HomeMy WebLinkAboutX2019-0202 - PermitsCity of Newport Beach - Building Division *X2019..0202*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC MECH
COMB Permit : X2019-0202
Project No : 0164-2019
Issued Date : 02/14/2019
Inspection Area : 7
Job Address:
Description:
Legal Desc.:
Owner:
Address:
Phone:
Applicant:
Address:
Phone:
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units :
Bldg Height:
Bldg Sprinklers:
Flood Zone:
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
1 HOAG DR NB
COMM/INSTALL (1) CONDENSER & (2) COILS @ DATA ROOM
IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR OF LOT.
MEMORIAL HOSPITAL HOAG
1 HOAG DR
NEWPORT BEACH, CA 92663
NASTRIN LUCA
6 FOXGLOVE WAY
IRVINE CA 92612
949-331-5822
2016
V-B-SPR
B
1
0
0
Y
X
0
0
Construction Valuation: $50.000.00
Building Permit Fee: $746.00
Plan Check Fee: $649.02
Overtime Plan Ck: $0.00
Investigation Fee: $0.00
Record Management : $12.00
Energy Compliance: $0.00
CA Seismic Safety : $0.00
Disabled Access' $0.00
Hazardous Mat $0.00
Building Green Fee : $2.00
TOTAL FEE : $1,797.77
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
Address:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
AIRTRONIX INC
6 FOXGLOVE WY
IRVINE CA 92614
949-679-5571.
950389
07/31/2020
BT30033577
10/31/2019
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee :
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee :
Electrical %:
Mechanical %:
Plumbing %:
$195.30
$153.45
$0.00
Plan Check Fee :
ESG
WC047016448
07/01/2019
Rear: I
Front: /
Left: /
Right: /
Parking Spaces:
Architect:
Address:
NSPCTOR
Phone: State Lic:
Engineer: CHEN YONGQING
Address: 11 DEERWOOD W
IRVINE CA 92604
Phone: 949-466-6946 State Lic:C-076870
Designer:
Address:
Phone:
SAHGAL LAL
83 WINDSWEPT WAY
MISSION VIEJO CA 92692
Special Conditions: **BLDG 3900e*
0 Fire Hazard Zone : N
$0.00 Planning Department -
$0.00 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
PNV Plan Check : $0.00
San Dist: $0.00
NMUSD Fee: $0.00
$40.00
$0.00
$0.00
$0.00
Fire Department
Fire Inspection:
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$381.04 Fee Due at Permit Issuance :
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• $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,416.73
PUBLIC WORKS APPROVAL: / I
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
imUroved 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).
U 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 legally
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.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
and
I hereby effect. Li 7000) of Division 3 of the Bus
affiunder penalty of pequry that I am licensed under provisions of Chapter 9 (commencing with tirwr' ess and Professions my license is in full force
cense Class License No
to %//1.7(4 Cont r Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TQ ,$5E-�CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
COST OF COMPENSQ710r•T, &%MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm uncfet Mnalty of perjury one of the following declarations:
® I have and veil] rairttain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700
perfo'•r�mance of the work for which this permit is issued. Policy No.
2tk and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
i ierene.carrierartlpv$icy number are:
C2rrie► • Policy Number Expiration Date
NMM@biegent • • _ • Phone #
.•SS
I certify that, in the 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 workers' compensation laws of California, and agree
tiiei,:fl should become subject to rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision . -7
Slgira4l ' "Ii Rt-�..- a /ate L.,404 7cry
•
Mc • -cae' - - , F DING ONSTRUCTION LENDING AGENCY �V)/
I hereby 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, Civil Code).
Lender's Name Lender's Address
By 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 wi h all applicab e city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to ente I ied property for inspection purposes. ... , / �y
Signature of Property Owner glAytjiorized-Agent Print Property Owners or Auttiorizeg Agenr',s.N mti e L-uCGI NC&S ) (t )Yat24�-L/(T
($100,000), IN ADDITION TO THE
of the Labor Code, for the
My workers' compensation
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
FOR OFFICE USE ONLY
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
❑EPA
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
3r o+pQ
❑44MD
PROP SE D
SIGN .
NOT APPLICABLE TO