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HomeMy WebLinkAboutX2018-3646 - Permits1gW1r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIN II COMB Permit :X2018-3646 100 Civic Center Drive,, Newport Beach, CA 92660 X 2 6 1 8 3 6 4 69 Project No ::.2824-2018 Permit Counter Phone (949)644-3288 - Inspection Requests. Phone (949)644-3255 `o*�lxnuv'? Combination Type- CIP ELEC-MECH PLUM Issued Date :0 112 412 01 9 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 Job Address: 4675 MACARTHUR CT NS St: 1 FI: 9- Description:.' COMM TI -.434 SF RESTROOM ACCESSIBILITY UPGRADES ; Legal Desc : , PSK 196 PG 40 PAR 3 - ...... Owner: IRVINE CO Contractor: REDHAWK BUILDERS INC Architect: MORFORD PAUL Address: 050 NEWPORT CENTER DR" Address: 200 TECHNOLOGY STEL Address: 4675 MACARTHURCT #100 moue• esmeec m 'NEWPORT BEACH, CA 92660 IRVINE CA 92618 NEWPORT BEACH CA 92660. ecvmc.xxx • o Phone: ". Phone: - 949-754.9050 Phone: - 949.863-9434 State Lic:C019058 m •"'�;' e e ° o Applicant. YAM MARK Con State Lie: 692901 Engineer.. ° • r m- m Address: 392 N LEMAY CT - Lie Expire:. 10/31/2019 Address: •• .•O ORANGE CA 92867 . Bus Lie: ,. BT30027314 Phone: 626.757-2320 Lie Exp Date: '. 04/30/2019 Phone: -State Lie: e,. •emoo. Code Edit. 2016 Workers Compensation Insurance.'' Designer: Type of Construction: I -A -SPR Carrier: INS OF THE WEST Address: mmemm Occupancy Group: B Policy No: WSD5031143 4 Added /New sq:ft. Bldg: -434 Expire: 0 9101 /2 01 9 Phone:: .Added /New sq. ft. Garage: 0 No of Stories: 15 - : Building Setbacks Rear: / Special Conditions: No of Units:. 0.. Front I Bldg Height: 0 Left / Bldg Sprinklers.:... Y- Right: / Flood Zone Use Zone: Parking Spaces: 0 Fire Hazard Zone [ N Construction Valuation: $120.000.00 Building Permit Fee: $1,286.00 Excise Tax: $0.00 Planning Department- Fire Department 'Plan Check Fee: $1,120.56. Additional Fee : '$0.00 Plan check Fee: $40.00 Fire Inspection: $0.00 Overtime Plan Ck .'$0.00 Grading Bonds Fee: $0.00 Fair Share $0.00 - Fire Plan Rev $0700 - - Investigation Fee .:.'$0.00 Grading PC Consultant: . $0.00 - SJH Trans: $0,00 Demolition Fee Record Management : $30.00 ` Grading Permit Fee: $0.00 * In -lieu. Housing. Fee : $0.00 Building Dept Adm. . $0.00 Energy Compliance' $0.00 =Grading PC Fee: r.$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 : ' $120.00 PAN Plan Check: $0.00 - Grading Bond: ; $0.00 Hazardous Mat'. $0.00 Electrical %: .. $337.20 San Dist: $0.00 Building Green Fe e: "$5.00 Mechanical %: `..,$264.94 NMUSDFee: $0.00' -$0.00 Plumbing %:. $216.77 $0.00 TOTAL FEE : $3,422.47 Plan Check Fee: $1,541.55 Fee Due at Permit Issuance : $1,880.92 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING 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) ' (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 ($500). - 0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not. intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply. to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the. improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ 1, as owner ollpe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 emexempt frorV licensure under the Contractors' State License Law for the following. reason: - B¢fiQ signs lflel I acknowledge that, except for my personal residencein which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) sell a structure that hhave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law; Section 7044 bf the.Business and o%esions Codta, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. SigAture of Properly Owner or Authorized Agent at CENSED$t 14AACTOR'S DECLARATION I hertby affirry UGder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 3 of the Business and Pro djqtt� in full force sed effect. Licep$e,Glass License No Date Contractor Signatur WORKERS' COMPENSATION DECLARATION WA : FAILURE TO SaGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI AL PENALTIES AND CIVIL FINES UP TO ONE HU DRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CQSTO COMPENONnON!DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. JWIeJV affirm ander penalty of perjury one of the following declarations: C have and' yrjjl;rylsaintain 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 pe ormance of the work for which this permit is issued. Policy No. ave and will maintain workers' compensation insurance, as required by Section 3700. of the tabor Code, for the performance of the work for which this permit is issued. My workers' compensatio sura a carrier. and policy number are: Carrier Policy Number - Expiration Date Name of Agent Phone # I certify that, in the pert f k for which this permit is issued, I shall not employ any person in any manner so as to become subject to the /Da 'mpensation laws of California,. and agre that, if I should become s or o pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant DECLARATION REG NG CONSTRUC I N.LENDING AGENCY I hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section Code). Lender's Name Lender's Address By my signature. below, I certify to each of the. following: 1 am the properly owner or authorized to act on the property owner's behalf. I have read this application and the information I. ve ov�d i correct. I agree to comply with all applicable city and co t in cw relating to building construction. I authorize representatives of this city or count t n e n property. for inspection purposes. /{/,� I �/ Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na ��� ACTION DATE BY V DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG LATIONS PART 61 OF TITLE 40 AND AQMD RULE 3 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO - PERMITCANCELLED EPA PERMITEXTENDED QMD PERMIT FINAL ♦,��, �q A ESTOS N IFI 0 CERTIFICATE OF 1 PROPOS DE OLI OCCUPANCY ISSUED SIGNATURE: