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Home My WebLink AboutX2022-0965 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC PERMIT EXPIRES 180 DAYS AFTER 1. Construction Hours: Monday Job Address: 1041 NEWPORT CENTER DR NB Description: COMM Ti "JOHN NIE-0" 1,114 SF Legal Desc.: P SK 221 PG 30 PAR 6 Owner: IRVINE CO Address: PO BOX 2450 NEWPORT BEACH, CA 92658 Phone Applicant: WRIGHT CARRIE Address: 17000 MITCHELL NORTH IRVINE CA 92614 Phone: 949-6863-3984 Code Edit : 2019 Type of Construction: III-B-SPR Occupancy Group: M Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Building Permit Fee: $1,226.00 Plan Check Fee: $1,066.62 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $22.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $100.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE : $2,791.59 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Ills iiiiii iiiii iiiii iiiii iiii iiiii iiiii iiiii 5iil II COMB Permit: X2022-0965 Project No : 0892-2022 Issued Date : 04/2012022 Inspection Area : 7 WANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/20/2025 OR PERMIT WILL BE INVJ 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 Contractor: CULVER B J CONSTRUCTION INC Architect: BAGLEY AMY STEINER Address: 9461 HUGHES DR Address: 17800 MITCHELL NORTH CORONA CA 92883 IRVINE CA 92614 Phone: 714-225-7866 Phone: 714-299-5957 State Lic:C030804 ; Con State Lic: 755479 Engineer: �. Lic Expire: 07/31/2022 Address: ... ' Bus Lic: BT30063517 Phone: State Lic: Lic Exp Date: 06/30/2022 Worker's Compensation Insurance Designer: Carrier: STATE COMP INS FUND Address: Policy No: 3000156 Expire: 02/01/2023 Phone: Conditions: - ST a v lilt ��, Building Setbacks Rear: / Special Front: / Left: I Right: I v.. - Pvrkinn Snnnes0 Fire Hazard Zone : N Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 Planning Department- Fire Department $0.00 $0.00 Plan check Fee: $52.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 $0.00 Demolition Fee Building Dept Adm $0.00 $0.00 In -lieu Housing Fee : General Service $0.00 $0.00 Public Works Department- Refund Deposit $0.00 $0.00 Park Dedication : $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 $320.97 San Dist: $0.00 $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 Plan Check Fee : $1,367.95 Fee Due at Permit Issuance : $1,423.64 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: vrr IN CK-o UI LUCK UCLLAKAI IUN 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 iterrl(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). 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 improved 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 o'vrcr 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 exCm,)l from Iicensure under the Contractors' State License Law for the following reason: Bymy signa!rm 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 Iega11, sell a structure ha' I have built as an owner -builder if A 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Sigl,ature of Property Owner or Authorized Agent Date LICENSEPCONTRACTOR'S DECLARATION I hereby affirrn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section f the Business and Pro L� to Ijd my license is in full force Soo effect GGUM Class License No Date v' Contractor Signature ; WUF;KERS' (,UMPENSATION DECLARATION ' C NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSANO DOLLARS ($700,000), IN ADDITION TO THE CC 3: JF COMPEr SATJd, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm rider 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 thl jLnormance 8f:1.e wurk for which this permit is issued. Policy No. 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' I's.poW rier and policy number are: Policy Number ..cyol5G of Agent Date I certify that, in the performance of w rk 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 agre It, if should become subje to t wor ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (nature of Applicant i de Da /�/ Z • Z-7 .CLARATION REGA CONSTRUCTION LENDING AGENCY `�'��\ L� areby affirm under p alty 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). IF 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 owner's behalf. I have read this application and the information I have provided is correct. 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 counitw tZ enter tth e-identified property for inspection purposes. %j/ / nature of Property Owner or Authorized AgentL�f! Print Property Owner's or Authorized Aoenes Nor., / a //� j �/ 7C DATE By RATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA rcmvul rOVAL 11-15 'd L SBESTOS N TIFICATION I OT PLICABLE TO CERTIFICATE OF PRO TEOIpE�OLiSIBN� OCCUPANCY ISSUED //////�� AAAAAA FOR OFFICE USE ONLY