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Home My WebLink AboutX2020-2722 - PermitsCity of Newport Beach - Building Division *X2020-2722* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP GRAD PLUM ELEC INSPECTOR COMB Permit : X2020-2722 Project No : 2161-2020 Issued Date : 05/04/2021 Inspection Area : 7 Job Address: Description: Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/04/2024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 pin: and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays 1 HOAG DR NB COMM - FOUNDATION & GRADING FOR MODULAR TRAILERS FOR OFFICE USE (LOCATED NEXT TO NURSE EDUCATION CENTER) IRVINE SUB BLK 1 LOT 172 POR OF LOT HOAG MEMORIAL HOSPITAL 1 HOAG DR NEWPORT BEACH CA 92663 BROOKS CARY ONE HOAG DR NEWPORT BEACH CA 92663 949/929-7544 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: B Added /New sq.ft. Bldg: 9000 Added /New sq. ft. Garage: 0 No of Stories: No of Units : Bldg Height: Bldg Sprinklers: Flood Zone: 2 0 0 Y X Contractor: Address: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: SOUTH COUNTY CONTRACTORS 161 EXETER WAY #87 CORONA, CA 92882 949-205-6304 988175 11/30/2021 BT30048035 07/31/2021 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Use Zone: Rear / Front: / Left: / Right: / Parking Spaces: 0 Architect: Address: Phone: ACEVEDO NICHOLAS JAMES 166 VIRGINIA PL #A COSTA MESA CA 92627 State Lic:C032405 Engineer: YOUNG ROGER PAUL Address: 18400 VON KARMAN AVE #100 IRVINE CA 92612 Phone: 949-252-1022 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N State Lic:S-003623 • • • • • • mmm• • • • 0 • m • •• • • • • • • • • • • • • ••m• • ••mm • •• • • • • • mm c • ommmmm • c ••moat • m • m • a a •• • a • o c •• c ••0ac • ••0Ca ••meat • c m c Co 0<co 0 mocc Construction Valuation: $150.000.00 Building Permit Fee: $1,537.00 Plan Check Fee: $1,337.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $144.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $150.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE: $7,924.51 Excise Tax: Additional Fee : Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $2,445.24 $975.00 $536.76 $0.00 $402.39 $0.00 $258.68 Plan Check Fee : Planning Department - Plan check Fee : Fair Share : SJH Trans : In -lieu Housing Fee : Public Works Department - Park Dedication : $0.00 PNV Plan Check : $86.00 San Dist : $0.00 NMUSD Fee: $0.00 $46.25 $0.00 $0.00 $0.00 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,337.19 Fee Due at Permit Issuance : $6,587.32 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: CL- 51(/f s% PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: dl� T24,4 SPZ • • • 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 applicar*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 U 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). 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 apply to an ogigtofproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exemptgm licensure under the Contractors' State License Law for the following reason: 9y1fi3 signatQ2 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 legally sell a structure therl 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. Silhhture of Prrpsrty Owner or Authorized Agent Date 'LICENSED CDM[RACTOR'S DECLARATION Y I hereby affirm ygrjer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section' 0 0 of Division 3 of the Business and Prof�dsi�o dey and %A tense is in full force asd effect. Licen•Qlass License No Date Contractor Sig nature I .1 WORKERS' CQMPENSATION DECLARATION WARNING: FAILURE TO *E.CURE 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 COST 01 COMPE[JSATyON.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. l j e eJ.y affirm drAier lienalty of perjury one of the following declarations: ..4 have and tAlhmgintain 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 the performance of the work for which this permit is issued. Policy No. I have and will maintain 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' compensation insurance carrier and policy number are: Carrier Policy Number Expiration Date yame of Agent Phone # 'Ire-Lcertify that, in the performance of the war for ich this permit is issued, I shall not employ any person in any manner so as to become subject to the work rs' compensation laws of California, and agree Fhat, if I should beco subject t the worke co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. C, Signature of Applicant //�� D —:< 4/ 2 DECLARATION REG RDIN CONSTRUCTION LENDING AGENCY I hereby affirm under penalt 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). 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 information I have provided is rrec I agree to comply with all applicable city and count ordi antes a slat laws relating to building construction. I authorize representatives of this city or count to ent /tyhe Sabo d property for inspection purposes. Signature of Property Owner or Authorized Agent /.!N Print Property Owner's or Authorized Agent's Name ACTION DATE BY D/CLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY 4\V+./2.1 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED 442-1/ AQMD BEST TIFICATION I$ N07 APPLICABLE TO PROPOSED D4pr10Ll QN SIGNATURE: ��J