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Home My WebLink AboutX2019-2739 - PermitsConstruction Valuation: $100.000.00 W1p City of Newport Beach - Building Division Building Permit Feer $1,113.00 Excise Tax: $0.00 Planning Department - Fire Department COMB Permit: X2019-2739 -- ` .100 Civic Center Drive, Newport Beach, CA 92660 IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIII�IIII X 2 0 1 9 2 7 3 9 Project No : 0499-2018 $61.00 [+ Permit Counter Phone (949)644-3288 Fire Inspection: $0.00 . Inspection Requests Phone (949)644-3255 - Overtime Plan Ck: $0.00 'r'vey��,c> Combination Type - CIP GRAD ELEC PLUM Issued Date: 0 9104/2 01 9 Fair Share : $0.00 Fire Plan Rev Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 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 on Sundays or Holidays $967.60 Job Address: 445 ECOAST HWY NB Demolition Pee Description: COMM -ADD SERVICE CANOPY 971 SF & SITE MODIFICATIONS"BENTLEY" Record Management: $80.00 Legal Desc,t P BK 25 PG 46 PAR 1.. $875.00 _ Owner: NEWPORT BEACH CARS Contractor: -. UNITED CONTRACTORS Architect: KELKAR VANDANA Z Address: 110 SE 6TH ST #26TH Address: 10725 ELLIS AVE #D Address: 38 TECHNOLOGY DR #100 r FORT LAUDERDALE, FL 33301 FOUNTAIN VALLEY CA 92708 IRVINE CA 92618 �JJ Phone Phone: 801-792.7417 - Phone: 949.923.6042 State Lic:CO28069 CA Seismic Safety: Applicant STANTECIHANIF Con State Lic 949005 : Engineer: CHEN JEFF m Address: 38 TECHNOLOGY DR #100 Lic Expire: 06130/2020 Address: 17500 SKYPARK CIR #240 $0.00 IRVINE CA 92618 Bus Lic BT30053869 IRVINE CA 92614 ` Phone: 949-923-6042 Lic Exp Date: 02129/2020 Phone: 949-250-3150 State Lic:S-004699 - P/W Plan Check : $165.00 - Code Edit 2016 Worker's Compensation Insurance Designer: o Type of Construction. V -B -SPR Carrier: STATE FUND Address: Electrical %: - Occupancy Group: U Policy No: 9119462 San Dist: $0.00 Added /New sq.ft. Bldg: 971 Expire:- 12/0612019 Phone: Building Green Fee ; Added /New sq. ft. Garage: 0 Mechanical %: $0.00 No of Stories: 1 Building Setbacks Rear: / Special Conditions: LIQUEFAVTION AREA $0.00 No of Units : 0 Front: I Bldg Height: 0 Left: / $100.17 Bldg Sprinklers: Y Right: $0.00 Flmrl 7nna X I lea 7nna- Pnrkinn Snacaa . n Pira Ha�arrl 7nna - N Plan Check Fee: Construction Valuation: $100.000.00 Building Permit Feer $1,113.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $61.00 Additional Fee `. $61.00 Plan check Fee: $0.00 Fire Inspection: $0.00 . 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: $967.60 SJH Trans: $0.00 Demolition Pee Record Management: $80.00 Grading Permit Fee: $875.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $212.40 Public Works Department - General Service $0.00 CA Seismic Safety: $28.00 WQ Insp. Fee'. $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $100.00 - P/W Plan Check : $165.00 - Grading Bond: - - $0.00 Hazardous Mat $0.00 Electrical %: - $155.82 San Dist: $0.00 Building Green Fee ; $4.00. Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $100.17 $0.00 TOTAL FEE : $3,922.99 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $3,922.99 PROCESSED BY: _I `, ` « : G141LIC WORKS APPROVAL: L ZONING APPROVAL: W W PLAN CHECK BY: GRADING APPROVAL: - ` «, �., `.� '. `� V <. APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I' 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 1e 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 'rofessions 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 applicantto a civil penalty of of more than five hundred dollars ($500). I, 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, lusiness 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 nprovements 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. nproved 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 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). -- I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legaii) ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Z0?0) of Division 3 of the Business and Pro r as 'on C de�nd my license is in full force nd effect. License Class 13 License No qi OOS Date -O Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herebyaffirm 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 ormance of the work for which this permit is issued. Policy No. have and willIntain 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' Fence carrier al�d policy number far � $ U. ,% v/Niiiiu ber Expiration Date ne of Agent __.U -=m , vv • "' 14!= rnone s 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 , if I should become .s�u/jiject to the,workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /& QY/ tature of Applicant Da1c',�'--�, —017, m-0 �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which ibis 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 counntytfo n r e above -identified property for inspection purposes. nature of Prooertv Owner or Authorized Alien{ Print Property Owner's or Authorized Agent's Name. I 1%tiF-+f ACTION DATE BY - DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 •• •.• PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATI0340 �•• i a s• PERMIT CANCELLED • DEPA • • ++ • a. PERMIT EXTENDED• QMD + PERMITFINAL �-^�/ SBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF 3 / �`( PROP SEDE OLITION •° °•• • • • ••• OCCUPANCY ISSUED SIGNATUR •• ••• • . •• •• •••