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HomeMy WebLinkAboutX2018-3870 - Permitsano4� City of Newport Beach - Building Division Investigation Fee: 100 Civic Center Drive, Newport Beach, CA 92660 r. Permit Counter Phone (949)644-3288 �ro Inspection Requests Phone (949)644-3255 Phone: Combination Type - CIP GRAD ELEC IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2018-3870 x 2 0 1 8 3 8 7 0 Project No: 2984-2018 Issued Date : 12104/2019 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 JobAddrQssi-1200 DOVE ST NB _ Description: COMM ADD ROOF COVERED TRELLIS ON BOTH SIDES TO EXISTING ATM KIOSK STORAGE. IOSK 408 SF Legal Desc.: P BK 63 PG 27 PAR 2 Owner: AG REDSTONE OWNER LP Contractor: REDHAWK BUILDERS INC Architect: PERKOWITZ SIMON _ Address: 150 PAULARINO BRE DI 82 Address: 200 TECHNOLOGY STE L Address: 17911 VON KARMAN AVENUE SUITE 200 Code Edit: 2016 Type of Construction: V -B Occupancy Group: B Added /New sq.ft. Bldg: 408 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $2,368.00 Plan Check Fee: $2,121.16 Overtime Plan Ck: COSTA MESA, CA 92626 Investigation Fee: IRVINE CA 92618 Record Management: IRVINE, CA 92614 Phone: $210.00 Phone: 949-754-9050 Phone: 714.921-9361 State Lic:CO24026 Applicant: SMITH LIN Con State Lic: 692901 Engineer: ALLEN THOMAS CHRISTOPHER Address: 17911 VON KARMAN STE 200 Lie Expire: 10/3112021 Address: 2 VENTURE #400 IRVINE, CA 92614 Bus Lie: BT30027314 IRVINE CA 92618 Phone: 949-221-6272 Lie Exp Date: 04/30/2020 Phone: 949-477-4001 State Lic:S-005460 Code Edit: 2016 Type of Construction: V -B Occupancy Group: B Added /New sq.ft. Bldg: 408 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $2,368.00 Plan Check Fee: $2,121.16 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $42.00 Energy Compliance: $210.00 CA Seismic Safety: $84.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $12.00 TOTAL FEE: $7,701.10 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: INS OF THE WEST Policy No: WSD503114304 Expire: 09101/2020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: / Right: / larking Spa $0.00 $0.00 $0.00 $967.60 $312.00 $212.40 $0.00 $619.94 $0.00 $0.00 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $165.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $3,116.41 Fee Due at Permit Issuance : $4,584.69 anm o -e _ r FUOLIC lN(k�KS AF:PRCAAL: ° mcm o a 6 PLAN CHECK BY: m GRADING APPROVAL: ° ° 21QPF0VAL-TO ISSUE:. ` o ��� mEv ¢o e m oom Fmo Fire Department $40.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $547.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $3,116.41 Fee Due at Permit Issuance : $4,584.69 anm o -e _ r FUOLIC lN(k�KS AF:PRCAAL: ° mcm o a 6 PLAN CHECK BY: m GRADING APPROVAL: ° ° 21QPF0VAL-TO ISSUE:. ` o ��� mEv ¢o e m oom Fmo 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 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 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.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 Section 000 of Division 3 of the Business and Profess ns my I' ense is in full force and effect. License Class License No Date LI "� Contractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: 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 ($700,000), 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: ❑ 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 0 rmance of the work for which this permit is issued. Policy No. I[.II have and wilbrnaintain 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' compensatioi is of Agent certify that, in the performance of the , if I should become spbject to,the wo Date 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 Tlpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n J nature of ApplicantTIO L - CLARATION REGA DING C NST CENDING AGENCY �reby 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). [der'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 state laws relating to building construction. I authorize representatives of this city or count to enter t dentified property for inspection purposes. L /' nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na/°gle /GTO { l7Cft ACTION DATE BY ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMrFFED ASBESTOS N F•ICPTIQN TO PERCANCELLED OEPA • • ° a s PERMITEXTENDED OMD CERTIFICATE OF OCCUPANCY ISSUED NOTIFICATION IS NOT APPLICABLE TO MQUT• i2_ ��—' FOR OFFICE USE ONLY