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HomeMy WebLinkAboutX2020-2273 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3286 inspection Requests Phone (949)644-3255 `"x�tr�us Combination Type - CIP ELEC MECH PLUM *X2020-2273* COMB Permit: X2020-2273 Project No: 1831-2020 Issued Date : 1110312020 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110412023 OR PERMIT WILL BE INVALID 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: 1301 DOVE ST NB St: 1 FI: 8 Unit: 820 Description: COMM -Tl 3449 SF "STRUNK FAMILY LAW" Legal Desc.: P BK 120 PG 27 PAR 1 Owner: USPF 1301 DOVE LP Contractor: AMARON CONSTRUCTION CORPORATION Architect: Address: 1301 DOVE ST #370 - Address: 1565 N HARMONY CIRCLE Address: NEWPORT BEACH CA 92660 ANAHEIM HILLS CA 92807 Phone: Phone: 714-993-9220 Phone: State Lie: Applicant: PATRICK RANDALL Address: 3150 BRISTOL ST #205 Bus Lic: COSTA MESA CA 92626 Phone: 949-724-1499 Code Edit: 2019 Type of Construction: I -A -SPR Occupancy Group: B Added /New sq.ft. Bldg: 3449 Added /New sq. ft. Garage: 0 No of Stories: 10 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Construction Building Permit Fee: $1,837.00 Plan Check Fee: $1,598.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $54.00 Energy Compliance: $140.00 CA Seismic Safety: $0.00 Disabled Access: $200.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTAL FEE: $5,860.41 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 674301 Lie Expire: 07131/2021 Bus Lic: BT300473404 Lie Exp Date: 11130/2021 Worker's Compensation Insurance Carrier: EVEREST NATIONAL INS Policy No: 7600001379091 Expire: 0310112021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: y Pfr Rear: I Front: I Left: I Right: I ?arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $480.93 $377.87 $309.17 Plan Check Fee Engineer Address: Phone: State Lie Designer: PATRICK RANDALL Address: 3150 BRISTOL ST #205 COSTA MESA CA 92626 Phone: 949-724-1499 Special Conditions: ROBERTS WAST TO HAUL DEBRIS 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 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 - m meoemm m e moeecm 0 0 ammr� m oaa um O' ameo� ♦O 0 Damm $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 $2,387.83 Fee Due at Permit Issuance : $3,472.58 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: m n mmmzca coomee o n Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: m meoemm m e moeecm 0 0 ammr� m oaa um O' ameo� ♦O 0 Damm $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 $2,387.83 Fee Due at Permit Issuance : $3,472.58 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: m n mmmzca coomee o n 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 is 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). 7 I, 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, 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 le -gall, 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.leginfo.ca.gov/calaw.htmi. Iignature 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 7�,of Di isi� Business and Professions C y license is in full force nd effect. Liaartse [loss License No Date ontractor Signature YORKERS' COMPENSATION DECLARATION WIA& FAILU4E•TO6EOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 6re9raffirm under penally of perjury one of the following declarations: I hsnve and.A6 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 thl arform-ince of W1,32rk for which this permit is issued. Policy No. @fir a and 4#1111 fn�a11rRain 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' compensalioi aace carrier and policy number are: ardar... Policy Number Expiration Date 'Jame of.Agent • Phone # :5 tAf[ijy that, in.tbe 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 :hat -if ?should tJV9gv%ub'e Baer/{/orky/�5�/ npen/sat, fir+ action 3700 of the Labor Code, I shall forthwith comply with those provisions. n Signature of App licant . _ 7 v " // Dat!r2 DECLARATION RE IN CONSTRUCTION LENDING AGENCY hereby affirm and penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y 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 provi ed is correct. I agree to comply with all applicable city and county ordi and to laws rel ' o building construction. I authorize representatives of this city or county to o -i entified party for inspection purposes. 2 signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized A ant's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL l Z CERTIFICATE OF OCCUPANCY ISSUED ASBESTOS NOTIFICATION TO