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Home My WebLink AboutX2021-1542 - PermitsCOMB Permit: XZUZI 104L fl'or City of Newport Beach -Building Division lllllllllllllllllllllllllllllllllllllllllly�� x z e z i 5 a z Project No 1 1359-202 1i too Civic Center Drive, Newport Beach, CA 92660 Issued Date: 1112312021 H: Permit Counter Phone (949)644-3288 inspection Requests Phone (949)644-3255 Inspection Area : 3 r 4> Combination Type - BLDG ELEC PLUM GRAD tires VALID Friday 7:00 a.m. to 6:30 p.m. and Saon Sundays or Holiday �� PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTturday from 8:00 a.m. to 6:00 p.m. No work ION. PROJECTS MUST BE COMPLETED BY 11/23OR PERMIT WILL BE ys Construction Hours: Monday - Job Address: 1700 16TH ST NB IS� �a Description: MFR - LANDSCAPING & DRAINAGE. PERGOLA (EAST - 480 SF) Leqal Desc.: P BK 15 PG 36 PAR 1 Owner: UDR NEWPORT BEACH NORTH L Address: 1745SHEA CENTER DR STE 0 HIGHLANDS RANCH CO 80129 Phone: Applicant: HAMMERLUND ERIC Address: 102 S EARNS DR LP90035 Phone: 310-497.1331 Code Edit : 2019 Type of construction - occupancy Occupancy Group: 0 Added /New sq.ft. Bldg: Added INew sq. ft. Garage: 0 No of Stories: 0 No of Units: 0 Bldg Height: Bldg Sprinklers: Building Permit Fee: $5,139.00 Plan Check Fee: $4,470.93 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $11 00 Energy Compliance: $0.00 CA Seismic Safety' $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $.moo TOTAL FEE: $14,023.52 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: Address: Phone Con State Lie: Lie Expire: Bus Lie. Lie Exp Date: RANSCAPESINC P.O, BOX 50680 IRVINE CA 92619 866-883-9297. 949437 06/3012022 BT30076593 09/30/2022 Worker's Compensation Insurance Carrier: ARCH INS CO Policy No: MS 5 202232 Expire: Building Setbacks Front: / Left: 1 Right: 1 Excise Tax: $0.00 $0.00 Additional Fee : $0.00 Grading Bonds Fee: Grading PC Consultant: $1,102.08 Grading Permit Fee: $973.00 Grading PC Fee: $24192 . 00 WQ Insp. Fee Electrical %: $672.70 Mechanical %: $0.00 Plumbing %: $864.89 S� • Architect: Address: Phone: Engineer: Address: Phone: Designer. Address: Phone: State Lie NAM YOUNG-KEUN 17 SANTA EUGENIA IRVINE CA 92606 a State Lic:C-004029 a • • ®, • NUSSBAUM ARON oaa®°ea WILSHIRE BLVD #136 8549 BEVERLY HILLS CA 90211 806-305.3470 Special Conditions: 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 Plan Check Fee: $5,881.31 I: Fire Department $416.00 Fire Inspection: $om Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: • Deese• a • oa®• 00 a000• o oeo•a a• eeoae ®•.aoe o.ea • $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $8,142.21 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 reasons) indicated below by the checkmark(s) I have placed next to the applicable (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;oits,i-ssuance also r the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter i (commencing with Section Issuance of Division ir of the Sus Professions Code) or that st or she is exempt from licensure and the basis for the alleged exemption. Any 'Sviotate of Section (Chap b an a oIt item(s) ❑not more than five hundred dollars ($500). equir�,_the applicant for I, as owner of the property, or m Y Y pplicant for a permit subjects the applicant to a civil penalty of Business and Professions Code: The ContractorsPwath wate ges as cease Law does not apply will do U allOf Or lof Improvements are not intended or offered for sale. If, however, the building or improvement is sod within one year of completion the O PP Y to an owner of propert w)ho, through ehmployeese work, nortpersohe nal effort, buildsucture is not orimproves the pros eirt (Section 7044, improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70 ❑aPPIY to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra I am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for m sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I y personal residence in which I must have resided for at least or 'rofessions Code, is available upon request when this application is submitted or at the following Web sitd con l/www.le ICENSED CONTRgCTOR'SDDErCLARpTION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comm nd effect. License Class wner-Builder will have the burden of provingPhat itwasof built that the or Business and Professions Code: The Contractors' State License Law does not it pursuant to the Contractors, State License Law). year prior to completion of the improvements covered by this cannot leg permit, I iderstand that a copy of the applicable law, Section 7044 of the Business and IfO. ca. g ov/ca law. h tm I. Date NORKERS' License No encmg w th Sect', n 7 0)J f Divi ion 3 of the Bu CD11QP,�NSATION DECLARATION D ss and ofessions de, an m JARNINCy FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES UP TO ONEIH UNDREO THOUS y h nse is in full force :hereby OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm 4 0 N, v r; penalty of perjury one of the following declarations: �19,flabe and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for b AND DOLLARS ($16a,006), IN ADDITION TO THE rto ne o�thevarlc for which this permit is issued. Policy No. i and wlil 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 r7lpgr Agent • Policy Number �I certify that •in tff� perfo f t Expiration Date M,.iLlshould beco subject f ° or which this permit is issued, I shall not employ an Phone # 1 .t workers' om e y person in any manner o as to become subject to the workers' compensation. aws of California, and ogre jnsfure of App p sation provisions of Section 3700 of the Labor Code, I shall forthwith) comply with those provisions. CLARATIONARDI G CON �reby affirm under enalt of a u ION ENDING AGENCY Ider's Name P Y P q rY that there is a construction lending agency for the performance of [he work for which (this permit is issued (Section 3097,tCivil Cv� ode)Z� / my signature below, I certify to each of the following: Lender's Address I I have read this athe property owner or authorized to act on the property owner's behalf. pplication and the information I have provided ' ect. nd I agree to comply with all applicable city ac I authorize representatives of this city o o t o en es and s ate laws relating to building construction. lature of Property Owner or Authorized y e abo a -id ntifiPr9perty for inspection purposes. ION DATE ' Print Property Owner's or Authorized nt's Name r BY DECLARATION F COMPLIANCE WITH CODE OF FEDERALV�,V1LCo It/2,j/z REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE FOR OFFICE USE ONLY Da IAITCv...... 140R NUi IFICATION TO PERMITEXTENDED EPA OCCUPANCYISSUED h_S��Z� �/� I PROPOSED DEMOLITION IS NOTAPPLICABLE TO