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Home My WebLink AboutX2022-0427 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 4 2 7 Permit Cou ter Phone (949)644-3288 U D Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH PLUM PERMIT E PIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPI ConstrL ction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. t0-6:6 Job Address: 5000 BIRCH ST t B St: 1 FI: 9 Unit: 9300 Description: COMM TI - 1444 F SPEC SUITE Legal Desc.: P BK 181 PG 13 AR 5 Owner: JOHN HANCOCN Address: 5000 BIRCH ST NEWPORT BEA( Phone: Applicant: GRAVES HOLLY Address: 18600 MACARTF IRVINE CA 9261: Phone: 949-608-3723 Code Edit: 201 Type of Construction: I-A-S P Occupancy Group: B Added /New sq.ft. Bldg: 14 Added /New sq. ft. Garage: 0 No of Stories: 10 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Valuation: FE INS CO Contractor: CREW BUILDERS INC Address: 6191 CORNERSTONE STE 101 CA 92660 SAN DIEGO CA 92121 Phone: 619-587-2033 Con State Lic: 753428 t BLVD STE 100 Lic Expire: 0413012023 Bus Lic: BT30049124 Lic Exp Date: 11130/2022 Worker's Compensation Insurance R Carrier: AMERICAN ZURICH Policy No: WC551373107 44 Expire: 10/01/2022 Building Setbacks Rear: I Front: / Left: / Right: / Use Zone: Parking Spaces: 0 Building Permit Fee: $891.00 Plan Check Fee: $774.30 Overtime Plan Ck: $ .00 Investigation Fee: $ .00 Record Management: $4 .00 Energy Compliance: $6 .00 CA Seismic Safety : $ .00 Disabled Access : $9 .00 Hazardous Mat $ .00 Building Green Fee : $ .00 TOTAL FEF : $2,531.66 PROCESSED BY: ZONING APPROVAL: COMB Permit: X2022-0427 Project No : 0380-2022 Issued Date : 0512612022 Inspection Area : 7 TED BY OR PERMIT WILL BE INVAL10 p.m. No work on Sundays or Holidays Architect: ALGAZE NELSON Address: 6083 BRISTOL PKWY CULVER CITY CA 90230 Phone: 213-929-1400 State Lic:CO21090 Engineer: Address: Phone: Designer: Address: State Lic: Phone: Special Conditions: F x. Excise Tax: $0.00 Planning Department - Additional Fee : $48.50 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant: $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 P/W Plan Check: $0.00 Electrical %: $233.00 San Dist : $0.00 Mechanical %: $183.07 NMUSD Fee: $0.00 Plumbing %: $149.79 Plan Check Fee : $1,290.06 Fire Department $52.00 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 Fee Due at Permit Issuance : $1,241.60 PUBLIC WORKS APPROVAL: PLAN CHECK BY: �% v D 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 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 i5im raved 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 projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 this permit, I cannot legalli sell 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 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. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjuFjthat I am licensed under provisions of Cha ter 9 (c�nmencing with Section 7000) of Division 3 of the Business and P�ssions=%c�}Pliy license is in full force and effect. License Class n License No %S ter Dat,� Contractor Signatu L ✓tlORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST 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: 1 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 the rmance of the work for which this permit is issued. Policy No. aave 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 s once carrier anc� policy number are: W /r 3� �97 O barrier uvtC.� tl�fYIQXT Cq^ Policy Number l-. Expiration Date ('C76l Vame of Agent Phone # :1I certify that, in the performance of the wo k 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 hat, if I should become subject to the r ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant at � P Datl1i DECLARATION REGARDING CONSTRUCT -ION -LENDING AGENCY 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: 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 county to enter Vie§ jqbyGe�identified property for inspection purposes. Owner or Authorized ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO PROPOSED APPLICABLE TO Owner's or FOR OFFICE USE ONLY Date