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HomeMy WebLinkAboutX2018-3141 - Permits,1i5t1M3 City of Newport Beach - Building Division IIIIIIIIIIIIII�IjI�IIIIIIIIIII�IIIIIIIN COMB Permit: X2018-3141 g 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 1 3 1 4 1 I II Project No : 1850-2018 "t Permit Counter Phone (949)644-3288 c". Inspection Requests Phone (949)644-3255 `r'�r;.�, " Combination Type - CIP GRAD Issued Date: 10124/2018 �... 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: 810 AVOCADO AVE NB Description: COMM HARDSCAPE & PARKING LOT IMPROVEMENTS Legal Desc.: P.M. 270-15 PAR 1 POR PAR Owner: IRVINE CO Address: 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: m e m CPCC O b Applican�t:m HOLLAND'ROB Address: o 38 TECHNOLOGY e o IRVIfSA" 52618 Photlb:i OCO 949-9234000 +comm Codp,Edit ` '-"'2016 Type, of {gnstruction`. Occegancy Group:. ° -. ;U Added /New sq.ft. Bldg: Added 844wsq. ft. Garage: No ofStorres: o 1 a 4 Noq(T.Updtt� `-,_cc6 Bldg -Height 0 Bldg Sprinklers: o = o < Construction Building Permit Fee: $3,568.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $62.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $20.00 Contractor: COMMERCIAL BUILDERS INC Address: 525 B STREET STE 1010 Grading Bonds Fee: SAN DIEGO CA 92101 Phone: 949.337-2576 Con State Lic: 669342 Lie Expire: 10/31/2018 Bus Lia BT30060318 Lie Exp Date: 0 3131 /2 01 9 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9036265 Expire: 12108/2018 Building Setbacks. Rear: / Front: / Left: / Right: / Use Zone: PC -27 Parkina E Excise Tax: $0.00 Additional Fee : ($120.25) Grading Bonds Fee: $0.00 Grading PC Consultant: $1,354.64 Grading Permit Fee: $1,192.00 Grading PC Fee: $297.36 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 11 TOTAL FEE: $7,079.00 Plan Check Fee PROCESSED BY: ZONING APPROVAL: 2' Architect Address: Phone: State Lie Engineer: OSTROM BRANDON D Address: 6512 CAMINO VISTA 5 Fire Inspection: ANAHEIM CA 92807 Phone: 949-923-6160 State Lic:C-067582 Designer: $0.00 Address: Phone: Special Conditions Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication: $0.00 PAN Plan Check : $206.25 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fee Due at Permit Issuance : $7,079.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: SF,o4-159 R Fire Department $320.00 Fire Inspection: $179.00 $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 $0.00 Fee Due at Permit Issuance : $7,079.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: SF,o4-159 R 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 le 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 U all of or L) 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). _ 1, 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 • • • . • • , e ° ° .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section7 00) of Division 3 of the Business and Professions Co nd �idense t 62 nd effect. License Class License No Date. Contractor Signaluren VORKERS' COMPENSATION DECLARATION V I e • ° DARNING: 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 ({ip10.00), IN ADDI TIONTNTHE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • e • 0 0 •u• 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 jf.the• * ebor Code,. fero th r nce of the work for which this permit is issued. Policy No. • • e o h Ve 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. Mww;vkers' co4enFatiol e ISur nce carrier and policy number are: e,,, .... ° ° er Policy Number Expiration Date • ° lame of Agent Phone# ••.... ]I certify that, in the performance Of to work for which this per ' oqriued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre Sat, if I should become subject to the workers' cgp.Ipens slon .Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applica Datet� ,2v -ref CLARATION REGARDI ST UCTION L ING AGENCY (/C, Heby affirm under penalty of perjury that there is s 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 I have provided is correct. I agree to comply with all applicable city and county ordinances and state la ting to building construction. I authorize representatives of this city or county to, after the Ide property for inspection purposes. n / nature of PrODertv Owner or Authorized Acent r' X _ Print Property Owner's or Authorized Agent's Namc .R=it Date ACTION DATE BY • REKARAT OF COMPLIAN CE LE I TH AND DE OF FEDE LE I FOR OFFICE USE ONLY T 61 OF TI PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMITEXTENDED13AQMD PERMITFINAL/ CERTIFICATE OF OCCUPANCYISSUED I /S ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO v)- PROPOSED DEMOLITION SIGNATURE: