HomeMy WebLinkAboutX2019-3594 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Combination Type - BLDG
"X2019-3594' COMB Permit: X2019-3594
Project No : 2466-2019
Issued Date : 08/3112u20
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/01/2023 OR PERMIT WILL BL' 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 Hok lays
Job Address:
3443 PACIFIC VIEW DR NB
Description:
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COMM SITE WALLS "HARBOR DAY SCHOOL" (INSIDE P/L) ?K.% �`
Legal Desc.:
IRVINE SUB LOT 463 BLK 96 FOR OF LOT (�
Owner:
HARBOR DAY SCHOOL Contractor: DPR CONSTRUCTION Architect: EAVES DAVID ALLEN
Address:
3443 PACIFIC VIEW DR Address: 4665 MACARTHUR CT #100 Address: 5924 E CALLE PRINCIPIA
CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660 ANAHEIM CA 92807
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Phone:
Phone: 949-966-3771 Phone: State Lic:CO25462
Applicant: SHULMAN GINGER
Con State Lie:
953749
Engineer:
MASOOD ZEESHAN
"
Address: 5301 CALIFORNIA AVE
Lie Expire:
10131/2020
Address:
316 SAINT VINCENT
IRVINE, CA 92617
Bus Lie:
BT30042122
IRVINE CA 92618
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Phone: 949-701-4163
Lie Exp Date:
1213112020
Phone:
949-261.1001 State Lic:S-0059!11'
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Code Edit : 2016
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
LIBERTY INS
CORP
Address:
Occupancy Group: U
Policy No:
WA766DO66943038
Added /New sq.ft. Bldg: 0
Expire:
09/01/2020
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: I
Special Conditions:
No of Units: 0
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $1,200,000.00
Building Permit Fee: $7,400.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $6,438.00
Additional Fee :
$0.00
Plan check Fee :
$0.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department
-
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee : $48.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $13,886.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee : $6,065.11 Fee Due at Permit Issuance : $7,820.89
_ PUBLIC WORKS APPROVAL: 0 k
PLAN CHECK BY: 4 66#1
APPROVAL TO ISSUE:
OWNER-BUILE ER DECLARATION
I hereby affirm um.er penalty of perjury that I. am exempt from the Contractors' State License Law forthe resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 7031.5, Busi less 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
he permit to file a sig ied 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 :hat he or she is exempt from licensure and the basis for the alleged exemption. Anyviolation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500).
1, as owner of the iropeily, or my employees with wages as their sale compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (S( ction 7044,
3usiness and Professions Code: The Contractors' State License Law does not applyto an owner of property who, through employees' or personal effort, builds or improves the property, pr ovided 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 vas not built or
n{'roved for the purpse of sate).
-r Las owner of the )ropedy, am exclusively contracting with licensed Contractors toconstruct the project (Section 7044. Business and Professions. Code: TheContractors' State Lfcensz: Lawdoes not
�p Ill fo.an owner of p sperly, who builds or Improves thereon,: and who contracts for the projects With a licensed Contractor pursuant the Contractors` State License Law).
I am exempt from ':icensure.under the Contractors' State License Law for Vie following mason:
ly my signature belm: 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 that I hate built as an owner -builder if it hasnotbeen constructed in its entirelyby licensed contractors.I understand that'copy. of the applicable. law.. Section 7044 of the 'msiness and
'rofessions Code, is : vailaole:upon request when this. application Is: submitted or at thefollowing Weh'sda:http.//w ,.Ieginfo.co.govtcalaw,html.
4gnaturesof Property Owner or. Authorized Anent Date
.ICENSED CDATRACTOR'S`DECLARATION
hereby afllrr cr7er f enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00) of i Isi n.3 of the Business and Prof ssio _ Cod Icerse is in full force
rid effect. License Class License No Date Contractor Signature
VORKERS' COMPI"NSATION DECLARATION
ARNING: FAILURE TO SE: URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 4UNnREO T dSAND nOLLARS (310a,aoC`, M ADOInON TO THE
OST OF OOMPeNSAT1ON, DAMAGES AS PROVIDED FOR IN SECTION 3Ta5 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby afium under p analty of perjury one of the following declarations:
3_I have and will ma.intaln 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 Vu
9 rfo once of the we. k for which this permit is issued. Policy No,
and will inal tain 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 war;ers'
can ter and policy number are:
Policy Number
of
Date
i certify tl,a., L the t erformance 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'agm
I. if I shoi9rl.h,come subject to the s' c penalprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
nature ofApplicantDate! CL.ARATION REGA-c m t,�a7RUCTION LENDING AGENCY /
;reby affirm under p.:n� of, perjury that there is a construction lending agency for the performance of the work for which this penult is issued (Sechon 3097, Civil.0
ider's. Name Lenders Address —ode).
my signature below, I certify to each of the following:.
I am the property cwner or authorized to act on the property owners behalf.
I have read this application and the Information I have provided is correct.
I agree to comply v:ith all applicable city and county ordinances and stale laws relating to building construction.
I authorize representatives of this city or county to.snj&61J�pa aby -id snttficd pmoedy.,for inspectlan purposes.
ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE
ERIM""A"N"--
PERMIT C CELLED _
u1LVUM❑ IEO A5BE5T05 NOTIFICATION TO
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PERMIT EXTENDED
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PERMIT FINALRE570S
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NOTIFICATION IS NOT APPLICABLE TO
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PR OSEDDC{ O(mON
OCCUPANCYISSUED
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