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Home My WebLink AboutX2018-3887 - Permits$ „# City of Newport Beach - Building Division100 Civic Center IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII II C Counter Phone (949)644 -rive, Newport 2 88 h, CA 92660 X 2 9 1 8 3 8 8 7 Permit Inspection Requests Phone (949)644-3255 - Combination Type - CIP ELEC PLUM COMB Permit: X2018-3887 Project No : 2996-2018 Issued Date : 03/29/2019 Inspection Area : *4q 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: 1 BAYWOOD DR NS Description: COMM TI COMMUNITY POOL RESTROOMS 768 SF Legal Desc.: P BK 189 PG 6 PAR 1 Owner: IRVINE COMPANY LLC Contractor: WESTERN NATIONAL CONTR. Architect: ROBINSON MICHAEL D Address: PO BOX 2450 Address: 8 EXECUTIVE CIR Address: 3195-B AIRPORT LOOP DR NEWPORT BEACH, CA 92660 IRVINE CA 92614 COSTA MESA CA 92626 Phone: Phone: 949-456-0326 Phone: 714.825-8886 State Lic:CO20731 Applicant: PEREZ IRENE Con State Lie: 840973. Engineer: Address: 3195-B AIRPORT LOOP DR Lie Expire: 06/30/2020 Address: COSTA MESA CA 92626 Bus Lie: BT30037724 - Phone: 714-825-8888 Lie Exp Date: 12/31/2019 Phone: State Lie: Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: TRAVELERS PROPERTY CO Address:. Occupancy Group: B Policy No: UBOK7206411826G Added/New sq.ft. Bldg: 319 Expire: X1010112019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: LANDSLIDE AREA No of Units : 0 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: N - Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $27,264.00 Building Permit Fee: $504.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $438.46 Additional Fee: $0.00 Plan check Fee :. $40.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 .Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : - $0.00 Demolition Fee Record Management : $24.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access: $87.00 PAN Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $131.95 San Dist : $0.00 Building Green Fee: $2.00 Mechanical %: $0.00. NMUSD Fee: $0.00 Plumbing %: $84.82 TOTAL FEE: $1,312.25 f =1L IL IA 1 LAL-06 PROCESSED 8Y: ` �.--P- RKS / -e- o 0 ZONING APPROVAL:: , `<m oP� APPR® A CHECK BY: GRADING APPROVAL: JEVAL TO IS; D-. c mmo o®u moo oam $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 at Permit Issuance : $772.92 � �r OWNER -BUILDER DECLARATION e 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(ss) 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 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 Business 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 n roved 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 legall) 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.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 (commencing with Section 0 ) of ivisio 3 of the Business and Profs �sioA� Cf� sa I rise is in full force .rid effect. License Class License No Date Contractor Signatur C Y //� VORKERS' COMPENSATION DECLARATION IARNING: 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 ($100,000), IN ADDITION TO THE OST 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 erjlormance of the work 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' Date lame of Agent r v vnone M ]I certify that, in the performance of the work for which this emlit 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 rat, if I should becom�eg( tp1he yf8 'Com nsatidffprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' /1 ignature of Applican nfJ�,11, /i Dat > v iECLARATION RE ARDING COI�SU TON LENDING AGENCY hereby affirm under penalty of perjury th t t ere 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 y 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 �nt/�r the? a�blove= n ropy fy for inspection purposes. \/ 0�� `I lanature of Prooertv Owner or Authorized Aqent _ V Iv1 1 Print Property Owner's or Authorized Agent's Name %L gAK4e L jr,&I ACTION DATE BY /DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED El I SUBMITTED ASBESTOS NOTIFICQ.r ON . • PERMIT G4NCELLED EPA : : ` • • •. PERMIT EXTENDED qMD • PERMITFINAL 9 ��G)' 33 C ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED OLITI •• .•. _ OCCUPANCY/SSUED SIGNATUR • • • • • .