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Home My WebLink AboutX2020-2974 - PermitsCity of Newport Beach - Building Division *X2020-2974* COMB Permit: X2020-2974 Newport Beach, CA 92660 100 Civic Center Drive, New off` +;7 a� P Project No: 2370-2020 � '; � Permit Counter Phone (949)644-3288 u: Inspection Requests Phone (949)644-3255 �* Combination Type - CIP MECH ELEC PLUM Issued Date : 03/01/2021 0 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310112024 OR PERMIT KQL 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: 4440 VON KARMAN AVE NB St: 1 Ft: 2 Unit: 240 Description: COMM TI *SPEC SUITE* 1,288 SF Legal Desc.: N TR 8762 LOT 5 Owner: 4440 VKA TIC 3 LLC Address: 2 PARK PLZ #700 IRVINE CA 92614 Phone: Applicant:. JOSE/SPACES PLANNING & DESIGN Address: 3150 BRISTOL ST #205 COSTA MESA CA 92626 Phone: 949-724-1499 Code Edit: 2019 Type of Construction: I-B-SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Construction Building Permit Fee: $929.00 Plan Check Fee: $808.23 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $44.00 Energy Compliance: $61.00 CA Seismic Safety: $0.00 Disabled Access: $91.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: ROBINSON REESE LP Address: 2505 W COAST HWY #202 NEWPORT BEACH CA 92663 Phone: 949-910-3047 Con State Lie: 1053055 Lie Expire: 05131/2021 Bus Lie: BT30071636 Lie Exp Date: 04/3012021 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expire: 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: I Right: / 'arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $243.21 $191.10 $156.35 Plan Check Fee emme Architect I SI I �, Address: I � '�i )� L L; Phone: State Lie: Engineer: TRAN JOHN DINH �'e"e e e Address: 11251 GARDEBAIRE LN .... GARDEN GROVE CA 92841 0 0 oe ° Phone: 714-815-2356 State Lic:C-062653 m000e Designer: ° eeeeoe Address: 00000e Phone: eoeeo• 0 oeeo Special Conditions: Planning Department - Plan check Fee, Fair Share: SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $46.25 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $1,281.28 Fee Due at Permit Issuance : $1,291.86 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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). 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 Cade: 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). 3 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). ... I am exem�Srpsrl. licensure under the Contractors' State License Law for the following reason: ;go,r 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 legall) ell a structure :hat I (lave 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 'iofessions Cotlt?, IS-availableupon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Digh.ajuTe of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm uad9r,p'enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 f the Businarand Proles io s od nd license is in full force and effect. Licgpse Class License No /L - ' Contract?knnature MRUERS' COMPENSATION DECLARATION .... IARNING: FAILURE TP SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO AND DOLLARS (E700,060), IN ADDITION TO THE qT ePCOMPENSA HON, 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: 2f have and ;ill m@intain 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 Vuran nce of QR-nk for which this permit is issued. PolicyNo. 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' compensatiol e carrier and policy number are: Policy Number Date Writ fy that, in the perfor nice 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 fat, if I rho Id become But? to the t;rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2 signature of licant �te IECLARA D or ONS IO�G AGENCY ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the pro I have read this application and the information I have I agree to comply with all applicable city and county of I authorize representatives of this city or county to SO PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED owner's behalf. led is correct. ,as and state laws relating to building construction. abovkIdergified property for inspection purposes. OF COMPLIANCE WITH CODE OF FEDEI PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION ISNOTAPPLICABLE TO FOR OFFICE USE ONLY