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Home My WebLink AboutX2019-0255 - Permits" City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIII'III IICOMB Permit: X2019-0255 Fire Inspection:. 100 Civic Center Drive; Newport Beach, CA 92660 Fire Plan Rev X 2 0 1 9 0 2 5 5 $1,043.00 Project No: 1812-2018 r+ Permit Counter Phone (949)644-3288 Refund Deposit' Plan Check Fee: ' $0.00 - i3.. -. Inspection Requests Phone (949)644-3255 Plan check Fee: Combination Type - CIP ELECMECH PLUM $0.00 Grading Bonds Fee:.. Issued Date: 0112312019 Fair Share : 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: 3501 JAMBOREE RD NB St: 1 FI: 2 Unit: 2008 Description COMM TI (2025 SF) "BUILDING AMENITIES" Record Management: s M N Legal Desc.: N TR 12528 LOT 3 $0.00 In -lieu Housing Fee.: r� n Energy Compliance:.. $63.00 Grading PC Fee: Owner:. SK HART BAYVIEW LLC `-Contractor: PARADISE CONSTRUCTION INC Architect: OI DICKSON '.. Address:": PO BOX 11623 Address: 7271 GARDEN GROVE BLVD G Address: PO BOX 16516 Park Dedication : SALT LAKE CITY, UT 84147 GARDEN GROVE. CA 92841 IRVINE CA 92623 Phone: - Phone:. 714-799-3239 Phone: 949-608-3726 State Lic:C032277 Applicant OI DICKSON Con State Lie: .797876 Engineer. $0.00 Address 18201 VON KARMAN - Lie Expire: • 07/31/2020 Address: $0.00 IRVINE CA 92612 Bus Lie:. BT30044165 - .$4.00 ...... Phone: 949-724.8958 Lie Exp Date: x.:0713112019 Phone: State Lie: .... , 0 Code Edit: .2016 Worker's Compensation Insurance - Designer ° ° ° • ° ° ° ° ° Type of Construction. `. I-A-SPR Carrier. .CYPRESS INS Address: ° o Occupancy Group; B Policy No: PAWC914444 .Added /New sq.ft. Bldg:. 0 Expire: 01/0112019 Phone: Added /New sq.. ft. Garage: 0 o. •° °°O.o. No of Stories 6 .Building Setbacks Rear:. I. Special Conditions: ° ° •°;oo No of Units. 0 : Front:l °°°•.: ° ',,. Bldg Height: 0. Left: l... o•000 Bldg Sprinklers: Y Right: l ,. ° o. o°•o°o. Flood Zone,.. Use Zone: -Parkino Snaces:. a Fire Hazard Zone, N o o ° o • ° ° Plumbing %°: $93.67 TOTAL FEE: $1,520.62 Plan Check Fee: $0.00 Fee Due at Permit Issuance PROCESSED BY: - PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY:� GRADING APPROVAL: APPROVAL TO ISSUE: 0 00 0 o ® o o•oo 0000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,520.62 Construction Valuations. $90.000.00 Fire Inspection:. $0.00 Fire Plan Rev $0.00 Demolition Fee Building Permit Fee: $1,043.00 Excise Tax:. ..$0.00 Planning Department- Refund Deposit' Plan Check Fee: ' $0.00 - Additional Fee : $0.00 Plan check Fee: Overtime Plan Ck: $0.00 Grading Bonds Fee:.. $0.00 Fair Share : Investigation Fee: $0.00 Grading PC Consultant:.: $0.00 - SJHTrans: Record Management: $56.00 ' . Grading. Permit Fee: $0.00 In -lieu Housing Fee.: Energy Compliance:.. $63.00 Grading PC Fee: $0.00 Public Works Department- CA Seismic Safety: $0.00: WQ Insp. Fee: '$0.00 Park Dedication : $0.00 Disabled Access: $0.00 - PM Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $146.02 San Dist: $0.00 Building Green Fee: - .$4.00 Mechanical %: $114.73 ' NMUSD Fee: $0.00 Plumbing %°: $93.67 TOTAL FEE: $1,520.62 Plan Check Fee: $0.00 Fee Due at Permit Issuance PROCESSED BY: - PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY:� GRADING APPROVAL: APPROVAL TO ISSUE: 0 00 0 o ® o o•oo 0000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,520.62 Fire Department $0.00 Fire Inspection:. $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service. Refund Deposit' 'Grading Bond:.. Plumbing %°: $93.67 TOTAL FEE: $1,520.62 Plan Check Fee: $0.00 Fee Due at Permit Issuance PROCESSED BY: - PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY:� GRADING APPROVAL: APPROVAL TO ISSUE: 0 00 0 o ® o o•oo 0000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,520.62 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 items) Election 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 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 of 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, 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 nproved 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: ly 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, 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjuryhat I am licensed under provisions of �apter 9 �pommencing with Section 7000) of, Divi ion 3 Of the Bu iness and Professions ,- y li ens 'n full force nd effect. LiceRm@1�ss 4_ License No �/7i?�% ) 28 C asl:,or Signature IIORKERS' COMPENSATION DECLARATION DAFTNTI113; FAILURgSQ $F�WRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE :OSTOFCOMPENS 6AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I�hereg"ffirm under penalty of perjury one of the following declarations: .,I. I Have and vtill 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 )eif rn *nigtanw®rkeir of lino wo& for which this permit is issued. Policy No. �Em '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' compensatioi rysl,I�pCe are: issri9r. Policy Number Expiration Date Jame df Agent ;yam • Phone # �I CCl�ify that, in the performance a work r3�h', p rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre katfif T shouldbDrr� subject w rs o provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ...3ignatu ofA Da )ECLARATION RHGAR GCONSTRUCTION LENDING AGENCY 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). _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 owner's behalf. I have read this application and the information I have provided is cor ct. I agree to comply with all applicable city and county ordi n ate I s e ting to building construction. I authorize representatives of ' city o my to a ov tifi d rty for inspection purposes. signature of Property Owner Aut4 ' d Agent 'nt Property Owners or Author' A ame J `-e Ley to 1 ACTION bATf BY DECLARATIO COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMITEXTENDED 0AQMD PERMITFINAL Sj•\g-\ ASBESTOS NOTIFO S Y LCABLE TO CERTIFICATE OF O ED DEMO OCCUPANCYISSUED 5 TUBE: