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Home My WebLink AboutX2022-1793 - PermitsYmgtr City of Newport Beach - Building Division „A 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC COMB Permit: X2022-1793 IIIIIII�II�III�III�I�IIII�IIIIIIIIIII II Project No : 1651-2022 Issued Date : 0612912022 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: 1017 NEWPORT CENTER DR NB Description: COMM TI "CLAIRE'S" 1787 SF Legal Desc.: P BK 221 PG 30 PAR 6 Owner: IRVINE CO Address: 550 NEWPORT CENTER DR Contractor: PLOWMAN CONSTRUCTION CO INC Architect: DI GENNARO LAWRENCE NEWPORT BEACH, CA 92660 Address: 15310 S MAHAFFIE #100 Address: 302 W THIRD ST STE 500 Phone: OLATHE KS CINCINNATI OH 45202 Phone: 913-829-1200 Phone: 513-271-1634 State Lic:C033579 Applicant: NORRIS KEN Con State Lie: 508493 Engineer: Address: 8445 LINDENHURST Lie Expire: 0413012023 Address: RIVERSIDE, CA 92508 Bus Lie: BT30079140 Phone: 909-496-0905 Lie Exp Date: 06/30/2023 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: OHIO SECURITY INS CO Address: Occupancy Group: B Policy No: XWS58911785 Added /New sq.ft. Bldg: 0 Expire: 08/01/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units : 0 Bldg Height: 0 Front: 1 Left: / j '► L. Bldg Sprinklers: Y Right: / �,g - it'`d Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $45 000 00 --- Building Permit Fee: $750.00 Plan Check Fee: $652.50 Excise Tax: $0.00 Planning Department - Fire Department Overtime Plan Ck: $0.00 Additional Fee : Grading Bonds Fee: $0.00 $0.00 Plan check Fee : Fair Share $52.00 Fire Inspection: $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 : SJH Trans : $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee Record Management: $34.00 Energy Compliance: $61.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 CA Seismic Safety: $0.00 Grading PC Fee: WQ Insp. Fee: $0.00 $0.00 Public Works Department - General Service $0.00 Disabled Access : $91.00 Park Dedication : $0.00 Refund Deposit $0.00 Hazardous Mat $0.00 Electrical %: $196.35 PAN Plan Check: $0.00 San Dist: $0.00 Grading Bond: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $1,838.85 o» Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,838.85 PROCESSED PUBLIC WORKS APPROVAL: ZONING APPROVAL: VAL: [� C D PLAN CHECK BY: GRADING APPROVAL: »4 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) ;action 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 ie 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 rofessions 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 )t more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do i_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved 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 pply 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: y 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 ell 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 'rofessions 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 D'te .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty ofAerjury that I am licensed under provisions a r 9,(rromg ) mencin with Sect' 0 Iv 1e�1 3 of the Business and Profes ' n Code, d c nse Is i full force nd effect. License Class 17 License No �'Z(/ S D� �� ` Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have 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 thI mance of the work for which this permit is issued. Policy No. h 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' compensatior ,Sur nce carrier and policy number are: rier Policy Number Expiration Date dame of Agent :1I certify that, in the perform6of the rk for whi h this pe mit 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 hat, if I should become subjehew er ' compensation ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.;ignature of ApplicantDate)ECLARATION REGA NSTRUCTION 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 309 4111 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 pro ded is correct. I agree to comply with all applicable ity and countyDWI ces n-'3 oprper� g [o building construction. - I authorize representatives of this cityor count to n r at o Ida for inspection purposes. 3ionature of ProDertv Owner or Authorized Agent /� Print Property Owner's or Authorized Agent's Name D Date ACTION BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE FOR OFFICE USE ONLY PERMITEXPIRED ITTED ASBESTOS NOTIFICATIONTO . . . •PERMIT CANCELLEDPERMITEXTENDEDMD PERMITRNAL TOSNOTI 1 10CERTIFICATE OF 4al D DE OLONOCCUPANCYISSUEDR ° o;