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HomeMy WebLinkAboutX2019-2172 - Permitstr4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllllll COMB Permit: X2019-2172 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 1 7 2 Project No :1577-2019 � .} �. Permit Counter Phone (949)644-3288 '"x$ Inspection Requests Phone (949)644-3255 ra :u`x. Combination Type - CIP ELEC MECH PLUM Issued Date : 08/01/2019 0 Inspection Area : 7 ORANGE, CA 92867 Bus Lic: 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: 4695 MACARTHUR CT NB St: 1 Description: COMM TI IST FLOOR RESTROOM UPGRADES 386 SF IV&P, Legal Desc.: P BK 196 PG 40 PAR 2 State Lic Owner: IRVINE CO Contractor:. REDHAWK BUILDERS INC Architect: MORFORD PAUL Address: 550 NEWPORT CENTER DR Address: 200 TECHNOLOGY STE L Address: 4675 MACARTHUR CT #100 NEWPORT BEACH, CA 92660 ommoo IRVINE CA 92618 NEWPORT BEACH CA 92660 ° Phone: INS OF THE WEST - Phone: 949-754-9050 Phone: 949.863-9434 State Lic:C019058 e• Applicant: YAM MARK Con State Lic: 692901 Engineer. • • ` m ° m Address: 392 LEMAY CT Lic Expire: 1013112019 Address: .... m m ° ORANGE, CA 92867 Bus Lic: BT30027314 Phone: 626-757-2320 Lic Exp Date:. 04/30/2020 Phone: State Lic Code Edit: 2016 Worker's Compensation Insurance Designer. omoomm ommoo Type of Construction: I -A -SPR Carrier: INS OF THE WEST - Address: ° Occupancy Group: B Policy No: WSD5031143 m•mmmo m o Added /New sq.ft. Bldg: 0 Expire: 09/01/2019 Phone: 0 0 o m o o 00000° Added/New sq. ft. Garage: 0 o oUOo No of Stories: 15 Building Setbacks Rear: I Special Conditions: FRANCHISED HAULER: eoo• No of Units : 0 Front:. I CALIFORNIA WASTE SERV. Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $160.000.00 Building Permit Fee: $1,468.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,277.16 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: $28.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $24.00 Energy Compliance: $105.00 Grading PC Fee: $0.00 Public Works Department - General Service $197.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication :. $0.00 Refund Deposit $564.00 Disabled Access : $150.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat .$0.00: Electrical %: $384.32 San Dist: $0.00 Building Green Fee : $6.00 Mechanical %: $301.97 NMUSD Fee: $0.00 - $0.00 Plumbing %: $247.06 $0.00 11 TOTAL FEE: $4,792.51 Plan Check Fee : $2,006.39 Fee Due at Permit Issuance : $2,786.12 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 ($500). - ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). u I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). LJ I am exempt from licensure under the Contractors' State License Law for the following reason: - - By my signaturg DBIb*J acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the impro sell a structure tire! 1 Mave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicat pwfwlons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signatute of PrOg ft.(5wner or Authorized Agent �V;EN$ED CONTRACTOR'S DECLARATION f hereby affirm under enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 _of Division 3 of the Business and Pro arld etlect. License ass License No Date DA'fa l I Contractor Signature VIIORf ERS' COMPENSATION DECLARATION / NANNING: FAILURE90 PNOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUND%E FQ%T.gtOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, Mr@kwaffirm under penalty of perjuryone of the following declarations: have andanill eintain a certificate of consent to self -insure for workers' compensation, issued "Vnce of the wo?k for which this permit is issued. Policy No. law, Section 7044 of the Business and Date Code, and my license is in full force THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for • •• Rave and wig M intain 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' Trice carrier and policy number are: Policy Number 1e of Agent Date 3 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' compe sation laws of California, and agre tat, if I should becomes subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signatureof Applicant �--� i%061>, Date Q C) % Gl rECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under py)nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 9411 Code). Ender's Name Lender's Address ly 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 II have provided is correct. I agree to comply with all applicable city and colfnty ordinances and state laws relating to building construction. I authorize representatives of this city or count to enter the above -identified property for inspection purposes. i-+- .,r , , A, ,fh„rl.od ASA„ f /dlsrcb ,(ASPSTa Print PmDarty Owner's or Authorized Acent's Name $ u mi r f7}1o.LeL, Date e j O) jl PERMITEXPIRED DATE BY/ DECLARATION OF I REGULATIONS PATO 610 TIITE 40 AND AOMD RULE WITH CODE OF RAL NOTIFICATION TO PERMITFINAL %;I 3o -11I ASBE1TOS �6TIFICATION IS NOT APPLICABLE TO CERTIFICATEOF — ROPOSED DE OLITION OCCUPANCYISSUED SIGNATURE/ 11902C2 FOR OFFICE USE ONLY