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Home My WebLink AboutX2019-1988 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 e Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC "X20191988"` COMB Permit: X2019-1988 Project No: 1446-2019 Issued Date : 06/1512020 Inspection Area : 7 PERMIT EXPIRES 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/16/2023 OR PERMIT WILL BE INVALID 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: 4667 (CS) MACARTHUR BLVD NB Description: COMM CELL SITE "T-MOBLIE" Legal Desc Owner: HILBERT MARK Address: 1300 BROSTOL ST N #190 Record Management: NEWPORT BEACH CA 92660 Phone: $0.00 Applicant: KRIVAK DANNY Address: 24310 MOULTON PKWY #1009 Hazardous Mat LAGUNA HILLS CA 92637 Phone: 949-336-1550 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: 925.000.00 Building Permit Fee: $475.00 Plan Check Fee: $413.25 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $28.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,078.68 PROCESSED BY: ZONING APPROVAL: Contractor: ERISSON INC DBA E US INC Address: 6300 LEGACY DR Fair Share: PLANO TX 75024 Phone: 469-266-7025 Con State Lie: 698896 Lie Expire: 11/30/2020 Bus Lie: BT30052827 Lie Exp Date: 10/3112020 Worker's Compensation Insurance Carrier: ACE AMERICAN INS CO Policy No: WLRC66920215 Expire: 05101/2021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: GRADING APPROVAL: `�4_1 = Rear: / Front: / Left: I Right: I ?aduno Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $62.18 $0.00 $0.00 Plan Check Fee Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: MARINELLI LOUIS INSPECTOR 27 ORCHARD LAKE FOREST CA 92630 949-716-9990 State Lic:CO29680 JONES RICHARD ALAN 1300 DOVE STREET STE 100 NEWPORT BEACH, CA 92660 State Lic:S-004977 mo m a ocmc oeoe o c m vc c. Special Conditions: Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share: Fire Plan Rev SJH Trans: Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 a ® m 0 00 000a $57.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $536.38 Fee Due at Permit Issuance : $542.30 PUBLIC WORKS APPROVAL: PLAN CHECK BY: v , APPROVAL TO ISSUE: a ocoac� m � ooyc.: 0 UUmdV Gca ovmo� Fire Department $41.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: a ® m 0 00 000a $57.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $536.38 Fee Due at Permit Issuance : $542.30 PUBLIC WORKS APPROVAL: PLAN CHECK BY: v , APPROVAL TO ISSUE: a ocoac� m � ooyc.: 0 UUmdV Gca ovmo� 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 le permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions 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). 1, 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, Iusiness 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 ofproperty who builds orimproves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 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 Iega% ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Irofessions 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 Se n 7 00 of Division 3 of the Business d Professions Code n license is in full force nd effect. License Class License No • 'S' ' CJ Contractor ig ature - VORKERW CONLFPENSATION DECLARATION IARNING: 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 QST OF CPMPENSA RIM, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ddr8I1?4ffirm ugdb2 Qegalty of perjury one of the following declarations: 7q 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 • ormance of the work for which this permit is issued. Policy No. •and wift;i"rfl§in 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' compensatiol I uranee carrier and policy number are: MFOIS1 • • • • • • Policy Number Expiration Date Phone # 19M2 dF Agent ...t. I oertlfZ 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 worker 'compensation laws of California, an ogre A if I should bi;G�Ie subject to the workers' compensation prows) f Section 00 of the Labor Code, I shall forthwith comply with those provisions. '/Jr . gof Ap'G � ECLARATIONC hereby affirm t. e enally 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). ender's Name Lender's Address ly 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 c my to enter the ab nti property for inspection purposes. sionature of Prooertv Owner or Authorized. _ nt Print Property Owner's or Authorized Agent's Na STEAI>+�NLvI�'•E 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 U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL=T6-ZOZ/AS NOTIFICATIONIS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: