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Home My WebLink AboutX2019-1671 - Permits1 City of Newport Beach - Building Division IIIIIIIII�IIIIIIIIIIIIIIIIIIIIII�IIII II COMB Permit: X2019-1671 -+� 100 Civic Center Drive, Newport Beach, CA 92660 _ X 2 0 1 9 1 6 7 1 Project No: 1194-2019 N , Permit Counter Phone (949)644-3288 u a Inspection Requests Phone (949)644-3255 Combination Type - CIP Issued Date: 08/2212019 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 501 Construction Hours: Monday -Friday 7:00 a.m. to 630 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: l2l)(PS) BAYVIEW CIR NB Description: COMM ADA PARKING STRUCTURE. UPGRADES 6' Legal Desc.: N TR 12528 LOT 2 C, Owner: 100 BAYVIEW LLC Contractor: RENAULT & MORAN CONST. LLC Architect: NOUIZILI ILYES M Address:_ 5601 GRANITE PKWY #1200 Address: 27302 JARDINES Address: 10 EDELMAN PLANO, TX 75024 - MISSION VIEJO CA 92692 IRVINE CA .92618 Phone: Phone: 949-412-6500 Phone: 949-786-4054 State Lic:C032135 "'gn Applicant HANKS JOHN Con State Lic: 1038156 Engineer: CORSBIE LUCAS ALAN Address: 700 THE CITY DR S #1400 Lic Expire:. 04/3012020 - Address: 129A 40TH - ORANGE CA 92868 Bus Lic: BT30066288 NEWPORT BEACA CA 92663 Phone: 818-265-7511 Lic Exp Date: 12/39/2019 Phone: 714-662-7355 State Lic:C-072588 Code Edit : 2016 Worker's Compensation Insurance Designer. Type of Construction: I -A - Carrier: ` EVABSTON INS. CO. Address: Occupancy Group: S-2 Policy No: 9233065 Added /New sq.ft. Bldg: 0 Expire: 06/01/2020 Phone: Added /New sq. ft. Garage: No of Stories: 4 Building Setbacks. Rear: I Special Conditions: - No of Units : 0 Front: Bldg Height: 0 Left: / Bldg Sprinklers: N Right:. Flood Zone:. X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $15.000.00 Building Permit Fee: $312.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $271.44 Additional Fee : $0.00 Plan check Fee: $40.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $57.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 - SJH Trans$0.00 Demolition Fee , Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: _ $0.00 Public Works. Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $87.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical%: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $0.00 - NMUSD Fee: ". $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $768.44 Plan Check Fee : $358.44 Fee Due at Permit Issuance : $410.00 PROCESSED BY: < °POBI,IC OJORIkS APPROVAL: a t ZONING APPROVAL: - PLAN CHECK BY: GRADING APPROVAL: ,&PPR.OVAk TO IGSUL- 11, 4 r 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). ❑ 1, 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). 1, 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 Iegaly 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 Sectio 0) o(Div' ion 3 of the Business and Prof sions Co aad y-license-isin full force and effect. License Class License No Date k /9 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 'SAND DOLLARS ($100,000), 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: ❑ 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 oerfprmance of the work for which this permit is issued. Policy No. and wilIntain 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' carrier Dlicv numbewre: , � . A Expiration Date of Agent certify that, in the performance of 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 I, if I should become subject to the v orkers' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Appl!cant - Date CLARATION REGA I ONSTRUCTION LENDING AGENCY Dreby affirm under pen y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder's Name Lender's Address 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 state laws relating to building construction. I authorize representatives of this city or county topter A abovviS)deinspection purposes. V� % S11�qgr-v of Prooertv Owner or Authorized ACTION PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED I DATE I BY X4• 15ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE IS NOT APPLICABLE TO FOR OFFICE USE ONLY