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Home My WebLink AboutX2022-0283 - Permits4 �µ nUkT City of Newport Beach - Building Division IIIIIIIIIIIIII IIIIIIII III III II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 2 8 3 M Permit Counter Phone (949)644-3288 v "t Inspection Requests Phone (949)644-3255 Combination Type - CIP MECH ELEC PLUM PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 01 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 wor Job Address: 3500 IRVINE AVE NB Description: COMM TI "CAR RENTAL OFFICE" 1,570 SF *STOP WORK 121-3072 Legal Desc.: PM 256-12 PAR 1 Owner: POLADIAN JACQUELINE Address: 2188 PACIFIC AVE #A COSTA MESA CA 92627 Phone Applicant: KARAKI JOSEPH Address: 4887 E LA PALMA AV ANAHEIM CA 92807 Phone: 714-695-9300 Code Edit' 2019 Type of Construction. VB Occupancy Group: M Added /New sq.ft. Bldg: 1570 Added /New sq. ft. Garage: 0 No of Stories. 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Building Permit Fee: $874.00 Plan Check Fee: $760.38 Overtime Plan Ck: $0.00 Investigation Fee: $874.00 Record Management : $62.00 Energy Compliance: $61.00 CA Seismic Safety : $0.00 Disabled Access: $91.00 Hazardous Mat $0.00 Building Green Fee : $3.00 PROCESSED BY: COMB Permit: X2022-0283 Project No : 0252-2022 Issued Date : 0710512022 Inspection Area : 7 Contractor: JARA IILIAM ~ ��A�gt�Li1Cabie' o re{�1tld Address: MITCHELL AVENUE #20 A7cl ess: Q 100 /0 TUSTIN CA 92780 gg0% O1 Phone: 714-381- PPoHA. State . C�. KGt1h� 902100 Enginee : Ot�]CH MAL BESHARA D}�. p " c Expire: k3l23 ;�Lt4t187 E LA PALMA AVE #707 a Bus Lic 7 #$ ANAHEIM CA 92807 D y.. 2 Phone: 714-695-9300 State Lic:( Bt INVALID Holidays Wor 's C qp rdiii3iran a Jesigner: NO EMPLOYEES dress: Icy No z& `..,,r";m ,r4 Expire: ,8.q :,, hone: ,a,(1ilding a I� ks ea I Special Conditions: Left: I T�/'�J r � I ' - Right: I ,SIG`"'C ed� V i e Zone: Parkin S aces: 0Hezard Z Ct TOTAL FEE: $3,670.72 ZONING APPROVAL: -al Exci x: C�.O Planning Department - A i n Fe $48. d) Plan check Fee Gr nds ee: 1, 5 U Fair Share Gra g PC Cons}1 Q?'n $0.00 SJH Tran Grading Permit Fe : $0.00 ousing Fee, rading PC Fee: $0.00 Public Works 2 Q Insp. Fee : .00 Par anon p\��Jote. PAN <: C r al W. Ist : chanical %: NMU5D Fee: PI $225.75 Plan Check Fee : $1,219.40 $0.00 �('S bemol ding Dept $0.00 fit General Service $0.00 Refund Deposit $0.00 $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,459.32 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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) ction 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, mass 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 rovements 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 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 ly 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). J 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 thi 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 '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,L,commencing with Section 7000) of Division 3 of the Business and Pro fessi nr� o e, and my license is in full force nd effect. License Class b License No Q n 2_K bJ D )Zf ntractor Signature PORKERS' 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 18100,000), 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 th erformance of the work forwhich this permit is issued. Policy No. and JI have 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' compensatior isurance carrier and policy number are: ier Policy Number Expiration Date .d[�y{�n of Agent Phone# ❑Y ertify that, in the perform n 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 agree h , if I should become ub to kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 5� signature of Applica Dat§/ 7� (/.s ��iZ )ECLARATION RE ING CONSTRUCTION LENDING AGENCY l�� hereby affirm under 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: r, e' cA, V-,\ I am the property owner or authorized to act on the property owner's behalf. V V I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinance and state laws relating to building construction. I authorize representatives of this city or county to Ent ve-i ntified property for inspection purposes. 3i nature of Property Owner or Authorized Agent S, Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY JDtCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY \ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE -T413 PERMIT EXPIRED Z L3 I S uBMITTED ASBESTOS NOTIFICATI ON TO ' PERMITCANCELLED LJEPA - PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NO IC NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOU N OCCUPANCY ISSUED SIGNATURE: