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Home My WebLink AboutX2019-1893 - Permits (2)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1893 a' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 8 9 3 a Project No 1367-2019 1W �_, r! Permit Counter Phone (949)644-3288 k it Inspection Requests Phone (949)644-3255 P"rctxnx�'*� Combination Type - CIP ELEC MECH PLUM Issued Date : 07115/2019 Inspection Area :'8 "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 Sunday$ or Holidays Job Address: 20351 IRVINE AVE NB St: 1 Ft: 1 Unit: C6 Description`.. COMM TI "MATT WHITE" 1191 SF Legal Desc.: Owner: THE JETTY NEWPORT BEACH LLC Contractor: BINNQUIST DEVELOPMENT Architect: Address:. 202351 IRVINE AVE C6 Address: 20411 SW BIRCH ST #220 Address: NEWPORT BEACH CA 92660. NEWPORT BEACH CA 92660 Phone: Phone: 949-553-1969 Phone: State Lie: Applicegto AUSTB`rRI EFY Addrf%%o c °0 3195 RED HIFL AVE, STE G102 COSTA MESA CA 92626 Phony: � `949-359-111°29X209 ...o..c CodeoErNC:o 2016 Type.oJ6nOsstructiom°O: "If 31-B Occupangy.Group: ... *B AddetldNeV%q.ft. BpgB oo! 1191 Added /New sq. ft. Garage: 0 No ofStonew 0 1 No of lbnits°: 0 Bldg 1l,egpt.`o %P. Bldg 6prinklers: come N Flood Zone: o e Building Permit Fee: $1,528.00 Plan Check Fee: $1,329.36 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $111.57 CA Seismic Safety: , $0.00 Disabled Access : $159.39 Hazardous Mat $0.00 Building Green Feer $7.00 TOTAL FEE: $5,255.82 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 807967. Lie Expire: 05131/2020 Bus Lie: BT30000018 Lie Exp Date: 0513112020 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9037409 Expire:. 0110112020.. Building Setbacks Rear: / $314.31. Front: / . $257.16 Left: / Right:. Use Zone: Parkino Soaces: 0 Excise Tax: $0.00 Additional Fee : $324.00 Grading Bonds Fee: $0.00 Grading PC Consultant : $0.00 Grading Permit Feer $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $400,03 Mechanical W $314.31. Plumbing %: . $257.16 Planning Department - .Engineer: Address: -� Phone: State Lie, Designer: HATTOX LIZ q� Address: 3195-C AIRPORT LQ�p�1R COSTA MESA CA 9?62fj d5k' Phone: 949-399-1112 X 209 _ 3s Special Conditions: CR&R TO HAUL - DEBRIS Plan check Fee: Fire Department Fair Share: - Fire Inspection: SJH Trans Fire Plan Red In -lieu Housing Fee :.. Demolition Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $2,416.30 $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,839.52 PUBLIC WORKS APPROVAL: PLAN CHECK BY: IY UC" T) APPROVAL TO ISSUE: Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Red $0.00 Demolition Fee $0.00. Building Dept Adm General Service Refund Deposit Grading Bond:. $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,839.52 PUBLIC WORKS APPROVAL: PLAN CHECK BY: IY UC" T) 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 resson(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 (_) 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). 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 net 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 legal 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.ieginfo.ca.gov/calaw.html. ignature 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 000) of ivision 3 of the Business an P ssi e, and inyiisan a is infufi fo7¢e nd effect. License Class License No Dat 0 Contractor Sig Stu ... )IN YORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOU AND DOLLARSI$ 4006DDTTT&ir O TH' 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: • • ° ^ ° ^ ] 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 3700pf the Labor cd%l RR tl Qrformance of the work for which this permit is issued. Policy No. """ ' ° Nave 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' compensatior -` 4? nc earrr agd polic 'cmtrer are: • • • ^ r 'L"-' V NV Policy Number % D,%7 IreDIExpiration Date %2 " 2?— y 9 • = s ne of Agent Phone # ...... • ° certify that, in the perforMaVd4f 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 IaN3 fifCalifornia, and agree I, if I should beco a wor ers' compensate provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ) nature of Applic CLARATION REGRftN ONSTRUCTION L IN AGENCY ueby affirm under penalty erjury that there ' a co ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _.,.Ider's Name Lender's Address 3y my signature below. I certify to each of theIleo I g:. I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I h4pprdedis correct. I agree to comply with all applicable city and counand state laws relating to building construction. I authorize representatives of this city or count e -identified roperty for. inspection purposes. Signature of Property Owner or Authorized Age Print Property Owner's or Authorized A ACTION DATE BY EC RATION OF CO PLIAN E WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU TIONS PAR 610FT LE 40 AND AQ MD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDEDp QMD PERMITFINAL CERTIFICATE OF l•�.i•Dq SBESTO NI OTAPPLICABLE TO PROPOW6 14MOLI OCCUPANCY ISSUED SIGNAT