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Home My WebLink AboutX2019-0379 - PermitsCity of Newport Beach -Building Division. 'X20190379* COMB Permit :X2019-0379 100 Civic Center Drive, Newport Beach, CA 92660- Project No: 0258-2019 Permit Counter Phone (949)644-3288 ec Inspection Requests Phone (949)644-3255 Combination Type - BLDG GRAD ELEC Issued Date: 019 Area : 7 Inspection Area PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 888 SAN CLEMENTE DR NB - Description: COMM SITE WORK & SHADE STRUCTURE' Le al Desc.:. IRVINE SUB. FOR OF BLOCK 55.f'tv Owner: IRVINE COMPANY Contractor: REDHAWK BUILDERS INC Architect r ri 's r • r' . m• Address: 550 NEWPORT CENTER DR Address: 200 TECHNOLOGY STE L Address:f - Flood Zone: NEWPORT BEACH, CA 92660 IRVINE CA 92618 $605.000.00 Building Permittee: Phone: Plan Check Fee: $3,568.74 Phone: 949-754.9050 Phone: State Lic: m..• Applicant: SLAWSON KEVIN Address: 9415 CULVER BLVD #194 0 CULVER CITY CA 90232 Phone: 949-395-6355 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: - Flood Zone: X Construction Valuation: $605.000.00 Building Permittee: $4,102.00 Plan Check Fee: $3,568.74 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $78.00 Energy Compliance: $0.00 CA Seismic Safety: $0.50 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $25.00 TOTAL FEET $10,028.69 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 692901 Lie Expire:. 10131/2019 Bus Lie: BT30027314 Lie Exp Date: 0413012019 Worker's Compensation Insurance Carrier: INS OF THE WEST Policy No: WSD6031143 CULVER CITY CA 90232 Expire: 0910112019 Building Setbacks Rear: I Front: I Left: I Right: I Excise Tax: $0.00 Additional Fee: - $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $875.00 Grading PC Fee: $761.25 WQ Insp. Fee: $0.00 Electrical %: $536.95 Mechanical %: $0.00 Plumbing %: $0.00 Engineer: WELSH STEPHANIE. Address: 12722 BARRETT LN Fair Share: SANTA ANA CA 92705 Phone: 714-352-6297 State Lic:S-002998 Designer: SLAWSON KEVIN Address: 9415 CULVER BLVD #194 Phone: 949.395-6355 Special Conditions: 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 PAN Plan Check: $41.25 San Dist: $0.00 NMUSD Fee: $0.00 e me•a• $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $1,092.31 Fee Due at Permit Issuance : $8,936.38 0 0 mo•ee�o 0 e .o o . o 00 o o i• 0 0 0 eo o ooD�oa o ooaj•o dO�D.6 6 D • I o mac D''oo 0 0 cmo'm PUBLIC WORKS A OVAL: PLAN CHECK B j APPROVAL TO ISSUE: Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: e me•a• $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $1,092.31 Fee Due at Permit Issuance : $8,936.38 0 0 mo•ee�o 0 e .o o . o 00 o o i• 0 0 0 eo o ooD�oa o ooaj•o dO�D.6 6 D • I o mac D''oo 0 0 cmo'm PUBLIC WORKS A OVAL: PLAN CHECK B j 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 (_) all of or U 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 legall, 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:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Prpp@rVQwner or Authorized Agent Date �ICENySED CONTRACTOR'S DECLARATION 1 kordbX affirm Znderpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700qLafDhAisJon I of the Business and Professi s is in full force and effect. Lic6sa0ass License No Date !' Contractor Signature dGRKGRS' COMPENSATION DECLARATION NARNING: FAILURE TO SEOURE 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 FCs•T &.comPENSAilt". CAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ?herAfSy affirm ynder penalty of perjury one of the following declarations: I have and:Mll 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 th ince of the work for which this permit is issued. Policy No. !... •hav and ails p}ajnjain 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' compensatioi ns a carrier and policy number are: ... W�� 5 n 3► A3 0? Ex a 'samer ! • • Policy Number Expiration Date 0` 87 e1 Name of Agent • • ° • Phone # :1I certify that, in the performance of the work for whit s permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c pensation laws of California, and agre hat, if I should become subject to th p sa on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % Signature of Applicant ate_ OdaI el )ECLARATION REGA NG ST C ON LENDING AGENCY — hereby affirm under pe ally of perju that there 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 By 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 provided is correct. I agree to comply with all applicable city and county ordinances and to I relating to building construction. I authorize representatives of this city or county to a v roperty for inspection purposes. Signature of PropertyOwner or Authorized AgentPrint Property Owner's or Authorized Agent's Nam i �� ate q ACTION DATE BY D fA ONO COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU TIONS PART61 OFTITLE 40 AND AQMD RULE 1403 NOTIFICATION TO PERMITFINALf2a��g I--IASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF i / PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: