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Home My WebLink AboutX2015-2056 - Permitsearn City of Newport Beach - Building Division I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 5 2 0 5 6 n Permit Counter Phone (949)644-3288 y a Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Job Address: 441 OLD NEWPORT BLVD NB Description: CHANGE OF OWNER & CONTRACTOR -OFFICE SHELL & ADD ELEVATOR (X2010-3079) Legal Desc.: P BK 163 PG 31 PAR 1 Owner: STEWARD FINANCIAL LLC Address: 825 S. BARRINGTON AVE LOS ANGELES CA 90049 Phone: Phone: Applicant: VARISCO ROBERT Address: 19600 FAIRCHILD RD STE 295 IRVINE CA 92612 Phone: 714-642-5966 Code Edit: 2007 Type of Construction: V -B -SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Bldg Height: 32 Bldg Sprinklers: Y Construction Valuation: $0.00 Building Permit Fee: - $0.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $15.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $0.00 TOTAL FEE: $35.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: VARISCO DESIGN BUILD GROUP Address: 19600 FAIRCHILD ROAD STE 295 NO EMPLOYEES IRVINE, CA 92612 Phone: (949) 679-6300 714.642-5966 State Lic:C014923 Con State Lie: 494166 Lie Expire: 0 3131/2 01 7 Bus Lic: BT30051864 Lie Exp Date: 07/31/2016 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expire: Phone: Building Setbacks Rear: / Building Dept Adm Front: / Park Dedication : Left: I PAN Plan Check : Right: / Use Zone: OG Parking Spaces: NMUSD Fee: $0.00 Excise Tax: $0.00 Additional Fee: $20.00 Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 COMB Permit: X2015-2056 Project No : 2397-2010 Issued Date : 07/2212015 Inspection Area : 7 40 F Architect: PANKEY ROBERT Address: 18582 DEMION LANE #C HUNTINGTON BEACH CA 92646 Engineer: XIAO QIANG Address: 1520 BROOKHOLLOW DR #45 Fair Share SANTA ANA CA 92705 Phone: 714-662-0510 State Lic:S-005289 Designer: Building Dept Adm Address: Park Dedication : Phone: Special Conditions: VERIF LETTER ATT Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $35.00 Zone :N $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: /1A JZ o c oomaoc m c m n m o 0 om c 0 m opo 00 0 ommoo 0 ececo eoomoo m m 0 omommo 0 oommo Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: /1A JZ o c oomaoc m c m n m o 0 om c 0 m opo 00 0 ommoo 0 ececo eoomoo m m 0 omommo 0 oommo 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 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 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 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,html. Signature of Property Owner or Authorized. Agent Date LICENSED cbVTRACTOR'S DECLARATION I here4y affirm Wer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se io 000 of Ivlsi n 3 of the Business and Pr si s de, r n is in 1 force endoffect. LJ;eyW&ass License No a 12 / Contractor signal 11, VORKERVCOMPENSATION DECLARATION NARN11jJ4t: FAILUREfO 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ifiereby affirm under panalty of perjury one of the following declarations: ♦I� gave and.&II04intain 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 the Jertor'mence of the wofk for which this permit is issued. Policy No. X;vip 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' compensatior nseranee carriel',gpd,fwlicy number are: Policy Number Expiration Date that, in the pAWctt rk r-)f3drtttsp rmit is issued, "hall employ any person in any manner so -as -to -become subject to the workers' ompensation-laws of California, and agre ould become r mpensation pr isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applies 7ECLARATION MGARDTNG CONSTRUCTION LENDING AGENCY hereby 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). _ender's Name Lender's Address 3y 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 cityoun irfZn d stat to building construction. I authorize representatives of this city or c ntor inspection purposes. nnpH irp of Pmnpdv nwner nr Authorized A n Print Property Owner's or Authorized Agent's NWA ACTNN! EMI 7F Ry DECLARATION OFCONJKLANCEWTTNCODEOF hUR UhnUk Mk UAILT FECERAL REGULATIONSPAR76f OF T17LE40AND AGM&RULE1403.. ❑ isim airrDA-SIYSTosW)TTFI(-ATH)ArTO: 0 EPA 0 ASBESTOS MOIIFIC47MNJS NOT APPLICABLE TO PROPOSEDDPMOUTIQN. PFR1LXT FXP(RFD PEUXTC4FlC[= PER)uf.ITEATE)u'DEG[IAQMjD PfRMITTINAL /'L.� GS CERTiFFCATEG'F l0 SIGNA1 W&,, CCCUPANCYiSSUECI ) . B � � . § � � � � § § § � § § � J [� 8G