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Home My WebLink AboutX2019-1526 - PermitsF 'naxs�a City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)6443288 Inspection Requests Phone (949)644-3255 Combination Type - CIP MECH ELEC PLUM COMB Permit: X2019.1526 X 2 9 1 9 1 5 2 6 Project No: 1087-2019 Issued Date: 06/04/2019 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 Job Address: 2121 E COAST HWY NB St: 1 FI: 2 Unit: 270 Description: COMM TI "NOVUS MEDICAL" 1,380 SF Legal Desc.: P BK 152 PG 28 PAR 2 , Fi „1 Owner: COAST BUSINESS CENTER LTD Address: 1451 QUAIL ST #201 Record Management: NEWPORT BEACH, CA 92660 Phone:. $56.00 Applicant: HORVATH GREG Address: 21124 WINDCHILD LN Hazardous Mat HUNTINGTON BEACH CA 92646 Phone: 949-228-1657 Code Edit : 2016 Type of Construction: II -A -SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Valuation: $8i Building Permit Fee: $973.00 Plan Check Fee: $846.51 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $42.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access : $87.00 Hazardous Mat $0.00 Building Green Fee: $4.00 TOTAL FEE: $12,285.73 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: PDC INC Address: 1010 SHATHAWAY ST UNIT C $9,578.58 SANTA ANA, CA 92705 Phone: (714)664-0477 Con State Lic: 988559 Lie Expire: 11/3012019 Bus Lie: BT30055261 Lie Exp Date: 06/3012020 Worker's Compensation Insurance Carrier: EVEREST PREMIER INS CO Policy No: 7600020452191 Expire: 05/2912020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: I Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $254.73 $200.15 $163.76 Planning Department - Architect: Address: Phone: Engineer: Address: Phone: it =1 3 J . r =gy'i eyt 4.6-1 e - State Lia: .eV. e e moo. ooese¢ m ® m m c mm o State Lie: Designer: KHODADADI NAREG Address: 213 N ORANGE ST GLENDALE CA 91203 Phone: 818.823-7286 Special Conditions Plan check Fee: $80.00 Fair Share : $9,578.58 SJH Trans : $0.00 In -lieu Housing Fee : $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check :. $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: e meoo mmemnm room meoe m c00000 o mo C morn $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $1,190.33 Fee Due at Permit Issuance: $11,095.40 _ PUBLIC WORKS APPROVAL: /V _ PLAN CHECK BY: APPROVAL TO ISSUE: m m O 6 O eo m e 0 o n mm o oomm0 666mf1 000000 m � v n 000moo o c ommo 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). Iction 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 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 Ifessions 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )rovements 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. )roved 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 fly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 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 legal, 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 ,fessions CogL9,19 A)ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Prop" -Owner or Authorized Agent Date )ENSED COOTdiACTOR'S DECLARATION Ireby affirm un des penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 of Di ision of the Business and rofessi , an y license is in full force 6eflact. Licen Class License No Dat Contractor Sin re DECLARATION 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 ,GES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. y of perjury one of the following declarations: I Vave 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, PTrtAence of tqe word for which this permit is issued. Policy No. have and 419 maRain 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' compe Mi'lae carrier.Vd pplicy number are: iier I..:.* Policy Number Expiration Date of Agent for certify that, in the p rformance 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' ompensation laws of California, and agre I, if I should becom subjec eD(he-worF, 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applic in ` Date —y- CLARATION RE SSF3llCTION LENDING AGENCY Ireby 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 309 ,Civil Code). Ider'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 ordingy5eag ws relating to building construction. I authorize representatives of this city or county t ad property for inspection purposes. iature of ProDertv Owner or Authorized Aoent Print Prooertv Owner's or Authorized Aaent's Name ACOMPLICE WITH CODE OF FEDER e N - , I I DJ. „ RE9W ATIONATE OSPPA T611 OFTITLE 40 AND AQMD RULE AL FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEKA PERMITEXTENDED - r13AQMD PERMITFINALSBESTOS CERTIFICATE OF OCCUPANCY ISSUED NOT) ATION IS NOT APPLICABLE TO P POSED DEMO TI r4NATIIRP-