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HomeMy WebLinkAboutX2019-2001 - Permitstl City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII Plan Check Fee: $457.62 COMB Permit: X2019-2001 ' A $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CAS,§eis°mic Safety is ° ° $0.00 DsSabled,Access it oc°ooc Hazardous Mat 100 Civic Center Drive, Newport Beach, CA 92660 &uilding%3reen Pee°:G°o X 2 0 1 9 2 6 a 1 In -lieu Housing Fee: Project No: 1460-2019 ;_ permit Counter Phone (949)644-3288 0 ToDT/aL FEE: $1,107.26 $0.00 - c"$. Inspection Requests Phone (949)644-3255 General Service $0.00. Park Dedication :. =r Combination Type -C(P ELEC Refund Deposit Issued Date : 06/25/2019 raM $0.00 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 4685 MACARTHUR CT NB Description: COMM - NEW SERVICE WALK@ (E) ENTRANCE TO BUILDING $0.00. Legal Desc.: P BK 196 PG 40 PAR 1 Owner: IRVINE CO Contractor: CASCO CONTRACTORS INC Architect: Address:. 550 NEWPORT CENTER DR Address: 9850 IRVINECENTER DR Address: NEWPORT BEACH, CA 92660: IRVINE, CA 92618 Phone: Phone: 949-679-6880 Phone: State Lic: Applicant:VACH RAD Con State Lie: 790706. Engineer: - Address:... 9850 IRVINE CENTER DR Lie Expire: 01/3112021 Address: IRVINE CA 92618 Bus Lie: BT30041027 Phone: 949.679-6880 Lie Exp Date: 10/31/2019 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer:. OSBORN CHERYL Type of Construction: V -B Carrier: CYPRESSINS Address: 9850 IRVINE CENTER DR Occupancy Group: IS Policy No: CAWC922797 IRVINE CA 92618 Added /New sq.ft. Bldg: 0 Expire: 01/0112020 Phone: e -v `. `•,+ Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units : 0 Bldg Height: 0 Front: /-vkvy Left: / Bldg Sprinklers: Right: / PI -A 7- I Ice 7..ne. D­Wi Q--- n ri- W- ­A 7n . ki Building Permit Fee: $526.00 Plan Check Fee: $457.62 Additional Fee: Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CAS,§eis°mic Safety is ° ° $0.00 DsSabled,Access $0.00 oc°ooc Hazardous Mat $0.00 &uilding%3reen Pee°:G°o $2.00 - oeomeo In -lieu Housing Fee: $0.00 ToDT/aL FEE: $1,107.26 ° ®m PROCEeSED BY:' ZQNING APPROVALI; ° 0 0 c o °°ccoc occc GhADINd APPROy4LF, 0 0 Excise Tax: $0.00 Additional Fee: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $73.64. Mechanical%: $0.00. Plumbing %: $0.00 Planning Department - Fire Department Plan check Fee: $40.00 Fire Inspection: - $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 SJH Trans `. $0.00 Demolition Fee, In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Public Works Department - General Service $0.00. Park Dedication :. $0.00 Refund Deposit $0.00 PNS Plan Check: $0.00 Grading Bond: $0.00 San Dist: $0.00 NMUSD Fee: $0.00. $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,107.26 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 he 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 lot more than five hundred dollars ($500). 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, 3usiness 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 Tlprovemenls 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 Traroved for the purpose of sale). 1, 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 Ipply 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: 3y 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 legally 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi. Signature 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 o Divi ' n 3 of the Business and Profe nd y licen a is in full force Ind effect. License Class License No Dat 2 Contractor Signatur VORKERS' COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR USAND 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 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 Lmance 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 Cade, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Date me of Agent Phone # certify that, in the performance of the work for which this permit is issue I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if 1 should become subject to the workers' compen n pr wslons ection 700 of the Labor Code, I shall forthwith comply with those provisions. L 9 // r nature of Applicant ��� Da 72,61'11 CLARATION REGA�G CONSTRUCTION LENDING A�CYCONSTRUCTION LENDING A�CY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, vil Code). Ider's Name Lender's Address my signature below, 1 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 cou�inances and , ate lawand , ate law relating to building construction. ...... I authorize representatives of this city or county o enter the ab�intifie property for inspection purposes. vim" nature of Prooerty Owner or Authorized ADena Print Propertv Owner's or Authorized Agent's Nar��• Date .... 0 0 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY o 0 0 o u REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ,••• . ov000 1403 • ••• 00 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO . •��• ° •• • 00 0. ° • • • �oouoo •••• PERMIT CANCELLED UEPA PERMIT EXTENDED 0AQMD PERMIT FINAL Cl �1 �� `� _l ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 1 PROPOSED DEMOLITION • o OCCUPANCYISSUED SIGNATURE: ..„