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Home My WebLink AboutX2019-3304 - PermitsCity of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 h _ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH PLUM IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II COMB Permit: X2019-3304 x 2 0 1 9 3 3 0 4 Project No : 2294-2019 Issued Date: 11/1812019 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: TI -' SAN MIGUELHLAB DR NB 11%40 ,�� I U Description: TI-'STRETCHLAB' 1200 SF �\YI Legal Desc.: P BK 119 PG 49 PAR 1 Owner: IRVINE CO Contractor: JOHNSTONE CONSTRUCTION CO Architect: AMOR WILLIAM Address: 550 NEWPORT CENTER DR Address: 40116 VILLAGE ROAD #2114 Address: 9483 HAVEN AV NEWPORT BEACH, CA 92660 TEMECULA CA 92591 RANCHO CUCAMONGA CA 91730 Phone: Phone: 909-747-7054 Phone: State Lic:C-24421 Applicant: REYNOSO DAVID Con State Lic: 925910 Engineer: Address: 9483 HAVEN AV Lic Expire: 12/3112020 Address: RANCHO CUCAMONGA CA 91730 Bus Lic: BT30069718 ° ..... Phone: 909-259-9971 Lic Exp Date: 11/3012020 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B -SPR Carrier: NORGUARD Address: Occupancy Group: B Policy No: JAWC082560 O0 Added /New sq.ft. Bldg: 0 Expire: 06128/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: ° No of Units : 0 Front: / cc ° ° oo°oo Bldg Height: 0 Left: I Bldg Sprinklers: Y Right: I 00000 0 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $96,000.00 0000 Building Permit Fee: $1,085.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $943.95 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: $74.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $67.20 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $96.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $284.05 San Dist: $0.00 Building Green Fee : $4.00 Mechanical %: $223.18 NMUSD Fee: $0.00 $0.00 Plumbing %: $182.61 $0.00 TOTAL FEE: $2,999.99 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $1,468.09 Fee Due at Permit Issuance : $1,531.90 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER 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) lection 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 is 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). 7 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, 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 roved for the purpose of sale)? J 1, as owner of the.proparty,,. am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pplyto 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 I 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 legall) 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 udder pgnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business: P c fessi ns orde,aa m1 license is in full force nd effect. Licep"raless License No �D�t -f -! 6 '- Z dl `\ Contractor Si at e _ V•Cjgl;fRS' CQMP*SATION DECLARATION ARNINGPFAILURS►OSEMRE 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. he%4y affirm undbr penalty of perjury one of the following declarations: 11 have and 410lneintain 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 ar%uuance of the work for which this permit is issued. Policy No. • •• tt241 and vJIILItI�nNtain 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 isuraRce carrier and policy number are: arriel• • • Policy Number Expiration Date 6 oPAgent ...... F none s eAly that, in tale Itorman fife work -f which this permit is issued, I shall not employ any person in any manner so as to become subject to the P? should Beep 'subject t he workers' co p nsation provisions -of -Section.. 3700 of the Labor Code, I shall forthwith comply with those provisions. compensation laws of California, and ' 1 8 "Z�l `[ Signature of?DI� r �/ �ate�l DECLARATIOt1RHGARD1NNd CO R E ON LENDING AGENCYv''\�\ is lending for the the for this is issued (Section 3097, Civil Code). I hereby affirm under perialty of perjuryhat there a construction agency performance of work which permit Lender'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 informatioglve provided is correct. I agree to comply with all applicable city an county or ai-ic� d state laws relating to building construction. I authorize representatives of this city or cc ly tD an r e abov -i ntified property for inspection purposes. '''T 1 Signature ori Pro ert Own r o thorized Agent Print Property Owner's or th ed Agent's Name J o S�%� a h>7 %�'^"'f Date1-4-2011- ACTION DA - BY / DECLARXTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFIC171USCONLY c� REGULATIONS PART 61 OF TITLE 40 AND ACMD RULE 1403 PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMIT EXTENDED LkQMD PERMITFINAL �y �Z' S(; SBES OY iF 11ATIO NO APPLICABLE TO CERTIFICATE OF c� O 5 D MOLIT ON OCCUPANCYISSUED SIGNA UR . ___