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Home My WebLink AboutX2022-0406 - Permitsyen„� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC Job Address Description: Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone JGKALLINS INVESTMENTS 1999 AVENUE OF THE STARS #28750 LOS ANGELES CA 90067 LADUA BRADLEY 3300 IRVINE AVE #300 NEWPORT BEACH CA 92660 909-202-3448 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: II X 2 ii iiiiiiiii 0 i� ii i6911 COMB Permit: X2022-0406 Project No : 0362-2022 Issued Date : 04/20/2022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/20/2025 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 1107 (CS) JAMBOREE RD NB COMM CELL SITE "AT&T" yy m Contractor: X3 MANAGEMENT SERVICES INC Architect: Address: 2128 AUTO PARK WAY Address: ECONDIDO CA 92029 Phone: 760-658-6455 Phone: State Lic: Con State Lic: 933263 Engineer: PROCTOR JACOB Lic Expire: 06/30/2023 Address: 651 E GALENA PARK BLVD #101 Bus Lic: BT30078531 DRAPER UT 84020 Lic Exp Date: 04/30/2023 Phone: 801-990-1775 State Lic:C-070567 2019 Worker's Compensation Insurance Carrier: BERKSHIRE HATHAWAY U Policy No: XTWC200530 0 Expire: 10/01/2022 0 Building Setbacks Rear: / Front: / Left: / Right: / Building Permit Fee: $504.00 Plan Check Fee: $438.48 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $24.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,002.76 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $35.28 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee: $438.48 Fee Due at Permit Issuance : $564.28 OUHLIC WORKS APPROVAL: 19 -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 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 L) 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 CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of ivi 'off n 3 of the Business an P 'o Code, a my license is in full force and effect. License Class License No Date 171!2� Contractor Signal WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA DOLL RS (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: 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 :e of the work for which this permit is issued. Policy No. have and will frr2lhtain workers' rrier rance caa Doll Y number ie of Agent insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date _JI certify that, in the performance of the ork or which this permit isAsued, 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 su ' ers' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. II signature of Applicant Date )ECLARATION REGARD NG C UC IN LENDING AGENCY hereby affirm under pe alty of pe' rythat the 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and co a and state laws relating to building construction. p I authorize representatives of this city or cou to er the -identified property for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 1A, at ACTION DATE BY D OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RCLARATI INS PART 61 OF TITLE 40 AND, RULE PERMIT EXPIRED LI I SUBMITTED ASBESTOS NOTIFICATIO.d TJ_ PERMITCANCELLED DEPA PERMIT EXTENDED L1AQMD PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED 6 S `? `,/•� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: