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Home My WebLink AboutX2019-1837 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII 4 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0. 1 9 N Permit Counter Phone (949)644-3288 ' - Inspection Requests Phone (949)644-3255 'tea r+xxa.'sxP.. Combination Type - CIP ELEC MECH 1 8 3 7 II COMB Permit: X2019-1837 Project No :1417-2019 Issued Date : 07110/2019 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.. $36.00. - 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: 2121 E COAST HWY NB St: 1: FI: 1 Unit: 150 $0.00 Disabled Access : .$87.00 Description:. COMM TI "DR HARISH YARAMANCHILI" 1,438. SF $0.00 Building Greed Fee;. v Legal Desc.: P BK 152 PG 28 PAR 2 $0.00 Building Dept Adm Public Works Department - General Service Park Dedication: y1 6� Owner COAST BUSINESS CENTER LTD Contractor: MARTINEZ CONSTRUCTION Architect: ROEHRBORN DEBORA '",,,�?y`P Address: 1451 QUAIL ST, STE 201 Address: 177 E COLORADO BLVD #200 ,,, Address: 807 ARDMORE CT��`'" NEWPORT BEACH, CA 92660 PASADENA, CA 91105 SAN DIMAS CA 91773 Phone: Phone: 562.900-8376 Phone: 909-451-3356 State Lic:C019962 • °O. e Applicant MORES IGNACIO Con State Lie: 1043236 Engineer: e o e o Address. 13103 9TH ST Lie Expire: : 08/3112020 Address: CHINO CA 91710 - Bus Lie: BT30064231 o Phone: 714-396-7164 Lie Exp Date: 0813112019 Phone: State Lia:. Code Edit: 2016 Worker's Compensation Insurance Designer. .Type of Construction:. II -A -SPR Carrier. EMPLOYEE SERV GROUP Address: ee c Occupancy Group: B Policy No: 068025779 Added /New sq.ft. Bldg:. ;1438 Expire: 06/0112020.: Phone: Added/New sq. ft. Garage: 0 ee•�o� No of Stories: 2 Building Setbacks Rear: / Special Conditions: ° No of Units: 0 Front:/ Bldg Height: 0 Left: I C"O ° Bldg. Sprinklers: Y - Right: I ""° Flood Zone: X Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N Building Permit Fee: $861.00 Plan Check Fee: '$749.07 Overtime Plan Ck:.. $0.00 Investigation Fee:. $0.00. Record Management: $36.00. - Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access : .$87.00 Hazardous Mat $0.00 Building Greed Fee;. $3.00 II TOTAL FEE: $12,063.05 Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 ` Electrical %: $225.41 Mechanical %: $177.11 Plumbing %: $0.00 Planning Department- : Fire Department Plan check Fee: $40.00 Fire Inspection: Fair Share : $9,828.46. Fire Plan Rev SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee; $0.00 Building Dept Adm Public Works Department - General Service Park Dedication: $0.00 Refund Deposit PAN Plan Check: $0.00 ..Grading Bond: San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00' $0.00 $0.00 $0.00 Plan Check Fee : $1,079.34 Fee Due at Permit Issuance : $10,983.71 PROCESSED BY: ZONING APPROVAL:' GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY:-. y n /l APPROVAL TO ISSUE: vv v 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 fora permit subjects the applicant to a civilpenalty 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 `) 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). 13 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 net 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). ❑ I 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! G available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of PwpaGy Owner or Authorized Agent Date j. COSED,COWIRACTOR'S DECLARATION ' I hereby affirrDAder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 vis' n 3 of the Business and #RED 'ens ode S .Y lic is d Force and-effect. License Class License No Date Contractor Signat he) KERS' QOMRENSATION DECLARATION WQRIIIyG: FAILIfFWFI514CURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNOUSAND DOLLARS (E'100,�N ADDITION TO THE C $T* FCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. j bgrpby affirryl Werpenalty of perjury one of the following declarations: .•.+ ®•I+have 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 th par4arinance of.t;ie work for which this permit is issued. Policy No. ave and•�4ifl VEIntain 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' compensatiol e Ice cam ar�andpolicy number are: 170KI6r • • Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the perfor a the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become le t to the workers' nsation vi ' Section 3700 of the Labor Code, I shall forthwith comply with those provisions./ Signature of Applica i7C!vll _��G!/� DECLARATION REG ONS CTION LENDING AGE I hereby affirm under y of perjury that there is a construct' lending agency r the performance of the work for which this permit is issued (Section 3 Code). Lender'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 COU omin nces n state laws relating to building construction. // I authorize representatives of this city or cou ter a tified ropert r inspection purposes. g /n , �/ yi3/ �h Y� D Ate 7 IJL? Sianature of Prooerty Owner or Authorized Age Print Pr nets or Authorized Agent's Na DATEI RY //XREGULATTIONS PART 61 OF TITLE 40 AND AQMD RULE AL FOR OFFICE USE ONLY I SUBMITTED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF