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Home My WebLink AboutX2019-2978 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ei Inspection Requests Phone (949)644-3255 ,? Combination Type - BLDG ELEC IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2978 x 2 0 1 9 2 9 7 8 Project No: 2083-2019 Issued Date : 11126/2019 Inspection Area : S7 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: 1501 (CS) WESTCLiFF yD B /e Description: COMM CELL SITE "V IZO y- Legal Desc.: TR 4225 LOT 8 POR LOT AS DESC IN US - OR- _ - �.-_._-----mod--- gy�� t Address: 600 DOVE ST #480 IES LL<:$._ �-Z Codress:or 315 W IDAHO AddressArchitec: 3471FULSVIA LIDO STE 202 NEWPORT BEACH, A 92 - - KALISPELL MT 59901 NEWPORT BEACH CA 92663 ®� Phone: Phone 4 - 6 Phone: 8-4139 State Lic:C030716 Applicant: HOLLAND GARRE porb to Lit' 66�774 - �fiqq��gg(( ,„ e • m m o Address 3471 VIA LIDO ST 202 '` - g-Li Nit rQy� q�13 , _ Add'rdSrrJj�: • m ° NEWPORT BEAC CA 92663 LiCp,� tt"� '-;f3�1` 6319 - � • • • • e m o Phone: 949-633-6576 Llo Exp ;t9' G� l3 202 _ �`-�'. t h : ®f. o a State ic: • m m m m �1 , • o ° Code Edit: 201 r s ensation Insurance s Designer: V ✓"� f • • ° Type of Construction: la _. I r eI u ICH AMERICANO j/(/yl �Ss Udl Occupancy Group:U �¢cy �:fi y d 4 4 r1I•,- me o m Y' S �g ✓ 9� Added /New sq.ft. Bldg: 0 Ex�9 g11F��,19 y',J Phone: • • ° o Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I ' Special Conditions: , • o °O o° o No of Units : 0 L'al,�� Front: / Bldg Height: 0� t' P-`. Left: I Bldg Sprinklers: ,� T Pf Rght: I o ° • ° o • o ° Flood Zone: ((4✓o" se Z ne: 5i rS aces Fire Hazard Zone : N Construction ValuationP36 000.00-"9 , ry-� � - Building Permit Fee:28.00 Excise Tax: $0.00 Plan ing Depa m�{i4i, ae<, Fire Dep ment - Plan Check Fee: $28 �difie Fee : $0.00 Pl ti(�eD� ft' �'' $ Ov Fire In action: $0.00 Overtime Plan Ck: _ $0. Grading Bon s Fe $0.00 Fair Share : % 51'( -) 0.00 Fire Pla Rev $0.00 Investigation Fee: `$0'00,�_ ing PC Consultant : SJH Trans : Yc.U) $0.00 Demoli on Fee Record Management: $22.00 �.�,�aading emit-Eeeq: - $0.00 Housing Fee: $0.00 Build g Dept Adm $0.00 Energy Compliance: $0.00 GradI C Fe%..-,.�, .00 Public V olks-DeR2.rtment - Gen ral Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee : 0.00 Park Dedication: -$" Ref d Deposit $0.00 Disabled Access : $0.00-"*^--„„� IaiLG�tEF,t S $04Q0 "��Grad g Bond: $0.00 Hazardous Mat $0.00 Electrical%: $42.94 "'Si•is&, . $OElibi xt ; Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: ,�uu:�0 -�•_- $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $719.30 Plan Check Fee : $345.34 Fee Due at Permit Issuance: $373.96 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: L GRADING APPROVAL: 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) 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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, einess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the )rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that itwas not built or (roved for the purpose of sale). _ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally I a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent - Date TENSED CQJ1VACTOR'S DECLARATION :reby Still under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section.70 0) of Division 3 of the Business and Professiolns Code, and my license is in full farce t e$feat. License Class - License No Date 1�'�5'1 Contractor Signature 0;1i )RISERS' CO�VIP NSATION DECLARATION s IRING.+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 IT CPCOMPENSAFION,.D� MAGES AS PROVIDED FOR IN SECTION 3TU8 OF THE LABORCODE, INTEREST, AND ATTORNEYS FEES Ifebv,pffirm uhjl r-pEnalty of perjury one of the following declarations: I have and "16mointain 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 thr Ir'D�rAmance of jhe%grR for which this permit is issued. Policy No. ,Y;YIi 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 canoe carrierand policy number are: Policy Number Expiration Date certify that, in fht'erforma ce 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' comp sation laws of California, and agre( if I should become su/b,' Ito the worker ' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �1 p latureofApplicant CLARATION REGAgDING CONSTRUCTION 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 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 toen'teohe above -identified property for inspection purposes. - Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I- PERMITCANCELLED UEPA PERMIT EXTENDED QMD PEFMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: