HomeMy WebLinkAboutX2019-1933 - PermitsArno: City of Newport Beach- Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-1933
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 9 3 3 Project No : 0101-2019
F ' Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
"r'aur+5uu�* Combination Type - CIP ELEC Issued Date : e a
Inspection Areat 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 5:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 660 NEWPORT CENTER DR NB
Description: COMM INSTALLATION OF IN GROUND CROSSWALK FLASHERS
Legal Desc.: P.M. 295-33 PAR 6 POR OF PAR
Owner IRVINE CO Contractor: REDHAWK BUILDERS INC Architect: r Fla.
Address: 4343 VON KARMAN AVE #350 Address: 200 TECHNOLOGY STE L Address: ��,,`''
NEWPORT BEACH, CA 92660 IRVINE CA 92618 "' Li's
Phone:
Phone:
949-754-9050
Phone:
State Lid:
ammo
Applicant: DIAZ LYNN
Con State Lic:
692901
Engineer:
BEUCHAT BRADLEY CHARLES
° e • e e
Address:.. 38 TECHNOLOGY
Lic Expire:
1 0131 /201 9
Address:
19 TECHNOLOGY OR #200
....
°• e o ° o 0
IRVINE, CA 92616
Bus Lic:
BT30027314
IRVINE CA 92618
e • m
° °
Phone: 949-923.6266
Lic Exp Date:
0413012020
Phone:
949-923-6257 State Lic:C-074713 • e •
°
Code Edit: '2016
Worker's Compensation Insurance
Designer:
•e
Type of Construction:
Carrier:
INS OF THE WEST Address:
o ° • m °
o °
Occupancy Group: U
Policy No:
WSD5031143
oo•m
Added /New sq.ft. Bldg: 0
Expire:
09101/20119
Phone:
° ° ° •
® .....
Added /New sq. ft. Garage: 0
°
° ° ° o • °
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
E ° ° ° o •
o °
No of Units: 0
Front: /
°
°•°°„°
Bldg Height: 0
Left: I
Bldg Sprinklers:.
Right: I
°°° `°
•000°
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $15.000.00
Building Permit Fee: $312.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $271.44
Additional Fee :
$0.00
Plan check Fee:
$0.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share [
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $14.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00 -
PAN Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$43.68
San Dist: $0.00
Building Green Fee :. $1.00
Mechanical %:
$0.00
NMUSD Fee:. $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $642.12
Plan Check Fee
: $0.00 Fee
Due at Permit Issuance :
$642.12
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
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
the 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
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).
❑ 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,
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
im 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
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). -
❑ 1 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 CdAfAZACTOR'S DECLARATION
I hereby affirm uRd€r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) ofDIvISIcjn 3 of the Business and /RED
ipri�as is in full force
4M bff4,ct. Ligeh;8 Class License No Date 70
Contractor Signat��
WORKERS' COMPENSATION DECLARATION 4V 1
NAIINIdd: FAILURE TU SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
COST OF COMPENSATION,UAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm uaderpenalty of perjury one of the fallowing declarations:
,1,4ave and.&II'll"gintain 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
Qrrfance of lfieawrk for which this permit is issued. Policy No.
I dove 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' compensatio
kfate carriip( ggdljolicy number are:
rrj%r. ' Policy Number Expiration Date
raS,of Agent," ' Phone#
I certify that, in the pert rmance of the wor for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and agm
t, if I should becomes bjec ker compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./
mature of Applicant D/,tC_1v111
17-0 q
CLARATION REGARDING NS RUCTION LENDING AGENCY
�reby affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 Code).
ider'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 owner's behalf.
I have read this application and the information I have provided is cor L -
I agree to comply with all applicable city and county o 'na nd le laws relating to building construction.
I authorize representatives of this city or county i ntifi property for inspection purposes. 1, ., ` ,,'
nature of Prooertv Owner or Authorized ADent Print Propertv Owner's or Authorized Agent's Name V-vao( ►7� "-aMeiG Dto tie 0 c.
ACTION DATE BY / REGULATIONS PAR ION OF O61 O TIITLE 40 AND AQMD RULEMPLIANCE WITH CODE OF RAL I FOR OFFICE USE ONLY
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
TO