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Home My WebLink AboutX2019-3687 - Permitswrrz4r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2016-3200 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 6 3 2 0 0 p Project No : 2227-2016 Permit Counter Phone (949)644-3288 r" Inspection Requests Phone (949)644-3255 °rrrore�.= Combination Type - CIP Issued Date : 03/1312018 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 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays w� Job Address: 847 PRODUCTION PL NB /� Description: COMM OUTDOOR HAZMAT STORAGE AREA ON EAST SIDE YARD ADJACENT TO BLDG 3 "HIXSON" (24' x 100')Y-:'^' Legal Desc: N TR 3145 LOT 5 Owner: HIXSON METAL FINISHING Contractor: Address: 829 PRODUCTION PIL - ress: 19800 GUSTIN LN Address: 441 E WHITTIER BLVD NEWPORT BEACH CA r� PEFR(!r�CA 92570 A 90631 Phone: 9496454800 Date: Phc� - /K 15*734-3507 Phone!f apC2'.f m3rir{• State LicC03282 Applicant: LUBBI TOM t Con State Lic: 562287 .Engineer( p0RR4tc�,I�GJVA%AFd�nd Address: 829 PRODUCTION PL Lic 3I31 19 C E Addee V�¢Yj}+I/ (3t$p�Blt k)s'E`74 NEWPORT BEACH CA 92663 Bu w r 30t - DOWNEY CA 90240 Phone: 949-922-8877 Li p D to Al jl _ Phone Whom: State Lic:C-o777 Code Edit: 2013 ker's C en ion Insurance Designer: Type of Construction: Carrier: STATE COMP Address: Occupancy Group: H PoEXIOP0, Added /New sq.ft. Bldg: 0 ExP e: Added /New sq. ft. Garage:No of Stories: 0 B ing - cial Conditions: (8471853 PRODUCTION PL) No of Units . 0 Front: 15 Bldg Height: 37 - Left: 0 Bldg Sprinklers: Right: 0 Flood Zone: YJse Zone: IG Parkino S aces: 0 hazard Zon . N Construction Valuation: $5,000AO �"¢ BuildingPermit Fee: $138.00 - ax: "� $0. 0 \ PlanningDepartment - // }rqq Department Plan Check Fee: $120.06 Additional Fee{vj( rk, staiii(I) Plan heck Fee : -(no WQ k Slart�`Fhe Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bondyg Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $358.00 Investigation Fee: $0.00 _ Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $58.00 �9}�9 Permit Fee: $0.00 $0.00 Energy Compliance: $0.00 �t; Pl dp 0.00 Public Works Department - Ge al Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication: $0.00 Insp. Irt It s $0.00 Disabled Access : $0.00 an ec 0.00 Grading Bond: 1 $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $957.06 Plan Check Fee : $120.06 Fee Due at Permit Issuance : $837.00 PROCESSED BY: (ram P'JB'_IC WORKS A?PRO\,AL: ZONING APPROVAL: PLAN CHECK B'.: A� GRADING APPROVAL: 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 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). ❑ 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 im roved 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 apply to an owner of property who builds or improves thereon, and who contracts for the prole_tT S wit = I'r_=nccd Con}rar•tor nurcu�nf fn rhP. rso+.=^r...= �r-•= I I— aw). ❑ I am exempt from lice r e on ractors' State Li rise Law for the following reason: `eovered by this permit, I cannot legally ction 7044 of the Business and By my signature below I a owledge that, except for my p r gg re den hich I must have resided for at le ��t one a prricj p�completion of the improve sell a structure that I have iIt as builder if it h of't> �cQ� up d in its entirety bv_lice. r�sgd contract6Fsa fbt®IDIF t:a copy of the applicable I Professions Code, is availa le Upr�r sf Is application is submitted or at the following Web site:hftp://wwv.leginfo.ca.gov/calaw.htmi. ' Signature of Property Own or Authorized Agent _ ate LICENSED CONTRACT R'S TIONL` s °' r I hereby affirm under penalt of pe ry t am licensed under provisions of�Chapter 9 (commencing with, Section 00) Divi ion 3 of the Business and Pro s o ode, and my license is in full force and effect. License Class _ License_. No ' Dates Contractor Signatu WORKERS' COMPENS IONVPE6LARATION WARNING: FAILURE TO SECURE RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TI U DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,: DAMA S AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty f per ry one of the following declarations: - I have and will maintain ce Icate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for b S tion 3700 of the Labor Code, for IN pe rmance of the woi$ for Ich t s permit Is issued. Policy No. I have and will alt{Yain rkers' mp sation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this p Rini is issued. My workers' compensatio F surance carrier a d alicy n m are: - CXr4D^ Carrier I ]A-. Al Number xpiratio Datef. Name of Agent =� how oI bye�cyo,m�9lssuub)ec to a workers' I certify that, in the perform Cie rk r it i s e a not employ on n m[� om nsation laws of California, and agre �nqnve�it �so�qa�s that, if I should become'.au je to th wo ers' co ens tion r v I f Section 3700 of the Labor Code, "6l Wb k JCCI�LCU ose provisions. sts;��p C—/� - - rk i Sl Signature of Applicant I - .�--' Dat DECLARATION REGAR IN G ONSTRUCTION LENDING AGENCY I hereby affirm under penalty b p*f1FVypat there is a construction lending agency for the performance of the work for which this permit is issued(Section 97 Ci Code). Lender's Name ' • I VV VV lGG en ers Address By my signature below, I Carl to each of the following: Insp. initial I am the property owner or uth " I have read this application 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 a to property for inspection purposes. `� Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name ✓�'U uJ Dat ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBf.11TTrD ASBESTOS NOTIFICATION TO PERMITCANCELLED QMD _ PERMIT EXTENDED PERMITFINAL ETASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNA rU.1E: