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Home My WebLink AboutX2020-0904 - Permitsto City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 'u• m`' Combination Type - CIP ELEC MECH PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0904 x 2 0 2 0 0 9 0 4 Project No : 2984-2018 Issued Date : 0610912020 Inspection Area : 7 PERMIT EXPIRES 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06110/2023 OR PERMIT WILL BE INVALID 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: 1200 DOVE ST NB Description: COMM -ADD RESTROOM 72 SF (DELTA 1) REV20.0520 Legal Desc.: P BK 63 PG 27 PAR 2 Owner: AG REDSTONE OWNER LP Address: 150 PAULARINO SRE D182 Record Management: COSTA MESA, CA 92626 Phone: $56.00 Applicant: SMITH LIN Address: 17911 VON KARMAN STE 200 Hazardous Mat IRVINE, CA 92614 Phone: 949-221-6272 Code Edit : 2019 Type of Construction: V -B Occupancy Group: B Added /New sq.ft. Bldg: 72 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $392.00 Plan Check Fee: $341.04 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $70.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access : $87.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,907.14 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: REDHAWK BUILDERS INC Address: 200 TECHNOLOGY STE L 17911 VON KARMAN AVENUE SUITE 200 IRVINE CA 92618 Phone: 949-754-9050 Con State Lie: 692901 Lie Expire: 10131/2021 Bus Lie: BT30027314 Lie Exp Date: 03/31/2021 Worker's Compensation Insurance Carrier: INS OF THE WEST Policy No: WSD603114304 Expire: 09/01/2020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: / Right: / 'arking Spa $15.12 $0.00 $0.00 $580.56 $0.00 $127.44 $0.00 $102.63 $80.63 $65.97 0 Planning Department - Architect: PERKOWITZ SIMON $0.00 Address: 17911 VON KARMAN AVENUE SUITE 200 $0.00 SJH Trans : IRVINE, CA 92614 V J Phone: 714-921-9361 State Lic:CO24026 Cn "U Engineer: ALLEN THOMAS CHRISTOPHER Address: 2 VENTURE #400 M P/W Plan Check: IRVINE CA 92618 Phone: 949477-4001 State Lic:S-005460 0 Designer: $0.00 Address: Phone: DO Special Conditions: SANTA ANA UNIFIED Fire Hazard Plan check Fee : $0.00 Fair Share: $0.00 SJH Trans : $0.00 In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication: $0.00 P/W Plan Check: $0.00 San Dist: $148.75 NMUSD Fee: $0.00 N Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $827.99 Fee Due at Permit Issuance • a•• mo e - c se o • •• o �, • • ° . °•�?U8L1C W&RKSV PLAN CHECK BY: `R,PPR0VAt70 ISSUE: �o ae. ouc, o v oo� o0 omo $0.00 $547.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,079.15 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 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 'rofessions 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 of more than five hundred dollars ($500). 1, 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, lusiness 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 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 nproved 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 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). I am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 all 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 7000 o l ion 3 of the Business and Pr fe ions tCeR is in full force nd effect. License Class License No Date uO Contractor Signature YORKERS' 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 THOUSA DOLLARS ($100,0001, 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: - 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 th erfyrmance of the work for which this permit is issued. Policy No. I have and _ aintain 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' compensatio nsurance came a p licy num ///�� 1' Carrier u e 'G ��'"t� L"i Expiration Date bgh61(7AZ� Name of Agent _ S Phone # I certify that, in the performance of the work for w ich is ermit 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 that, if I should become s ject to the or a n r isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant - DECLARATION REG G CO RUC ENCY I hereby affirm under p nalty of perjury I ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 rr I agree to comply with all applicable city and county ordinance ws relating to building construction. 1 authorize representatives of this city or county to If ed property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam 1 C� ACTION DATE BY ECI ARAVON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 _ _ .. • • • • _. PEKIVII I cnrlrtcv u I JU5NI1 III IUVI IW •• PERMITCANCELLED EPA i �• • • • • ' ' PERMIT EXTENDED MID PERMITFINAL 7-/ '? ASBESTOS NOTIFICATIO IS NO APP FABLE TO CERTIFICATEOF PROPOSED DEMO ITI OCCUPANCYISSUED SIGNATURE: • • • •'4 • • e