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Home My WebLink AboutX2018-2025 - Permits9Issutwta City of Newport Beach - Building Division IIIIII�IIIlllllllllllllllllllllllllll�lq II COMB Permit: X2018-2025 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 1 8 2 0 2 5 Project No: 1589-2018 N Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ""trr,fa�`' Combination Type - CIP ELEC ed Date :07120/2018 Inspection Area : 7 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 6:00 a.m. to 6:00 p.m. No work an Sundays or Holidays Job Address: 1540 JAMBOREE RD NB Description: COMM .(2) EV CHARGING STATIONS Legal Desc.: IRVINE SUB LOT BLK 55 POR OF BLK Owner: J A A DEVELOPMENT LP Contractor: ABM ELECTRICAL Architect: \ Address: JAMBOREE RD Address: TECHNOLOGY DRIVE Address: NE IRVINE, NEWPORT BEACH CA 92660 IRVINE, CA 92618 Phone: Phone: 562-404-4883 Phone: State Lic: Applicant: CASTANEDA JUAN Con State Lie: 967676 Engineer: Address: 14201 FRANKLIN AVE Lie Expire: 11/3012019 Address: TUSTIN CA 92780 Bus Lie: BT30040146 Phone: 949-793-6356 Lie Exp Date: 07/3112018 Phone: State Lie: •O°`°• Code Edit: 2016 Worker's Compensation Insurance Designer: CASTANEDAJUAN °,° ° m°•.°m Type of Construction: Carrier: AMERICAN INS CO Address: 14201 FRANKLIN AVE Occupancy Group: U Policy No: WCUC64621300 TUSTIN CA 92780 • ®' °°° Added /New sq.ft. Bldg: 0 Expire: 11101/2018 Phone: 949.793-6356 • ° 06 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: I ...... Bldg Height: 0 Left: I O°°.9 °°••°° Bldg Sprinklers: Right: I ° Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ° ...... Construction Valuation: $11.000.00 ° mm•°mo c ° Building Permit Fee: $232.00 Excise Tax: $0.00 Planning Department - Fire Departments Plan Check Fee: $201.84 Additional Fee : $0.00 Plan check Fee: $37.50 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $22.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PM Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $60.74 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $555.08 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $267.60 Fee Due at Permit Issuance : $287.48 PUBLIC WORKS APPROVAL: (�f PLAN CHECK BY: J V 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 intendedor 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). ❑ I arKexempt 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:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent - Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of/f the Business and Professio s Sod," and icens ull"force and effect. License Class License No Date 20 Contractor Signature NORKERS' CQN MNSATION DECLARATION NORNING: FAILURE TIS %9&RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :99TWFCOMPENSATIONI DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm uade4 penalty of perjury one of the following declarations: ��I'tfayE 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 forma nce of the walk -or which this permit is issued. Policy No. V1iave and will Maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, Irppfe carrier dh?J"Ucy number are: riBc.0 "" Policy Number Agent p that, iIt tt Vnformance of the work for which this Mould become subject to - arkers' compens of AppiiGarlt, s l for the performance of the work for which this permit is issued. My workers' Date I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ction 3700 of the Labor Code, I shall forthwith comply with those provisions. Datezxfr' 11 11 :reby affirm und€Fpenalty 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). tder'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 co ty ordinances and state laws rel 'ng to building construction. I authorize representatives of this city or coun to en he ab entifi perty for inspection purposes. nature of PrODerty Owner or Authorized AD:�= Print Prooertv Owner's or Authorized Aoent's Name �.Z,r_>l' AS ACTION DATE BY' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXP/RED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMITEXTENDED PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: