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Home My WebLink AboutX2019-0015 - Permits�rla� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit. X2019-0015 �. b R 100 Civic Center Drive,. Newport Beach, CA 92660 x 2 0 1 9 0 0 1 5 Project No: 0013-2019 ) t H Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 e''zrsnu*' Combination Type - CIP ELEC Issued Date : 02/0712019 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: 2808 JAMBOREE RD NB Description:.: COMM - TI 3794 SF "TOYOTA" Legal Desc.: P BK 41 PG 27 PAR 1 - Owner: TOYOTA MOTOR SALES USA Contractor: COAST PACIFIC BUILDERS INC" Architect HILL JOHN STEVEN Address: 19001 S WESTERN AVE 1 - Address: 18201 MC DURMOTT ST WEST STE DAddress: 3195-B AIRPORT LOOP DR TORRANCE, CA 90501 IRVINE CA 92614 COSTA MESA CA 92626 Phone: Phone: '°949.701.4921 :Phone: 714-825.8888 State Lic:CO23553 Applicant SALAZAR VALERIA Con State Lie:: 210710 - Engineer: Address: 3195-B AIRPORT LOOP DR Lie Expire:. 02/28/2019 Address: COSTA MESA CA 92626 Bus Lie: - BT30064729 Phone. :714-825-8888 Lie Exp Dater 10131/2019 Phone: State Lie:. Code Edit: 2016 Workers Compensation Insurance Designer Type of Construction.. III -B Carrier: STATE FUND Address: Occupancy Group: B Policy No: 1866932 BPI n -q> �d i Added /New sq.ft Bldg: 3794 Expire: 11/0112019 Phone: Added /New sq. ft Garage: 0 Conditions: �r No of Stories: 2 Building Setbacks Rear: I Special. ® Nogs: 0 BldggHeight: 0 -Front I Left I tY�U�NV�S I Bldg Sprinklers: Right I Fire N \ tJ -Flood Zone: Use Zone. Parking Spaces: 0 Hazard Zone : Construction Valuation: $200.000.00 Building Permit Fee: $1,768.00 -Excise Tax:. $0.00 Planning Department - Fire Department . - Plan Check Fee: $1,538.16 " Additional Fee < - $0.00 Plan check Fee: $40.00 Fire Inspection: $0.00 Overtime Plan Ck: '.- $0.00 Grading Bonds Fee: - $0.00 Fair Share $0.00 'Fire Plan Rev Woo cInvestigation fee $0.00 Grading PC Consultant ; '. $0.00 ' SJH Trans : $0.00: Demolition Fee Record Management: -.$42.00 : Grading Permit Fee. $0.00 In -lieu Housing Fee $0.00 - Building Dept Adm $24.00'i. Energy Compliance. : $140.00 : Grading PC Fee: $0.00 Public Works Department- General Service $197.00 `CA Seismic Safety: : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 ` Refund Deposit $564.00 - DisabledAccess : $200.00 PM Plan Check: $0.00. :. Grading Bond: $0.00 Hazardous Mat $0.00 - Electrical %: . $462.86 San.Dist : . $0.00 'Building Greerg r8ij ..:$8.00 - Mechanical °/°:;- :.- $0.00 NMUSD Fee: -$0.00 $0.00 Plumbing%: $0.00 $0.00 TOVALFEE : $4,984.02 Plan Check Fee: $1,933.50 Fee Due at Permit Issuance : $3,050.52 0IMUSSED FAY:° !1' PUBLIC WORKS APPROVAL: m c m - ZONING APPRQ%t': ° PLAN CHECK BY: CEJ lJ -: GBAD.I13G APPROVAL: APPROVAL TO ISSUE: - m 0 ,'I 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 applicableitem(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 (_) all of or U 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). 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 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). 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:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P[pfQssions Code, and my license is in full force and effect. License Class License No Date • 7 • 19 Contractor Signal r —r JVORKERS' 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 THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37030F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 711 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 IN rformance of the work for which this permit is issued. Policy No. ave 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 ns rance carrier and policy number are: „order Policy Number Expiration Date Vame of Agent .Phone # :1I 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 agre halt, if I should become ubject to the workers' compensation. provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. \\'' Signature of Applicant Da 2 " 7 )ECLARATION REGAARWNG CONSTRUCTION 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 3y1my signature below, I certify to each of the following: lI 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or count to nter the a - i erty. for inspection purposes.v • • • • 7i'7' 19 3i 'nature of Property Owner or Authorized Agent .Print Property Owner's or Authorized A ent's Name �•'/'� • Date• ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OFTITLE 40 ANDAQMD RULE "•�� ° c. 1403 •0000c PERMIT EXPIRED UlSUBMITTED ASBESTOS NOTIFICATION TO 00000 �. •. uouoc PERMIT G4NLELLED EPA • • • • ° o PERMITEXTENDED QMD - • • • • • • ° ° `i PERMITFINAL OASBESTOS NOTIFICATION IS NOTAPPLICABLE TO •. CERTIFICATEOF l l C/� PROPOSED DEMOLITION • • °° ° OCCUPANCYISSUED SIGNATURE: f y •