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Home My WebLink AboutX2019-2773 - Permits�. City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F , , Permit Counter Phone (949)644-3288 4t Inspection Requests Phone (949)644-3255 ra u w� Combination Type - CIP ELEC IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2773 x 2 0 1 9 2 7 7 3 Project No : 1972-2019 Issued Date: 12/1812019 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 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 840 NEWPORT CENTER DR NB Description: COMM -CELL SITE W/BATTERIES TO EQUIP "AT&T" Legal Desc.: P BK 136 PG 22 PAR 1 PROCESSED BY: ZONING APPROVAL: B FNE1LIF WORKS4PPROVAL: = JO (C = 0 64 6 t o PLAN CHE$K BV': GRADING APPROVAL: `_ _ APRROYA� TO ISSUE: W e E L UGU OG C ta �uG .0 Owner: IRVINE COMPAN Contractor: METRO RF SERVICES INC Architect: Address: 550 NEWPORT CENTER DR Address: 2320 S ARCHIBALD AVE Address: NEWPORT BEACH CA 92660 ONTARIO CA 91761 1�7 Phone: 714-928-1597 Phone: 909-230-4920 Phone: State Lic: 1®� Applicant: PACHECO CHRISTINE Con State Lic: 895236 Engineer: MONEY ALAN Address: 3659 GREEN ROAD #214 Lic Expire: 04/3012021 Address: 2447 W 12TH ST STE 1 CLEVELAND OH 44122 Bus Lic: BT30061751 TEMPE AZ 85281 Phone: 323-847-6994 Lic Exp Date: 01/3112020 Phone: State Lic:C-046959 q�t}yy Code Edit: 2016 Worker's Compensation Insurance Designer: rKJ Type of Construction: I -A -SPR Carrier: OLD REPUBLIC GENERAL INS. Address: Occupancy Group: B Policy No: AICW12301700 Added /New sq.ft. Bldg: 0 Expire: 05/15/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 7 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I 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 $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $38.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $56.00 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 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $81.68 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 : $800.12 Plan Check Fee: $479.44. Fee Due at Permit Issuance : $320.68 PROCESSED BY: ZONING APPROVAL: B FNE1LIF WORKS4PPROVAL: = JO (C = 0 64 6 t o PLAN CHE$K BV': GRADING APPROVAL: `_ _ APRROYA� TO ISSUE: W e E L UGU OG C ta �uG .0 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 ie 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 applicant to 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 (_) all of or `) 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). 1 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' State License Law). 7 1 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 legally 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.htmi. 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 00) of, isi 3 the Business and Pro s s Co�l'ic}ense is i orce nd effect. License Class License No Dat Contractor Signature YORKERS' 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. hereby affirm under penalty of perjury one of the following declarations: 7 1 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 erpormance of tV work for which this permit is issued. Policy No. have and of ill m�`ntain workers' compensation insuran�, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carnek and Dolicv number r -e % e--'2 Date of certify that, in the performance of thew r 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 t, if I should become suliiect to th rke comp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dat CLARATION REGenDI G CONST CTION LENDING AGENCY :reby affirm under alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 Civil Code). ider'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 county ordinanc state laws relating to building construction. I authorize representatives of this city or county an -I n ed property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam (U r 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 I__I I SUBMITTED ASBESJiiS N5WICATI®N i0 PERMIT CANCELLED UEPA • • • e s PERMIT EXTENDED gNlp • • • • PERMITFINAL ASBESTOS NQTIFICATIONIS TAPPLICABLE TO CERTIFICATEOF OPOSED L • • • • •• OCCUPANCY ISSUED SIGNATURE: • r • • • e +