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Home My WebLink AboutX2019-2667 - Permitsno City of Newport Beach - Building Division IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2667 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 6 6 7 Project No : 1899-2019 19 Permit Counter Phone (949)644-3288 'w - Inspection Requests Phone (949)644-3255 •P°tyre„r�,'�' Combination Type - BLDG ELEC Issued Date: 07116/2020 9 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/17/2023 OR PERMIT WILL BE INVALID 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: 701 (CS) NEWPORT CENTER DR NB Description: COMM CELL SITE "T-MOBILE" Legal Desc.: Owner: IRVINE COMPNAY LLC Contractor: QUALTEK WIRE rc itect Address: 7 W 7TH STREET Address' STE 600 Address: CINCINNATI OH 45202 KING OF PRUSSIA, PA 19406 if at't"U� Cable: Phone: Phone: 484-8044500 one: 0 �dSt to Lic: Applicant: DARIS0 C(iA.9 (} - 5 2 =La tata- icy 1042849 $0@�iN@fr:0 60NNLFL'DANTEL Address: 3300 IRVIF'j�A E #30®ate' Lic Expire 08/ 00 Address: 26455 RANCHO PKWY OUTH NEWPORTi,�B1,.E H CA 92660 B ic. B 7 LAKE FOREST CA 926 Phone: 760-521 68kP:'. p D 0 1I2021 ' �(0 ,N"' ,V, l,_949-i65.880T•-`�- Sta Lic:C-062543 d: Code Edit : i;,; rk a °i In - Designer: Type of Construction d'y ° arrier. FIRST LIBERTY INS CO Address: Occupancy Group: Policy No: WC66315106 Added /New sq.ft. Bldg *! . 0 ExpI Phone: Added /New sq. ft. Garage 0 t'dm != f...a?'3�','No of Stories.ba R r `4t� €a w Special Conditions: - No of Units : 0 Frt '2n'a t Bldg Height: 0 %, Left: I Bldg Sprinklers: - :° Right: I ��® � Flood Zone: X ` Use Zone: Panrkin S aces: • fl - ne -c`3 Construction Valuation 000.00 �x�, s3 e a Building Permit Fee $762.0 , Ir-+ EEz�i e'sf x tt "� 0 P Ann Dep r ' K c,'(c"yriL �;) Fire Departmen Plan Check Fee: $725 94 "9drit�`orta e . ` 1 $0.00 Plan chec $41.50 Fire Inspection. $0.00 Overtime Plan Ck , 0.0 - Grading 3Vds;Fee qd i $0.00 Fair Share: $0.00 Fire Plan Rev $57.75 Investigation Fee: $Q.00 Gi*dii16 PC Carts"ultant : $0.00 SJH Trans : $0 00 emotttfon�ee Record Management: $ $ 00 Grading Permit Fee: $0.00 In -lieu HH_oSLS�' $0.00 i ep m $0.00 Energy Compliance. $0 00 Grading PC Fee: _ $�� rc Works Department, 111 iy ? era4Smic $0.00 CA Seismic Safety : $b 00 P�i o; WQIrlsp Fee r---'-` $0.00 Park Dedication d)Od�' Re�f(([Lr(_Pgposit $0.00 Disabled Access : $0 00 [ - R/t/V-P eck : 0 g .- �,, ,_.,„r-��""•°`"' rading Bond: $0.00 Hazardous Mat $0.00 fl Electncal % _- .75 --San Dist '"'°"'°`"�"m $0 00 Building Green Fee : $2.00 Mecfian al % ,„„�.-$0:00""'°'�"'�A' NMUSD Fee. $0.00 $0.00 TOTAL FEE : $1,706.94 Plan Check Fee: $791.45 Fee Due at Permit Issuance : $915.49 PROCESSED BY: m e.f `, PUBLIC WORKS APPROVAL: �s ZONING APPROVAL: o o ° ° ° ° ` PLAN CHECK BY: las 4 GRADING APPROVAL: - APPROVAL TO ISSUE: 0 no a . 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 7031.6, 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' Stale 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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). ❑ 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 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 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 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect' 000) o Division 3 of the Business and Prof s ' n b Z icense is in full force and effect. License Class License No Contractor Signat WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH U ND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ka ave 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 mance of the work for which this permit is issued. PolicyNo. 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. My workers' compensationce carrier and policy number are: ier Policy Number Expiration Date ie 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 beco s bject to w rker ' p sat! provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Applicant D�CA' •� wo wr�nu ovr_ mur_ rnu or r Inu I r-cury veby affirm under penalty of perj r at 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 this application 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. I authorize representatives of this city or counf enjefffi� abo�yCjl(1 tifie roperty for inspection purposes. j nature of Prooertv Owner or Authorized Agent ��/�' V Print Property Owners or Authorized Agent's Na t ACTION DATE I BY I ^AEG RAC NS PART061 O TIIT E 40 AND AQMD RULERAL FOR OFFICE USE ONLY PERMIT EXPIRED i (SUB MITTED ASBESTOS NOTIFICATION TO + - • • ` +`• • •" "• PERMIT CANCELLED bd •S-7A2d EPA • • • + • • • i • • • • • `• • • ` •• ` + PERMIT EXTENDED QMD PERMIT FINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: `: