor:
CASCO CONTRACTORS INC
Architect
Address: ill INNOVATION Address.
98501RVINECENTER DR
Address:
IRVINE CA 92617
IRVINE, CA 92618
Phone: Phone:
949-679-6880
Phone:
State Lie:
`ISI`
Applicant: VACH RAD Con State Lic:.
790706
Engineer:
F r'`�'
-Address: : 9850 IRVINE CENTER DR Lie Expire: :
01/31/2021
Address:
IRVINE. CA 92618 Bus Lie:
BT30041027
Phone: -949-679-6880 Lip Exp Date:
10/31/2019
Phone:
..State Lic:
Code Edit : 2016 Worker's Compensation Insurance
Designer:
OSBORN CHERYL
-Type of Construction: Carrier:
CYPRESS INS.
Address:
9850 IRVINE CENTER DR
Occupancy Group: U Policy No:
CAWC922797
IRVINE CA 92618
Added /New sq.ft. Bldg:. 0 Expire:
01/0112020
Phone:
Added /New sq. ft. Garage: 0
No of Stories:
No of Units :
Bldg Height:
Bldg Sprinklers:
Flood Zone:
0 '
0
0
Y
X
Building Setbacks
Use Zone:
Plan check Fee
Construction Valuation:. 940.000.00
-
-
Building Permit Fee:
$636.00
Excise Tax:
$0.00
Plan Check Fee: $553.32
Additional Fee
Park Dedication :: $0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
- San Dist: .$0.00
Investigation Fee:
.$0.00
Grading PC Consultant:
Record Management.:
$10.00
Grading Permit Fee:
Energy. Compliance:
$0.00
Grading PC Fee:
CA Seismic Safety:
$0.00
WQ Insp. Fee:
Disabled Access.:
$87.00
Hazardous Mat
$0.00
Electrical %:
Building Green Fee :
$2.00
Mechanical %:
Plumbing %:
TOTAL FEE : $2,056.57
PROCESSED BY: r "_y
ZONING APPROVAL:. V
GRADING APPROVAL:
Rear: I Special Conditions: COMM TI X2018-1639
Front: I LIQUEFACTION AREA
Left:
Right: /
$0.00
Planning Department -
$294.00
Plan check Fee
$0.00
Fair Share:
$0.00
SJH Trans :
$0.00
In -lieu Housing Fee:
$0.00
Public Works Department -
$0.00
Park Dedication :: $0.00
-
PAN. Plan Check : $206.25
$0.00
- San Dist: .$0.00
$0.00
NMUSD Fee: $0.00
$0.00
$0.00
$228.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $974.32 - Fee Due at Permit Issuance : $1,082.25
rJUB1JC 1YOFINS APPROVAL:
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PLAN CFPECK HY:
APPRP,VAL. TO ISSUE:
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Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
-
Grading Bond:
$0.00
$228.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $974.32 - Fee Due at Permit Issuance : $1,082.25
rJUB1JC 1YOFINS APPROVAL:
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PLAN CFPECK HY:
APPRP,VAL. TO ISSUE:
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OWNER -BUILDER DECLARATION
1 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
is permit to file a signed statement that he or sheds 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 (_) all of or U 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
n roved 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
y 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 Ite
ermit, 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, SBusiness and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION
hereby -affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 D 's'on 3 of the Business and Pr f ionsense is in full force
nd effect. License Class License No Date d Contractor Signat
1ORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED The,4 AND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 thI
ce�ormance of the work for which this permit is issued. Policy No.
I have and will Intain 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' compensatior
Insurance carrier dolicy num are
CarrierPA X
` olicy Number Expiration Date
Name of Agent kwu Phone #
❑1 certify that, in the performance of hew for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens tion laws of California, and agree
:hat, if I should become subiect to th work ' com ens ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Dat'e�
DECLARATION REGA ING CON C0 ENDING AGENCY
hereby affirm under pe ally of perjury that "the i a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property o 's behalf.
I have read this application and the information I have providepi correct. _
I agree to comply with all applicable city and county ordinanc nd state laws relating to building construction.
I authorize representatives of this city or county to nter the a ve-ide tified rtyfor inspection purposes.
Signature of PropertyOwner or Authorized A ent • Print ProDertv Owner's or Authorized Agent's Name fG1' (Ti ell/// 1'PW
ACTION DATE BY DEC PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 10F TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED (SUBMITTED ASBEST I�0"n4CATION- • •••
•• s
PERMITCANCELLED UEPA �•. • • • • • `
PERMIT EXTENDED QMD
PERMITFINAL '� .a.`� C^� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF �'4�'�l PROPOSED DEMOLITION . • •••
OCCUPANCYISSUED SIGNATURE: .•. ••. •••
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