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Home My WebLink AboutX2021-3394 - Permitsatxr,� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII�IIIIIIII�IIII II COMB Permit: X2021-3394 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 3 3 9 4 Permit Counter Phone (949)644-3288 Project No: 2965-2021 Inspection Requests Phone (949)644-3255 `"rrsn5a�"` Combination Type - CIP ELEC MECH PLUM Issued Date: 05/1712022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 3901 E COAST HWY NB Description: COMM TI 991 SF "WATERMARK CROWN COVE MEMORY CARE" Legal Desc.: PARCEL MAP PM. 294-24 PAR. 3 AND FOR. OF ABAND. STREET. Owner: NEWPORT BEACH CA PROP OWNER LLC Contractor: Address: 3901 E COAST HWY Address: CORONA DEL MAR CA 92625 Phone: Applicant: SU NANCY Address: 115 22ND ST NEWPORT BEACH CA 92663 Phone: 9491675-6442 Code Edit : 2019 Type of Construction: V-A- SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 _ No, of Stories: 5 No of Units : 0 Bldg Hecht:. 0 Bldg Sprinklers: Y Flood Zone: X Building Permit Fee: $1,594.00 Plan Check Fee: $1,386.78 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $70.00 Energy Compliance: $108.50 CA Seismic Safety: $0.00 Disabled Access : $155.00 Hazardous Mat $0.00 Building Green Fee : $7.00 TOTAL FEE : $5,244.25 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Phone Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: MARQUIS CONSTRUCTION INC 5595 DANIELS ST STE E CHINO CA 91710 398448 01/31/2024 BT30078616 04/30/2023 Worker's Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSD506146800 Expire: 0712112022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: / Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $417.31 $327.89 $268.27 0 Architect: GAUNCE MEGAN C) Address: 115 22ND ST NEWPO64EACH CA 63 Phone: 9491675-Stai :C034807 Engineer: Address: Phone: State Lic: Designer: Address: Phone: �+g Special Conditions: HIGH DENSITY CWS TO HAUL DEIS Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $48.50 $0.00 Demolition Fee $0.00 Building Dept Adm $26.00 General Service $219.00 Refund Deposit $564.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $2,067.29 Fee Due at Permit Issuance : $3,176.96 PUBLIC WORKS°w4R+PPOVAL`; PLAN CHECK BY: if- Gam( inn APPROVAL TO ISSUE: Q °°° °°° °° AM OWNhK-bSUILUCK U=1-1 a1w1 lull 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 he 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 Drofessions 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 peney of iot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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). ❑ 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. Date Signature of Property Owner or Authorized Agent .- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr si ns Code,Z04and I y "cense is i Il�orce and effect. License Class License No Da '1 2Z Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED O SAND 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. I hereby affirm under penalty of perjury one of the following declarations: ❑ khave 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 armance of the work for which this permit is issued. Policy No. 01 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' compensatio ipsura e carrier and policy number are: Carrie Expiration Date Policy Number S�, of Agent 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 subject to the workers' cgatgensation fgrTisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of IECLARATION REGARDrNG QONSTRUCTION LENDING AGENCY hereby affirm under penalty of berjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 .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 I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws Telin to building construction. I authorize re resentatives of this city or county zo�antgr the above-ide d prope or inspection purposes. p .. __ __ -:_ •,..,.,. X/I O n n A,^A �Md Print Prooertv Owner's or Authorized Agent's Name By D RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ULATIONS PART 61 OF TITLE 40 AND AQMD RULE • 4403. ••• ••• • I UBMITTE SBE4F S NOTIFICATION TO ten.. PERMIT EXTENDED I� Ivies PERMITFINAL �'(�i ASBESTOS NOTIFICATION IS NOT APPLICABLE CERTIFICATE OF •�• ••: PQftQD U 1141 OCCUPANCY ISSUED • S A U E:• �/v""" • • • s s•• e• ee • e eee es Dat V GIII I? — Civil Code). lC4