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Home My WebLink AboutX2019-1143 - PermitsCity of Newport Beach . H 100 Civic of TDjv ,.New on Beach,Bgtgd og Division ' Permit Counter Phone. (949)644-3288 Inspection Requests Phone (9gg�644-3255 e`zxriree.�a Combination'Type _. CIP ELEC 1143��4IIII COMB Permit :X2019-114 Project No ; 0810.2019 3 Job Address: 3900. W COAST HWy Ng PERM/TS EXp/RE Y50 p Issued Date : 06/03/2019 Construction Hours: Mnnday - Friday 7••up a•m, to 6:30 y5 AFTER ISSUANCE OR LAST VALYD INSPECT/ON. Description; COMM TI REP Inspection Area : 7 and �w erDesc.: REPLACING EXISTING POWERS ATTERIES ^ p m HO Saturday from 8:00 a.m, to 6:00 p•m• No n SUPPLY AND B HOAG HOSPITAL., work o Sundays or Holidays Address: MEMORIAL DR HOSPITAL HOAG NEWPORT Contractor: t /.^`; i Phone: EACH CA 82663 Address: CAMALI CORPORATION 20845 CANADA ROAD Architect: Applicant: LIEBKE STEVEN S LAKE FOREST CA LIEBKE STEVEN S Phone: Address: .4922 PERSIMMO Address:. 4922 PERSIMMON LANE IRVINE CA 92612 Phone: 949-752-5052 Code Edit : Type of Construction: 2016 Occupancy Group: I -A -SPR Added /New s B Added /New s q ft. Bldg: 0 No of Stories. q ft' Garage: 0 NO of Units : 3 Bldg Height: 0 Bldg Sprinkler°- 0 Building Permit Fee: $746,00 Plan Check Fee: $649,02 Overtime Plan Ck: • ° ° ° ° ° ° ° • Investigation Fee: $0.00 Record Management: Energy Compliance: $0.00 $12.00 CA Seismic Safety:: afety $0.00 : Disabledgccess: $0.00 Hazardous Mat $0.00 Building Green Fee $0.00 : $2.00 TOTAL FEE: $1,872.32 PROCESSED By: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 7Phone: 14684 Lic Expire: IRVINE CA 92612H LANE 949- 752-5052. • ° ° ° ° ° ° ° • ° ° ° ° °.° r 1 Bus Lic: 1/30/2019 Engineer. State Lic:CO28341 Lic Exp Date: ST30067550 Address: 06/30/2020 • ° ° j ° °° ° ° °, Worker's Compensation Insurance Phone: • ° ° °° Carrier: SECURITY NATIONAL Policy No: Designer. State Lic: ° Expire: S WC1230531 Address: 03/01/2020 - Building Setbacks Phone: Rear. o°°°•o® o°•oo° o / Front:/ Special Conditions: Left: / ° o.°°o o°eoo o ° Use Zone:Right:. / Parkin S aces: 0 Fire Hazard Zone N Excise Tax: i Additional Fee : $0'00 Planning Grading Bonds Fee: $0.00 g Department - Grading PC Consultnt : $0.00 Plan check Fee : a Grading permit $0.00 Fair Share : $40.00 Fire De partment Fire j Fee: SJH Trans : $0.00 Grading PC Fee: $0.00 SJlieu Housing WO $0.00 $0.00 Inspection: Fire Plan Rev $0.00 Insp. Fee: Fee : $0.00Public Works Department- $0.00 Dem011tion Fee $228.00 f ElectricalPark Dedication '/°: P/W Plan $0'00 Building Dept Adm General Service $0.00 Check : Mechanical' $195.30 $0.00 Plumbin ° $0.00 San Dist: Refund Deposit Grading $0.00 $0.00 g % ; NMUSD Fee: $0.00 $0.00 Bond: $0.00 $0.00 j Plan Check Fee :$1,007.88 $0.00 I Fee Due at Permit $0.00 PUBLIC Issuance : $864.44 I WORKS APPROVAL: I PLAN CHECK By: i APPROVAL TO ISSUE: ^ applicable items) I s I have placed next is theuies the applicant for the checkmark() also req s Indicated below hair any structure, prior t° its issuance, penalty of or rep with Section 7000) of Division 3 of the Business an RATION alter, improve, demolish, ter r (commencing applicant to a civil p Y DECIA exemp ermit to construct, Chap .cant for a permit subjects the app OWNER -BUILDER A u that 1 am t from the Contractors atPte License Law for the reason i an app pe of p I rY Cit or county that req Section 7044, I hereby affirm Under p Pursuant to the P tion. Any violation of Stiction 7031.5 by Y (Section provided that the Business and Professions Code: Any Y provisions of the Contractors' State License Law ed exemp roves the pr°Perp'' ,1 hereby and the structure is °builds odrempr offered for Pe it was not built Or t from licensure and the basis for the alleged all of or (_) P°rtions of the work, armorial effort, rovingat th permit to file a o9 that hed eorhe is exempt she l license P ensation, will doL) who, through employees' or p rfessions Code) es as their sole comp prope completion, the Owner -Builder will have the burden of P employees with wag I to an owner of p P year of camp no t more than five hundred di or my em improvement is sold within one y 1, as owner of the Property, the building or however, (Section 7044, Business and Professions Code' The Contractors' State License Law does ursuant to the Contractors' State License Law). this permit, 1 cannot legall rprovements etre not intended deor offered for sale. State License Law does not app nproved for the purpose of sale). ro ects with a licensed Contractor p letion of the improvements covered by am exclusively contracting with licensed Contractors to construct the project Section 7044 of the Business and he property, and who contracts for the p reason: year prior t0 comp of the applicable law, ro any who builds or improves thereon, 1, as own ane Date IPply to an o �n� �;tP p t for my P licensed contractors- undoeca tend excep ersonal residence in which I must have resided for p:I1 g ]lym exempt from licensure under ihatCon,ep tors' State License Law for the following Web $ite:hltp: e, and my license is in full force gy signaWre elm I acknowledg application is submitted Or at the following cions C is available upon request when this app i 00 of ivis'on 3 of the Business and Prof sell a structute thraf I have built as an owner -builder if it has not been constructed in its entirety with Section 7 Contractor Signature pJotbsions Code, Owner or Authorized Ag TfON ter 9 (commencing Date N ADDITION TO THE S- lure of P n �CTOR'S DECLAF Provisions of Chap LICENSED enalty of perjury that I am licensed under No UP TO ONE HUMORED THOUSAND DOLLARS 151SU,e00 1 hereby affirm under p for th aryLeffect. LI�gnS� lass TION INTE0.EST, AND ATTORNEY'S FEES. provided for by Section 3700 of the Labor Code, 4NORKERS' COMPENSATION DECLARA ensatio COMPENSATION COVERAGE IS UNLAWF eOft CODE,ALL SBB�ECT AN EMPLOYER TO CI AL PENALTIES PND CIVIL HRI®: FAILURFiTO SECURE w FS AS PROVIDED' R IN declaratIOW Issued by the Director Of Industrial Relations a5 P workers' comp hep VAMit o p erlu of the following OS OF THE LA ensation, permit is issued. MY OST O SCO if U enalty of perjury her gt�y�affirm u oder p,sen for the performance of the work for which this ntain a certificatermmlt is issued Pol'Icy Noe for workers$e ton 3700 of the Labor Code, g eve and'wjlL as required by Expiration Date performance of the work for which this P compensation insurance, phone # and ogre have and will ma"Itilu number are: policy Number act to the workers' C mpensation laws of California, insu nce carrier and Policy - manner so as t i bW Sh those jest Bions. 4 to any Person in any r Carrier 1 shall not emp Y 1 shall forthwith comply Dat Name of Agent ante f the work for which this permit is issued, in the perform ensation provisions of Section 3700 of the Labor Co e, ,Civil Code). I certify that, wo kers' comp Section 309 that, if I should become subje permit is issued Signature of Applican C N TRUCTION LENDING AGENCY ency for the performance of the work for which this RE AR Lender's Address ----- DECLARATION(((((( pen of N T that there is a construction lending a9 I hereby affirm unde p 3 Lender's Name 1 certify t° each of the following ro erty Owner's behalf. I, k y'1 Date By my signature below, to building construction. owner or authorized to act tont P Provided is correct. u oses. v I have the Property Ordinances and state ed Property inspection p rP ant's Name 1 have read this application and the for I ave p pwner's or Authorized A 1 with all applicable city and cou b print Pro erl I agree to comp Y or county o enter the above -identified p P I authorize reprres OW^eeor Authorized A ant I OF Si°natUre of Prop BY D ,,,,, AT NS PARTD61 OF T TLE 40 AND AOLMD RULE H CODE OF AL FOR OFFICE USE ONLY rc 15 NOT APPLICABLE TO -E_R PERMIT FINAL CERTIFICATE OF OCCUPANCY IS SUED