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Home My WebLink AboutX2019-0906 - Permitsw/ City of Newport Beach- Building Division IIIIII�IIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII� IICOMB Permit: X2019-0906 o 100 Civic Center Drive, Newport Beach,CA 92660 Counter Phone(949)644-3288.. X 2 0 1 9 0 9. 0 6 Project No ; 0616-2019 � n Permit .. Inspection Requests Phone (949)644-3255 Combination Type - BLDG - _ Issued Date: 03/21/2019 Inspection Area : 8 PERMITS EXPIRE 980 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: 2500 BAYPOINTEDR NB Description. REMOVE(3), REPLACE (7), INSTALL (4) NEW BALLARDS W/LIGHTS Legal Desc.: TR NO 14989 FOR OF LOTS 1 & 2 Owner. IRVINE COMPANY LLC THE - Contractor. ACCESS ELECTRICAL &LIGHTING Architect: Address: 550. NEWPORT CENTER DR Address: 25108 MARGUERITE PARKWAY SUITE A Address: NEWPORT BEACH, CA 92260 MISSION VIEJO CA 92692` Phone. .Phone: 949-292-1091 Phone: State Lic: y �. Applicant: PEARSON ADAM Con State Lic: 952234 Engineer: BISHOFF RYAN WILLIAM Address: 2510 MARGUERITE PKY#A Lic Expire:. 09/30/2020 Address: 9252 DALTON CIR MISSION VIEJO CA 92692 Phone 949.364.6063 - Bus Lic: BT30054479 WESTMINSTER CA 92683. Lic Exp Date: 01/3112020 Phone`. 949-862-8510 State.Lic.S-006250 #, Code Edit: 2016 Worker's Compensation Insurance Designer. Type of Construction: Carrier: SECURITY NATIONAL INS Address: Occupancy Group: U Policy No: SWC1205843 .Added /New sq.ft. Bldg: 0 Expire: 0 911 61201 9 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: / Bldg Sprinklers: Right: Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone ; N Construction Valuation: $25.000.00 Building Permit Fee:. $472.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee:. $410.64 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 .$0.00. Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $14.00 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 1 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %e: $0.00 San Dist : $0.00 - Building Green Fee ; $1.00.. Mechanical %:. $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00: -. $0.00 TOTAL FEE : $937.64 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $937.64 UEpI d¢Y •G V. E4 PROCESSED BY: `' „� 6 �: a V PUBLIC WORKS APPROVAL: a�E E ZONING APPROVAL: PLAN CHECK BY: . . GRADING APPROVAL: `� " ` ,: ` �. ° APPROVAL TO ISSUE: JVV ry4 u0 a a. I.V, 4t� 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' 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 appf t for ie 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 Busines and 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 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 was not built or nproved 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 pply 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). 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 this permit, I cannot legally 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 the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. lignature 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 (commencing with Section 70 Ion 3 of the Business andP end effect. License Class License No Dat Contractor Signa;rofe io , and m ' ense is in full force VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI s AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LAeOR CODE, INTEREST, AND ATTORNEYS 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 thi emance of the work for which this permit is issued. Policy No. I have and i 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 Jsurance carne policy nber,are: "� ;arrier licy Number Expiration Date lame of Agen Phone # ]I certify that, in the performance of the wWk for wh ch this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation law of Californi , and agre iat, if I should become sybject to e r s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignature of Applicantl_X/ I ";;` Oa ' 111 ARATION REGrul MNG CONSVRUCTION LENDING AGENCY IF ,eby 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). fer's Name Lender's Address ny 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 or ces and state laws relating to building construction. I authorize representatives of this city or county ttooabove-identified property for inspection purposes. / iature of PrODerty Owner or Authorized ADS '� Print Property Owners or Authorized Agent's Namfl ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AOMD RULE 1403 •• ••• ••• ••• PERMITEXPIRED(SUBMITTED ASBESTOS NOTIFICATION TO .• + PERMIT CANCELLED EPA • s PERMITFINAL - WASBESTOS NOTIFICATIO NOTAPPIL ABLE TO CERTIFICATE OF -�-1� PROPOSEDDE�OUT N. •• •• • • • ••• OCCUPANCYISSUED SIGNATU '° • • • ` • - y -f I