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HomeMy WebLinkAboutX2018-3622 - Permitstai City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H rs Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 'r+ks,la"s"r Combination Type - BLDG ELEC IIIIIIIIIIIIIIIIIIIIIIIIIIIIII'IIIIIIIII� II COMB Permit: X2018-3622 x 2 9 1 6 3 6 2 2 Project No: 2799-2018 Issued Date: 08/07/2019 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: 550 (CS) NEWPORT CENTER DR NB Description: COMM CELL SITE "SPRINT". Legal Desc.: Z Owner: IRVINE COMPANY. Address: 550 NEWPORT CENTER DR NEWPORT BEACH CA 92660 Phone: Applicant: JESSICAIMADON MD7 Address: 10590 W OCEAN AIR #300 Record Management: SAN DEIGO CA 92130 Phone: 858.291-1869 Code Edit: 2016 Type. of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Feer $472.00 Plan Check Fee: $471.64 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $22.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat , $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,068.42 PROCESSED BY: ZONING APPROVAL: Contractor: PACIFIC WEST COMM INC Address: 900 W GLADSTONE ST Phone: State Lic: SAN DIMAS CA 91773 Phone: 909-592-4321 Con State Lic: 597074 Lic Expire: 06130/2020 Bus Lic: BT30067017 Lic Exp Date: 04/30/2020 Worker's Compensation Insurance Carrier: OLD REPUBLIC Policy No: AlCW96851809 Expire: 0212812020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: .Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $61.78 $0.00 $0.00 Architect: Fire Department Address: $40.00 Phone: State Lic: M SJH Trans : Fire Plan Rev Engineer: JOHNSTON JOSEPH 0 Address: 140 FORTSVILLE RD _J GANSEVOORT NY 12831 -1 Phone: State Lic:C-083098 San Dist: Designer: M Address: Refund Deposit Phone: Special Conditions: Planning Department - Fire Department Plan check Fee $40.00 Fair Share: $0.00 SJH Trans : Fire Plan Rev In -lieu Housing Fee $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $479.38 Fee Due at Permit Issuance : $589.04 PUBLIC 44 BLIC In`ORI;,.SAPPROVAL: PLAN CHECK BY: GRADING APPROVAL: ` L V A,'-`PvRd.V'AL td.SSUE: GOti °Gb ..v 6 `<: CUV C4 Fire Department $40.00 Fire Inspection: $0.00 $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 Plan Check Fee: $479.38 Fee Due at Permit Issuance : $589.04 PUBLIC 44 BLIC In`ORI;,.SAPPROVAL: PLAN CHECK BY: GRADING APPROVAL: ` L V A,'-`PvRd.V'AL td.SSUE: GOti °Gb ..v 6 `<: CUV C4 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 L) all of or L) 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 im 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 �ap ly 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: 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 legall, 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I a licensed under provisions ptC� Iter 9 (commencing with Section 70 D ms�o , 3 of the Business and Prof de, and my license is in full force and effect. License Class — (� - License No ��% O 7 y Date t Contractor Signature JVORKERS' COMPENSATION ECLARATION - NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 3have 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 )e�ormance of the work for which this permit is issued. Policy No. have and will nM. tain 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' compensatiol rance c rner an p 16ynumber' ler © P�Ic% )Number Jjck Expiration Date 2 — 21 — ZD 1e of Agent ! .. �Phone# 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 if I should become bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature.of Applicant�t /��L��� Date. Zoe I ..... _...PI ...-...7 1, ...x....,._.,.... �.......,..,._.,,.., Ireby 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) 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 thisapplication 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. 671' e�— I authorize representatives of this city or countytto�enter the above -identified property for inspection purposes. ed y nature of Property Owner or AuthorizAaent V�-� Print Property Owner's or Authorized Agent's Narrlc/ ACTIONI DATE BY I DECLARATION OF REGULATIONS PART0MPLIACE WITH CODE OF 61 OF TITLE 40 AND AQMD RULE AL FOR OFFICE USE ONLY YtrUvul LArmtu L1ISUBMIIIEDASUt514.16NUIYYOUIUIN IU • • • • s PERMITCANCELLED DEPA • • •• • + • • • .�. PERMIT EXTENDED L1AQMD PERMITFINAL b%LASBESTOSZDTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF. PROPO_%D9E OUTION ••1• "•• • • • s•• �• OCCUPANCYISSUED SIGNAT /- + —Mj