HomeMy WebLinkAboutX2018-3870 - Permitsano4�
City of Newport Beach - Building Division
Investigation Fee:
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3288
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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
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GRADING APPROVAL: ° ° 21QPF0VAL-TO ISSUE:.
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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
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GRADING APPROVAL: ° ° 21QPF0VAL-TO ISSUE:.
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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
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FOR OFFICE USE ONLY