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Home My WebLink AboutX2019-2976 - Permits.,rte City of Newport Beach - Building Division II COMB Permit.: X2019-2976 100 Civic Center Drive, Newport Beach, CA 92660 IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII�II X 2 0 1 9 2 9 7 6 Project No: 2082-2019 ' Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 " ,aTarr➢'des Combination Type -. CIP ELEC MECH - Issued Date: 20t9 Area 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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 5000 BIRCH ST NB St: 1 FL'.4 Unit: 4400 Description: COMM TI - COMBINE (2) SUITES "VEGA" (534 SF) Legal Desc : P BK 181 PG 13 PAR 5 - cc Owner JOHN HANCOCK LIFE Contractor PACIFIC INTERIOR ELECTRIC Architect: OI DICKSON Address: 865 S FIGUEROA ST #3320 Address 8171 EAST KAISER BLVD Address: PO BOX 16516 �. LOS ANGELES, CA 90017 ANAHEIM HILLS CA 92808 IRVINE CA 92623 - -� Phone: Phone: 714-685-7733 Phone: 949-608-3726 State Lic:C032277 Applicant. VU TUYEN Con State Lic: 705253 Address: 18600 MACARTHUR BLVD #100 Lic Expire: 04/30/2021 Engineer: Address: IRVINE CA 92612 - Bus Lic: BT30066666 Phone: 949-608-3733 Lic Exp Date: 03/31/2020 Phone: State Lic: - Go Code .Edit: 2016 Worker's Compensation insurance. Designer: Type of Construction: 1 -A -SPR Carrier: HARTFORD Address: Occupancy Group: B Policy No: 72WEART6666 Added/New sq.ft. Bldg: 0 Expire: 05/0112020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 10 Building Setbacks Rear: I Special Conditions: No of Units:: 0 Front: Bldg Height: 0 Left: I Bldg Sprinklers: Y Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $19.000.00 - - Building Permit Fee: $376.00. Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $327.12 - 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 $0.00 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: $56.00 Grading PC Fee:. $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $87.00 P/W Plan Check: $0.00 Grading. Bond: $0.00 Hazardous Mat $0.00 Electrical %: $98.44 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $77.34 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 ,. $0.00 TOTAL FEE i $1,098.90 Plan Check Fee: $504.90 Fee Due at Permit Issuance : $594.00 PROCESSED BY: - _�_ �, i , ° PPU1 _[C WORKS APPROVAL: .ZONING APPROVAL: s . PLAN CHECK BY: GRADING APPROVAL:.. f___;, r f., �, ,;o, APPROVAL TO ISSUE: 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). 13 1, 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 rinlroved for the purpose of sale). <: LJ 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 I must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legall, 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:http://w .leginfo.ca.gov/calaw.html. 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 f Divi ion 3 Qf the Business and Prole ions_ bde, ,and license is in full force. and effect. License Class License No Date %O.7 . /7 Contractor Signature tn' WORKERS' 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 , DDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 `ormance of the work for which this permit is issued. Policy No. have and wild�i tt intain 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' rance carries ' 1`dolicy numbenre: _ t, 11 Date lame of Agent \ Vild aAAA_1 V 1S!= rnone 9 ]I 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 iat, if I should become sub'ct to he worke ' 7 ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ` 'ignature of Applicant Da if1•/L.� IECLARATION REGAFfDING CONSTRUCTION LENDING APfNCY hereby affirm under penalty of perjury that there is a constrcti n lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _ ender's Name Lender's Address ly 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 county to n 1 the ntified property for inspection purposes, ionature of Pronertv Owner or Authorized Anent \ k.✓0�-a+ , Print Prooertv Owner's or Authorized Aoent's Na QtJI f}9'iir22. � 11e /L / 9 ACTION DATE PERMIT EXPIRED PERMITCANCELLED PERMIT EMENDED PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED BY llDECLARATION OF COMPL4UU WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATID"O•! NOTIFICATION IS NOT APPLICABLE TO FOR OFFICE USE ONLY • •