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HomeMy WebLinkAboutX2017-3488 - Permits�1to City of Newport BeacW Sutrdidg-iyiG°on® II IIIIIIIIIIIIIIIIIIII II�IIII IIII III II II • ,�� ° ° � ° xb � m COMB Permit: X2017-3488 100 Civic Center Drive, Newport Beach, Cl %26000 o m o ° X 2 0 1 7 3 4 8 a Project No : 2422-2017 E _ Permit Counter Phone (949)644-3288, • + • • o e e e m Inspection Requests Phone (949)644-3255 dx Rnv$� Issued Date: 0911312018 Combination Type - CIP ELEC MECH e e e e • • Inspection Area : 7 ° • • • • PERM{'ES EXPIRE 180,MAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Ctmgt{K.tion 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: 2101 DOVE ST NB tD NB Description: COMM TI "LAND ROVER" VEHICLE REPAIR SERVICE FACILITY 48949 SF Legal Desc.: TR 3201 LOT 20 AND LOTS 21 & 22 AND LOTS 40 TO 42 INC.�.-- Owner: JAA DEVEL MENT Contractor: PACIFIC LIFT & EQUIP CO INC Archit ct: BARD ANNA MARI Address: PO BOX 129 a_ ?_'Z Address:.. 61 WMOUNTAIN ST i1 ^qprj61G 2171 CAMPUS DR AGUORA HI S, C ° — PKSAUENA C7� $1103 IRVINE CA 92612 Phone: Phone 661-714.9757 r�P� 0 Will IOMM49 nd ❑L?V �0 UI LJ Applicant: BRENNANPD RMLTE .' on �VL� 72 Engineer: Address: 2171 CAMPU DR0 -. E rel d 1413 12 Address: IRVINE CA 612t: /� ,. LiC \W 5 .w`#1 to wh�M: ------ Phone: 310-863475 Li xp Date. 0 8120 Phone: Code Edit: 016 Work en1`01 S anrr Designer: Type of Construction -B 'x° ar. r•F1S Address: Occupancy Group: 1;a, f Poll G�BO>i D �'�y '�Added /New sq.ft. Bldg;8 s. _` - CxP"6610)I7=Phone: Added/New sq. ft. Garage:0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units: 0 Front: / Bldg Height: 0 ff" _ �.�J qq '� t� ° . Left: / f tii 6 Bldg Sprinklers:1 ,� - 9 `v- h,G) ,� Right: / g,,a Flood Zone, - ���sss :a Use Zd 4n Parking Spaces: _ Fire Hazard lay one : N Lic:C030859 Lic: Building Permit Fee:a� $8 02.00 Excise Tax: $0.00 Planning Department- Fire Depa ment Plan Check Fee: $7 05.7 - t i+� Additional Fee : _13rading-BondsPee---0'-'�-'-----Fai7S $0.00 Plan check Fee: 75. .,,Ei[a.lns ction: Fire Plan Overtime Plan Cl, $i) 4t171'`" -- are : $0.00 ev //77 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans :nsp'ry i 0 'IIa o ee Record Management.: 6000 ___-Grading. Permit Fee:_.__..—$0.00--------kn-lien-Honsing-Fee �1.00 ul mg ept A, Energy Compliance: 84.00 Grading PC Fee: $0,0.0-._. PubU;6Wgfks<Departmenh�:•�=�*-'� ^Getf Service CA Seismic Safety: $0.00 - WQ Insp. Fee: _,,: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access: $830.00 P/W Plan Check : $0.00 Grading Bond: Hazardous Mat $0.00 Electrical W $2,121.10 San Dist: $0.00 Building Green Fee : $70.00 Mechanical %: $1,666.58 NMUSD Fee: $0.00 Plumbing %: $0.00 RTR $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 IITOTAL FEE: $21, � 2 Plan Check Fee : $9,294.90 Fee Due at Permit Issuance : $12,004.52 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: !' a►� r GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION m I hereby affirm under penally of perjury that 1 am exempt from the Contractors' State License Law for the reasons) iadieat$d belbw'by4ht gtfeck ma rk(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 SeDtii n 7031.5 by pny applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). • , , •, I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U pokioos of the wo:(, Ind Me stru:lure 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, tRroualf 2mployees' emmrsonaLaffort, 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 n roved for the purpose of sale). 1, 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 only 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: ly 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 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. 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 70 0) f Division 3 of the Business and Profgssiyfp� Cgde-,-agr=my license is in full force nd effect. License Class License No D .41f olyd Contractor Signature( VORKERS' COMPENSATION DECLARATION �-%� 'ARNING: 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), IN ADDITION TO THE DST 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 the e Trance of the work 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 permit is issued. My workers' carrier and oolicv number are: Policy Number w V550 3 3 -7 3 96 L Expiration Date of Agent certify that, in the performan of the w or 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 agree t, if I should become subject o t e w ers' c � pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q nature of Applicant Dat / /Za CLARATION REGAKDINqPONSTRUCTIPN WENDING AGENCY - Ireby affirm under penalty f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, U II Code). 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 proyjded is correct. I agree to comply with all applicable city and county ordh1afIces stagyaws relating to building construction. / ) / I authorize representatives of this city or county toe f t e abo e-identifie%1 property for inspection purposes. EnXld`/L//C, tel/�S�I� /1 lature of Prooertv Owner or Authorized Aoenl(�'� ♦A ,m=.,, .sue— Print Prooertv Owners or Authorized Aaent's Nam .)_q:? — Date ACTION I DATE BY Y '/DECLARA ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU DNS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED I Epp PERMIT EMENDED LJAQMD PERMITFINAL CERTIFICATE OF OCCUPANCVISSUED OASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: