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Home My WebLink AboutX2019-0838 - PermitsCity of Newport Beach - Building Division Illllllllllllllllllllllllllllllllllllllllllllllllu COMB Permit: X2019-0838 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 8 3 8 Project No : 0565-2019 Permit Counter Phone (949)644-3288 ,- Inspection Requests Phone (949)644-3255 - :ayyY'srp Combination Type - BLDG GRAD ELEC Issued Date: 05109/2019 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 8i00 a.m. to 6:00 p.m. No work on Sundays or Holidays -. - -Job Address: 2600 SAN MIGUEL DR NB Description:. COMM SITE WORK "NEWPORT HILLS SHOPPING CENTER" -- Legal Desc.: P BK 119 PG 49 PAR 2 Owner. BANK OF AMERICA NT&SA .Contractor WEST COAST BACKHOE SERVICES INC >; Architact; Address: 101 N TRYON ST Address : 10661 CHESTNUT AVENUE Address: CHARLOTTE, NC 26246 " STANTON CA 90680 Phone l q - 2 ,(Phone: 714-840-62,46 Phdne " . State I jc: C Applicant. RUBY JAY Con State Lie: 639268_.° Fnmeer;t AU TEgR'Ri�d � K ' a Address: 23 MAUCHLY #110 ., ° ° • Lie Expire 031.3112 Address: 343 ARMITOS PL - i 11}} • ° IRVINE CA 92618 CC e.°•e Bus Lic ��" 8T30060393 DIAMOND BAR CA 91765 P • • ° ee••°o • ° Phone: 949-727-9095 LiaExp Date 09/3012019 Phone ° 94942T-9095"- State L C-068466 .Code Edit: 2018 Worker's Compensation Insurance ' Designer: - . ° ° • ° ° Type of Construction: Carrier: EMPLOYEE SERVICE GROUP Address: Occupancy Group: U Policy No C602Q2281_ Added /New sq.ft. Bldg. 0 r Expire 10/01/2019 . - Phone: ® ° ° • ° ®• ° ° ° Added/New sq. ft. Garage: 0 No of Stories: 0 ` - J a r": '" @i °O°0 8ui€ i Setbge)Cs F { Ream'/ 6; Special Conditions: # ° °°•eoo No Units 0�I - X/ .. c. , „- }4,y t�l " kt! ..... of : .. c 1 Front.--/ Bldg Height 0 !d 4-_,.a: yc._ Left: I ° Bldg Sprinklers: - : Right: Ia ° • • • ° ° Flood Zone: X Use Zone: Parking Spaces: 0 i 0000 Construction Valuation 30 0 0.00 Scan ,�� ,.1 Building Permit Fee: $526.00 E>7iaz9 $1Pt)o Planning Depar��rlt�r t('�j"�(jQ1-te�) Fire Department - Plan Check Fee: $457.62 AdditpnaI Ft. 94.00 Plan check Fee : $40.00 Fire Inspection: $0.00 ,. .Overtime Plan Ck $0.00 Grad�l�iF�at��"! $0.00 Fair Share: < $0.00. Fire Plan Rev $0.00 Investigation Fee:. $0.00 Grading PC Consultant : $0.00 :. SJH Trans `. $0.00 DemuMM-i Fe - Record Management: $26.00 Grading Permit Fee $875.00 In-IieuJdousingFee-"'--r-- $0.00 di ph4 $0.00 Energy Compliance: $0.00®tP. a� Grading Pam;,_..----$r761:25-"`. Public Works Department-. a�B�ei�y�j�ffi§' I -Service $0.00 CA Seismic Safety: $0.00 04ZSInsp. Fee: $0.00 Park Dedication $0:0 RefuPd�pgposit: $0.00 Disabled Access, $87.00 - an Check :. ,ZS,..��°`�"' �`ra'ring Bond: $0.00 Hazardous Mat $0.00 EiedrIaaT'01�--'-�-�- <6 --� Satt°Di - $0.00 Building Green Fee: '$2.00..:•-�.�fiAesWarriaslx6 . $0.00 - NMUSD Fee: $0.00 $0.00 - Plumbing %: $0.00 $0.00 TOTAL FEE: $3,261.47 Plan Check Fee: $294.00 Fee Due at Permit Issuance : $2,967.47 G PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: - - APPROVAL TO ISSUE:. - LfZ 9 OWNER -BUILDER DECLARATION f 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) 1 have placed next to the applicable item(s) fiction 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). 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, Iiness 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 theproperty, provided that the Movements 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 )ly 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 legally 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 ifessions Code, is available upon request when this application is submitted or at the following Web site:http:/Arnow.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date )ENSED CONTRACTOR'S DECLARATION - ereby affirm )rider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business andtons d ,and my license is in full force 1 effect. Licerfst'Class License No Date. / Contractor Signal i�-- )MRS'dJAPENSATION DECLARATION .. iNINC: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE ;It OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :reby affirm underpmalty of perjury one of the following declarations: 1 have and w1PrMintain 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 IN fpgyance of (t %ora for which this permit is issued. Policy No. dleve 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' compensatior $arise carrier aAd policy number are: Tier : .:... : Policy Number Expiration Date m@ of -Agent rnone r Iocbftify that, flap, jArr mance 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 worke ' compensation laws of California, and agre) rt, if I should become subject to rl rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. )n_Q�j Q mature of Applicant Np te_�—/iJ�� / ICLARATION REGAFIDING CONSTRUCTION LENDING AGENCY sreby 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). 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county (¢ enter thee -identified property for inspection purposes. @. I A. aI . y_ C,an PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE NOTAPPLICABLE TO I _