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Home My WebLink AboutX2018-3518 - Permits1 - City of Newt Beach - BuilIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III Newport ding Division y .100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 1 8 3 5 1 6 COMB Permit: X2018-3518 . s Permit Counter Phone (949)644-3266 Project No : 2725-2018 'lY Inspection Requests Phone (949)644-3255 r*r' Combination Type - CIP ELEC MECH PLUM Issued Date: Inspection Area : 4 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 NB Description: COMM TI ("BUILDING 6) FITNESS FACILITY" (333 SF) (CHANGED FROM LAUNDRY FACILITY TO FITNESS FACILITY) Legal Desc.: P BK 189 PG 6 PAR 1 Owner:.. IRVINE COMPANY ROBINSON MICHAEL D Address:. 550 NEWPORT CENTER DR Investigation Fee: NEWPORT BEACH, CA 92660 Phone: $48.00 Applicant: ROBINSON MICHAEL D Address: 3195-B AIRPORT LOOP DR Disabled Access ; COSTA MESA CA 92626 Phone: 714-825-8888 Code Edit: 2016 Type of Construction: V -B Occupancy Group: B Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 0 Bldg Height: 0 .Bldg Sprinklers: N Flood Zone: X Building Permit Fee: $548.00 Plan Check Fee: $537.76 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $48.00 Energy Compliance: $56.00 CA Seismic Safety: ..$0.00 Disabled Access ; $87.00 Hazardous Mat- $0.00 Building Green Fee: $2.00 Contractor: WESTERN NATIONAL CONTRACTORS. Address: 8 EXECUTIVE CIR Planning Department - IRVINE CA 92614 Phone: 9/49456-0326 Con State Lic: 840973 - Lic Expire:. b6/3012020 Bus Lic: BT30037724 Lic Exp Date: 12/3112019 Worker's Compensation Insurance Carrier: TRAVELERS PROPERTY CO Policy No: UBOK7205411826G Expire: 10/01/2019 Building Setbacks Rear: I Front: / Left: / Right: I Address: Phone: Engineer: Address: Architect: 3195-B AIRPORT LOOP DR COSTA MESA CA 92626 714-825-8688 State Uc:CO20731 Phone: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : State Lic: Excise Tax:� $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee: $40.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 WQ Insp.. Fee: $0.00 Park Dedication: $0.00 Refund Deposit $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Electrical W $143.47 San Dist: $0.00 Mechanical %: $112.72 NMUSD Fee: $0.00 $0.00 Plumbing %: $92.23 $0.00 TOTAL�FE&:,$1,667A8 m°t' °t Plan Check Fee PROCESSED BY: U ZONING APPROVAL: o GRADING APPROVAL: $1,667.18 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY:^� 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, alsorequiresthe 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 kcensure 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 l_) 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 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 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 legally 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.htmi. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 2000) Gf D)'vision 3 of the Business and Professi ns CoddQ, an 'cense is in full force and effect. License Class License No j€' '�� ^/ \ 5 Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL 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 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. f 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 rmance of the work for which this permit is issued. Policy No. I � ave 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' compensa 101 ins fance carrier and policy number are: Policy Number ne of Agent certify that, in the performance of the work 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, I, if I should become subject to the works compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican.Dat CLARATION REG DING CON UCTIO NDING AGENCY �reby affirm under penalty of perjury that th re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 1 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 th by -id tified property for inspection purposes. ,�%j inarure of Pronertv Owner or Authorized Agelyt,/ Pr1nt Property Owner s or Authorized Agent's NaPl]A`4 Date DATE BY D R F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ACTION REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED (SUBMITTED ASBESTOS NOTIFICATION TO �`e • ••� e i • �`• i i ` • •` • • ` ` ` • ` • • •• •• ••• • • e ••• PERMITCANCELLED LIEPA PERMIT EXTENDED QMD PERMITFINAL )��/' C / 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF /�, l PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: • ` • ` ` • • `