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Home My WebLink AboutX2019-2804 - Permitsw'r„� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2804 �* 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 8 0 4 Project No: 1991-2019 N Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ra v t0sm Combination Type - CIP ELEC MECH PLUM Issued Date : 09/27/2019 0 Inspection Area : 7 TOTAL FEE : $20,955.52 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $20,955.52 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Flours: 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: 2 Unit: 280 Description: COMM TI 1,475 SF'DR STEFANI DERMATOLOGY' Legal Desc.: P BK 152 PG 28 PAR 2 Owner: COAST BUSINESS CENTER LTD Address: 1105 QUAIL ST Contractor: Address: CASCO CONTRACTORS INC 98501RVINECENTER DR Architect: Address: - NEWPORT BEACH, CA 92660 IRVINE, CA 92616 , Phone: Phone: 949-679-6880 Phone: State Lic: , Applicant: ECKENROD ASHLEY Con State Lic: 790706 Engineer: • • e • • • • ° Address: 9850 IRVINE CENTER DR Lic Expire: 01/3112021 Address: ee•pep • (led m ° IRVINE CA 92618 Bus Lic: BT30041027 P®�� •' , ° ° Phone: 949-449-1725 Lic Exp Date: 10131/2020 Phone: State Lic: °, UJ Code Edit : 2016 Worker's Compensation Insurance Designer: OSBORN CHERYL m • ° L , ° Type of Construction: II -A -SPR Carrier: CYPRESS INS Address: 9850 IRVINE CENTER DR ° ° ° . Occupancy Group: B Policy No: CAWC922797 IRVINE CA 92618 •, ° momoo Added /New sq.ft. Bldg: 0 Expire: 01I01I2020 Phone: 949.679.6680 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: *REVISED 11125/2019 0 of Units: 0 Front: / REV19-1949 �oomom Bldg Height: 0 Left: I • m m . m • ° Bldg Sprinklers: Y Right: I moo. Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $293.540.07 - Building Permit Fee: $2,332.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $2,028.84 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 : $13,719.97 Fire Plan Rev - $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $56.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $24.00 Energy Compliance: $205.48 Grading PC Fee: $0.00 Public Works Department - General Service $197.00 CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access: $293.54 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $610.52 San Dist: $0.00 Building Green Fee : $12.00 Mechanical %: $479.69 NMUSD Fee: $0.00 $0.00 Plumbing %: $392.48 $0.00 TOTAL FEE : $20,955.52 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $20,955.52 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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) action 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 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 )fessions 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 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, siness 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 )rovements 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 )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 )ly 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: 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 legal I 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 Ifessions CodEtisaZallable upon request when this application is submitted or at the following Web site:http1twww. leginfo.ca.gov/calaw.html. naturg of Property Owner or Authorized Agent )ENDED CQ�1�jCTOR'S DECLARATION rebyy affirm u nder penalty of perjury that am licensed under provisions of Chapter 9 (commencing with Sectio 0 0) f 'vi 'oy� of the Business and f sio ode, se Is f•eff'el:t. License Class License No Dat l� Contractor Signat )KERS' COMPENSATION DECLARATION V1•.RSIIN5»FAILURE 110•SECYRE 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 (POST e1•COMPENSAT ISiJ DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1 -he Foley affirm urdt r�prialty of perjury one of the following declarations: �i ave 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, rRance ce of the. kfor which this permit is issued. Policy No. and will mai workers' compensation insura ce, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior carrier and p umber Cartier• • • • • P i mbar Expiration Date Name of Agent Phone # ❑I certify that, in the performance oft rk 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 agree that, if I should become su ct to ork 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant DECLARATION REGARDING O ING ENCY I hereby affirm under penalty 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). 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 pro 's correct. I agree to comply with all applicable city and county ordi ances state s relating to building construction. I authorize representatives of this city or count to ov entifi r ' spection purposes. / � Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Nam ZO & — Dat ACTION DATE BY DECLARATION OF COMP WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I I I LI I SUBMITTED ASBESTOS PERMITEXTENDED UAQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: