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Home My WebLink AboutX2019-0411 - Permits/ City of Newport Beach - Building Division I IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit :X2019-0411 X 2 0 1 9 0 100 Civic Center Drive, Newport Beach, CA 92660 4 1 1 Permit Counter Phone (949)644-3288 Project No: 0297-2019 v Inspection Requests Phone (949)644-3255 a„1* Combination Type - CIP ELEC MECH PLUM Issued Date: 04/29/2019 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.rn. to 6:00 p.m. Ho work on Sundays or Holidays Job Address: 330 PLACENTIA AVE NB St: 1 Ft: 2 Unit: 200 - Description: COMM TI-'HOAG FISHBACK' 6476 SF Legal Desc.: N TR 4692 LOT 100 Owner: HOAG MEMORIAL Address: 330 PLACENTIA AV Contractor: PDC INC Architect: WIRICK JAMES SIT '?3 NEWPORT BEACH CA 92663 Address: 1010 S HATHAWAY ST UNIT C Address: 5161 CALIFORNIA AVE #100 Phone: SANTA ANA, CA 92705 IRVINE CA 92617 Phone: (714).664-0477 Phone: 949-261-1001 State Lic:C016598 Applicant: NAVIDAD JESUS Address:. 5161 CALIFORNIA STE 100 Con State Lie: Lie Expire: 988559 1113012019 Engineer: SEAMIER BRYAN GEOFFREYT=r:q, IRVINE CA 92617 Bus Lie: BT30055261 Address: 31821 VIA ALLEGRE; Phone: 626-392-9322 Lie Exp Date: 05/31/2019 TRABUCO CANYON CA 92679 Phone: 949-769-6208. State Lic:S-004899 Code Edit: 2016Sw,e Worker's Compensation Insurance Designer: cr Type of Construction: V -B -SPR Carrier: FALLS LAKE Address: .,,.,.: - Occupancy Group: B Policy No: FLA00588600 Added/News .ft. Bldg: 6476 q 9 Expire: 0512912019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Building Setbacks Rear: I Special Conditions: Bldg Height: 0 Front: / Bldg Sprinklers: Y Left: I - Flood Zone: X Use Zone: Right: / Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $350.000.00 Building Permit Fee: $2,666.00 Plan Check Fee: $2,321.16 Excise Tax: $0.00 Planning Department - Fire Department Overtime Plan Ck: $0.00 Additional Fee :. Grading Bonds Fee: $0.00 $0.00 Plan check Fee: $40.00 Fire Inspection: $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 Fair Share : SJH Trans $0.00 Fire Plan Rev $0.00 Record Management : $90.00 Grading Permit Fee: $0.00 : In -lieu Housing Fee : $0.00 Demolition Fee $0.00 Energy Compliance: $245.00 Grading PC Fee: $0.00 Public Works Department - Building Dept Adm $24.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 General Service $197.00 Disabled Access : $350.00 Refund Deposit $564.00 Hazardous Mat $0.00 Electrical W $698.48 PAN Plan Check: San Dist: $0.00 Grading Bond: $0.00 Building Green Fee : $14.00 Mechanical%: $548.81 NMUSD Fee: $0.00 $0.00 Plumbing %: $449.02 $0.00 $0.00 II TOTAL FEE: $8,209.47 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $3,150.35 Fee Due at Permit Issuance : $5,059.12 fY6 •• � ` m m PU@LIE IIyORKE APPROVAL: PLAN CHECK BY: ®'.APPROJALTPNISSUE: o ¢ - +, e o` F, o �.x eu rm n o mmo ea' 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 repair the checcture, prior I have placed next to the applicable item(s) action 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 e 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 ofessions 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 It more than five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, isiness 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 Iprovements 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 iproved 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 )ply 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). 7 1 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 legally =11 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.html. Date ignature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATIONnd hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectionJ4 / �Lq Contract 000) of Division 3 of the Burro ss an Prof ss' ns Com d and license n full force nd effect. License Class License No JORKERS' COMPENSATION DECLARATION OSTIOF CO ARNNG: FAILURE TTOIONCURE WOR AS PROVIDED FOR IN N COVERAGE IS THE LABOR AND SHALL SUBJECT N EMPLOYER EY'S TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (4100,0001, IN ADDITION TO THE DAM S. 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 3700 of the Labor Code, for th Jormance of the work for which this permit is issued. Policy No. h th' rmit is issued My workers' comoensatio have and w) rance carrier workers' compensation i((surance, as required by Section 3700 of the Labor Code, for the performance of the work for whit Is pe Number Date ne of Agent Vi 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 ogre t, if I should become su ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with. those provisions / g nature of Applicant CLARATION REGA G CONST ION LENDING AGENCY �reby affirm under nalty of per' ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil Code). ider's Name Lenders 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 county ordinances and state laws relating to building construction. ` I authorize representatives of this city or coun�.to entth'�ve-identified property for inspection purposes. ^r A„rhnri�wd ADent's Nage/ ��lf � oL �e ii nature of Propert Owner or AuthonzeD A ACTION DATE BY DECLA ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 _ _ • _ PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED \15-W I SUBMITTED NOTIFICATION IS NOTAPPLICABLE TO