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Home My WebLink AboutX2018-3235 - Permits1r City of Newport Beach -Building Division "L 100 Civic Center Drive, Newport Beach, CA 92660 h Permit Counter Phone (949)644-3288 Sy, Inspection Requests Phone (949)644-3255 r r<iRa Combination Type - CIP ELEC MECH PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllll II COMB P6 X 2, 0 1 8. 3 2 3 5 Project No : Issued Date: 12117/2 Inspection Area : 7 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: 20360 BIRCH ST NB St: 1 FI: 1 Unit: 120 Description: COMM TI -3377 SF. MEDICAL OFFICES" DR SANJAY GROVER" Legal Desc.: Owner: NEWPORT HEIGHTS VENTURES LLC Address: 4100 MACARTHUR BLVD, STE 120 Overtime Plan Ck: NEWPORT BEACH CA 92660 Phone: $0.00 Applicant: DUDLEYJARED Address: 2700 W COAST HWY #200 CA Seismic Safety: NEWPORT BEACH CA 92663 Phone: 949-721-0730 Code Edit`. 2016 Type of Construction: II -B -SPR Occupancy Group: B Added /New sq.ft. Bldg: 3377 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Construction Valuation: 46f Building Permit Fee: $3,364.00 Plan Check Fee: $2,926.68 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $106.00 Energy Compliance: $326.20 CA Seismic Safety: $0.00 Disabled Access : $466.00 Hazardous Mat $0.00 Building Green Fee: $19,00 TOTAL FEE: $10,858.71 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: ROSEEN BUILDERS INC Address: 31878 DEL OBISPO,STE 118-392 Fair Share SAN JUAN CAP CA 92675. Phone: 949-716-7900 .Con State Lic: 813939 Lic Expire: 08131/2020 Bus Lic:. ST30062334 Lic Exp Date: 02128/2019 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9126554 Expire: 03/0312019 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: i Right: i 'arking Spacs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $880.70 $691.97 $566.16 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: SAUNDERS NIALL F 2700 W COAST HWY #200 NEWPORT BEACH CA 92663 949-721.0730 State Lic:CO26956 Special Conditions:. Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication: $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lic: Plan Check Fee : $4,648.75 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 8-3235 e e eeeeoe 0 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00. Demolition Fee $0.00 Building Dept Adm o0 General Service Refund Deposit • o Grading Bond: Plan Check Fee : $4,648.75 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 8-3235 e e eeeeoe 0 $0.00 $687.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $6,209.96 e n o• a moeeoo e e e e o m o0 • o o e e o o• o e e 000000 o o m o • o mo m oom m m omm 00000 o 00000 0 mmm000 0 o m o oem000 0 0 me0000 om o m 0 o emoo� oomo $0.00 $687.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $6,209.96 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 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 '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 lot 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 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 n roved 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 Ipply 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 yell a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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:/Avww.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED COATRACTOR'S DECLARATION 1�ereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division f the Business and Professio license is in full force Cia Mg. Licepte (:Tads License No Date % Contractor Signature V"�ORKERS' COMPENSATION DECLARATION &RNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN ED THOU NO DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION•,MAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: .,3,1•We and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the @ gVf ce of MB work for which this permit is issued. Policy No. at1e•and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior ncd carrier ko w1cy number are: .arrle$ • • Policy Number Expiration Date lameclAgent •••�•• Phone# 71 certify that, in the performance of t e w f this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre tat, if I should become subject r nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. {y Datetignature of Applicant I hereby affirm under p�r altyof Da ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). n - Lender's Name Lender's Address By my signature below, I to each of the following: I am the property owner or authorized to act on the propert V er's behalf. I have read this application and the information I have pr ide is correct. I agree to comply with all applicable city and county ordi d elaws relating to building construction. I authorize representatives of this city or county to an ified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name aVrepfgDate ACTION DATEBY C ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLEI PERMITEXTENDED PERMITFINAL ;••>L"1,•�� aVy.�► >—'!PSBESTOS OSED IQEMOLITIO TIO ISNOTPLICARLE TO CERTIFICATE OF RBe ` OCCUPANCYISSUED SIGNATURE: