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Home My WebLink AboutX2018-1784 - PermitsCity of Newport Beach - Buit44ndfDavisiPrB am g IIIIIIIIIIIIIIIIIIUIIIIIIIIIIII�IIIIIIII�lll II COMB Permit: X2018-1784 100 Civic Center Drive, Newport Beach, CA 9 X660°° o m o m° o m m o m° X 2 8 1 8 1 7 8 4 Project No: 1385-2018 e. Permit Counter Phone (949)644-3288 -. 'c.. Inspection Requests Phone (949)644-3255. '''t3zn*s Combination Type - CIP ELEC, ° o ° Issued Date: 08/1012018 e e ° ° m � ° Inspection Area : l ERMPT°.� EXP 180 -DA YS FA ER 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: 309 (CS) PALM ST NB Description: COMM CELL SITE. ATT. RIR (E) PANEL ANTENNAE, INSTIL NEW REMOTE RADIO UNITS Legal Desc.: Owner: VALLEY INVESTMENT Contractor: METRO RF SERVICES INC Architect: Address: 1038 SEA LN Address: 2320 S ARCHIBALD AVE Address: CORONA DEL MAR CA 92625 ONTARIO CA 91761 Phone: Phone: 909-230-4920 Phone: State Lie: Applicant: SHIH STELLA Con State Lie: 895236 Engineer: LEE CHRIS Address: 1745 W ORANGEWOOD AV Lie Expire: 0 4/3 012 01 9 Address: 27758 SANTA MARGARITA PKWY ORANGE CA 92868 Bus Lie: BT30061761 MISSION VIEJO CA 92691 Phone: 602-527-3592 Lie Exp Date: 0113112019 Phone: 949-468-9702 State Lic:C061064 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: OLD REPUBLIC GENERAL INS. Address: Occupancy Group: U Policy No: AICW12301700 Added /New sq.ft. Bldg: 0 Expire: 05/1512019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: I , E C T R No of Units : 0 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Right: / ri000 tone: Use Zone: Parking Spaces: 0 Fire Hazard Zone :.N Construction Valuation: $35,000.00 Building Permit Fee: $542.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $471.54 Additional Fee : $0.00 Plan check Fee: $37.50 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $89.50 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $36.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $141.90 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,320.44 Plan Check Fee: $664.56 Fee Due at Permit Issuance : $655.88 PROCESSED BY: AL�p,� ZONING APPROVAL: 1'irr" NING GR*BIN9 APPROVAL: �Ia� 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 fb;ser(e) indicatAil 6elow by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repait2lfy structure, prior to its issuance, also requires the applicant for ie 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 Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Anj vjolatipV of Seotion 7p31.5 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 (_) all of'Qrt).*rions of tale 4rk, and the Jrutture 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, througm emp"ees' 8r.6er8gnhI 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 n 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 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 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 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 perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) of ivision 3 of the Business and Profes io s COd, a d m 'cense is in full force nd effect. License Class License No Date c+ Contractor Signature i VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 106USAND 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: 7 1 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 thi rmance`bffNe work for which this permit is issued. Policy No. I h ve 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' compensation Isur nce,cla��{lerand polic number are: 7� r I rtil—�lC�nre fa L7KJrn YIz- Policy Number {�'r(cV` an))1oll ExpirationD to lame of Agent f c - ('ai I mer Phone # (Wf' ) 55T3 62�,p % 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 I, if I should become subje the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // nature of Applicant,) � `Cti'�� Dat e&ol r- CLARATION REG�G ;ONSTRUCTION LENDING AGENCY \ areby affirm under nal perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 correct. I agree to comply with all applicable city and count ordinances and state laws relating to building construction. I authorize representatives of this city or co�I t e ter the bove-identified property for inspection purposes. _ / nature of Prooertv Owner or Authorized Acent X ,e✓ Print Property Owner's or Authorized Agent's Name \ J c/OK 1V LE10 ACTIONECLARATION OF CMPLIANCE WITH CODE OF FEDE I DATE I BY 1• REGULATIONS PART061OF ITE 40 AND AQMD RULERAL I FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED [3AQMD PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED 5MI, `0+ %-j~\� _ �^'�PROPOSED ASBESTOS NOTIFICATION IS NOT APPLICABLE TO DEMOLITION SIGNATURE: