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Home My WebLink AboutX2019-0920 - Permits�sw ,� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIII�IIIIIIIIIII II COMB Permit: X2019-0920 $0.00 - .100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 9 2 0 $0.00 Project NO : 0629-2079 tsd. '. 9 rf Permit Counter Phone (949)644-3288 Policy No: -. Inspection Requests Phone (949)644-3255 02/13/2020 ed s%zm ` Combination Type - CIP MECH ELEC PLUM Issued Date: 04/25/2019 Disabled Access: $500.00 Inspection Area : 7 Hazardous Mat PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 11 - Building Green Fee : 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: Description: 3501 JAMBOREE RD NB St: 1 FI: 3 Unit: 3000 COMM TI "BARES REGIS GROUP" 30,818 SF # wvd ? ; Legal Desc.: N TR 12528 LOT 3 Owner: SK HART BAYVIEW LLC Contractor: CALIBER CONSTRUCTION INC Architect: OI DICKSON Address: PO BOX 11623. Address: 240 NORTH ORANGE AVE Address: PO BOX 16516 SALT LAKE UT 84147 BREA CA 92821 IRVINE CA 92623 Phone: Phone: 714/572-0700 Phone: 949-608.3726 State Lic:C032277 - Applicant: BUCKLEY JILL Address: 18600 MACARTHUR BLVD #100 IRVINE CA 92612 Phone: 949.608-3726 Code Edit: 2016 Type of Construction: I -A -SPR Occupancy Group: B Added /New sq.ft. Bldg: 30818 Added /New sq. ft. Garage: 0 No of Stories:. 6 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Building Permit Fee: $3,568.00 Plan Check Fee $3,104.16 TOTAL FEE: $10,733.69 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 635842 Lie Expire: .Overtime Plan Ck $0.00 BT30062464 Investigation Fee $0.00 Worker'sCompensationinsurance Record Management: $98.00 Policy No: Energy Compliance: $350.00 02/13/2020 CA Seismic Safety: $0.00 San Dist: Disabled Access: $500.00 $0.00 Hazardous Mat $0.00 Building Green Fee : $20.00 TOTAL FEE: $10,733.69 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 635842 Lie Expire: 01/31/2020 Bus Lie: BT30062464 Lie Exp Date: .03131/2020 - Worker'sCompensationinsurance Carrier: TRAVELERS PROPERTY Policy No: UBOK19760619 Expire: 02/13/2020 Building Setbacks Rear: I Front: I Left: / Right: / Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $934.10 $733.94 $600.49 Plan Check Fee 0 Engineer: Address: Phone: Designer: Address: Phone: State Lid: Special Conditions: CR & R TO HAUL Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share: Fire Plan Rev SJH Trans : Demolition Fee. In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Doom 0 0 Doom oomo Doom 0 00 0 m 0 00 o Doc 0 o c ro 0 cmoom• ° $0.00 o £Ot00 0000 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $4,549.57 Fee Due at Permit Issuance : $6,184.12 PUBLIC WORKS APPROVAL: _. PLAN CHECK BY:. _... _ APPROVAL TO ISSUE: m mmmcon m o 0 0 m o 0 00 0 0 o c 0o c oc000 000cco c 0 0 v oc0000 m 00000 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee. $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Doom 0 0 Doom oomo Doom 0 00 0 m 0 00 o Doc 0 o c ro 0 cmoom• ° $0.00 o £Ot00 0000 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $4,549.57 Fee Due at Permit Issuance : $6,184.12 PUBLIC WORKS APPROVAL: _. PLAN CHECK BY:. _... _ APPROVAL TO ISSUE: m mmmcon m o 0 0 m o 0 00 0 0 o c 0o c oc000 000cco c 0 0 v oc0000 m 00000 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 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 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). ❑ 1 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 1 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 th�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.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 witl 'on 7000 o Divisio 3 of the B ss a Profess, ode, and ny 'cense is in full force and effect. License Class License No D � Corytyra� or Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), ADDITION TO THE COST OF COMPENSA.TPV DAMAGES AS PROVIDED FOR IN SECTION 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm unft.Relialty of perjury one of the following declarations: IL 411aue and w91.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 the AErformince of the ftl& for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this carrier and pa number are: 11 ,, —1 � �-�/,,, TYDC1/ Policy Number V �a l� li 1 IC IJ 10 Expiration Date, is of Agent • • • •I• T plzrtify that, h thg 5( ,i( L, hould,be+cbmee ,store of A Ub 1teaRt- the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisk pg*j(%ffirm up8gr p4alty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 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 owners 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 county tSARIeEffie above idP�ltified property for inspection purposes. ��F ATION OF WITH CODE OF DATE BY I REGULATIONS PART61OFTICE TITLE 40ANI AgMD FEDERAL I FOR OFFICE EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION PERMITEXTENDED LJAQMD PERMIT FINAL �Q• e,•\f4 SBESTO NOTIFICATION IS NOTAPPLILABLE TO CERTIFICATEOF PB E TI ),de� OCCUPANCYISSL SI R w� is issued. My workers' compensation laws of California, and Civil Code).