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Home My WebLink AboutX2017-2035 - Permitsnub _ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2017-2035 J 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 2 0 3 5 Project No : 1416-2017 - Permit Counter Phone (949)644-3288 y + : Inspection Requests Phone (949)644-3255 Issued Date : 0712612017 r zrx v*' Combination Type - CIP MECH Inspection Area :'S? 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: 20402 NEWPORT COAST DR NB Description: COMM "SAGE HILL SCHOOL" REPLACE EXISTING ROOF -TOP HVAC AND PAD ON GYM BLDG Legal Desc.: P.M. 309-1POR. OF PAR. 1 Owner: SCHOOL SAGE HILL Contractor: SOUTHLAND H V A C & CONSTRUCTION INC Architect ^-L`R9.4->4� tY..ILI�" v':36.S'�^C=. u ... _.. _:. mai$vn'.a�iJ(rla:YTldec-mc!.:i'ae en �.�N-.x,4,- F • � Address: 4400,MA RTHUR BLVD �t �7 Address: 14540 ARMINTA STREET 4p2 Address: NEWPp BEr M� �926603- Jf` (. �ZZ PANORAMA CITY, CA II !?n ,IiC' rl-�I�• ° • ° Phone `> '�'--f'h'otter-'8itr-473=4t30- r r, - Pli3ile: State Lic: a ;l ° • ° Applicant SHI.jLIVIA GIN iv.x Cpn Stag. Lii 6 .�- ❑ f3()% CIEs e�Ut�% rr.,fu i�� Address: 5161 ,CA OR IA AVE 7• 0 L., �'- a LiG'y, i[� & 1 t A ress: - mm IRV)IE, 92 -7 �{✓y�B�l�"�1'"• °. BT3f1$ mmmmoo Phone 949= 1 63 r> a " ' "" 2^'L�ti: x ( te'£. 3 • _-.., p:. '%3-,i•, �u.3 t�i V�t1�1.33,l;Phone_ State Lic: -� 4 c a (,. mmm000 Code Edit:, 2016 Worker's Compensation Insurance Designer: Type of Construction .C• er INS TF� WEST Address: � ¢8rmm•b�m Occupancy Groups U 'a , " '^ 'xv 1 3 Added /New sq ft.Idg: ' ?X , f+"" 2f Phone: n • m o °' ° ° Added /New sq. ft, ara e: _ % .n I" p No of Stones. '�., , 0 $ •,,.-'"-^'`' ` BuiMir Setba s R '"• Special Conditions: No of Units : i^t 0 Front: I Bldg Height: `'' -` 0 Left: I Bldg Sprinklers: r.:., Right: I m Flood Zone: l_';, .,,� , ..s. U e-� 9+•�, ,-." Parkin Spgn. HazaOd- Qa Construction Val- do OOm1L �.,,:5, rl. _;s a yyg v �y o,�;-..r'/ e �J 4,„ 4,114 a 4 A 9 LAI a a a , ( 6 Building Permit et= $1,845.00 \t�1-t'I-�,�Ea�o)seex:{ $0.00 PC$`�'.�ep rcSei�t;T:uJ J artment Plan Check Fee-4� 1,6 5.15 \ A�iiitionaf Fe $0.00 \ fan chelc•�e`e : $37.50 spection: $0.00 Overtime Plan C$Y}: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Rev $0.00 Investigation Fe fi0• Grading PC Consultant : $0.00 SJH Trans : $0.00 on"Fee 9 �Q�Record Managerent:1'4:b6'____'"w"""-Gradlrrg'RermitF'ee:�'-"-$O:t10 "�in=ifen tiovsmgF-ee---'--$. "`--gDept Adm $24.00 Energy Complian0t $0.00 Grading PC Fee: $0.00 Public WorkspDepartment, ral Service $197.00 CA Seismic Safety ,: $0-00�.�.._._._--WA-Insp.-Fee-:_- «n.0D _--Park.Dedicahon ? $�$Oy/30��^ .....__Re nd Deposit $564.00 Disabled Access i�". x Q�(�4.,,., _ _ P n/ I g1cN„_. Q G hg Bond: $0.00 .� r .- e a r �.a�.xnx„ <nxc . mw... ,-z, ..�v. « z _rcr- Hazardous Mat $0.00 Electrical %: $0.00 $0.00� San Dist: $0.00 Building Green Fee : $10.00 Mechanical %: $379.52 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $4,676.17 Plan Check Fee: $1,819.22 Fee Due at Permit Issuance : $2,856.95 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: X-ZIUPLAN CHECK BY: ff �V GRADING APPROVAL: APPROVAL TO ISSUE: LrT6 G5 OWNER-BUI 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 applicant 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 U all of or (_) 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 im roved for the purpose of sale). 1, 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 Er p 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). .. . am exempt% lioensure under the Contractors' State License Law for the following reason: Qy rp% pignature 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[, sell a structure t%atXhla0e 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 CoQE, is available upon request when this application is submitted or at the following Web site:http://Ww .leginfo.ca.gov/calaw.html. $igi1gtyr2 of Property Owner or Authorized Agent Date LLCEgSED CONTRACTOR'S DECLARATION :herrebraffirm uodeF p4nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Divigion 3 of the Business and Profe ions C demand my license is in full force and effect. Ligpgje QIass License No Date Contractor Signature / figRKERS' dOMWNSATION DECLARATION NARNING: FAILURE TD SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HU RED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE yF)V(VCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 0E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' hereby affirm tuislwpenalty of perjury one of the following declarations: .I h... ave and.will,rpaintain acertificate 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 7er"hance ottpt work for which this permit is issued. Policy No. I have grid 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' compensatiol Isurance carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the performance 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' com ensation laws of California, and agre tat, if I should become su jact to the rke ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date �7 l IECLARATION REGA DING CTION LENDING AGENCY hereby affirm under natty of perju hat there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ,Civil Code). Ender's Name Lender's Address y 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 coufity ordinances and state laws relating to building construction. I authorize representatives of this city or county c enter the OpoA#Atified property for inspection purposes. ACTION DATE BY / DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / // REGULATIONS PART 61 OF TITLE 40AND AQMD RULE 1403 NOTIFICATION TO PERMIT EMENDED NJ UAQMD PERMIT FINAL BESTo' NOT (CATION I NO PPLICABLE TO CERTIFICATEOF PROPOS E LITIONJD OCCUPANCYISSUED SIGNATURE: �,,�