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Home My WebLink AboutX2021-2807 - Permitstry amity of Newport Beach - Building Division ¢ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 r. Inspection Requests Phone (949)644-3255 i5� 3 Combination Type - BLDG ELEC IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIII II COMB Permit: X2021-2807 Project No : 2442-2021 Issued Date : 03/04/2022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310412025 OR PERMIT WILL BE INVALID 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: 611 (CS) HELIOTROPE AVE NB Description: COMM MODIFICATION TO (E) CELL SITE "AT&T" Legal Desc.: CORONA DEL MAR LOT 9 BLK 634(AND LOTS 11 13 15 &17 BLK 634 Owner: CHURCH CORONA DEL MAR Contractor: C I K BUILDERS Architect: DO D.K. Address: 611 HELIOTROPE AVE Address: 240 W GROVE Address: 32 EXECUTIVE PARK #100 CORONA DEL MAR, CA 92625 ORANGE CA 92867 IRVINE CA 92614 Phone: 310-779-3507 Phone: 714-938-0297 Phone: 949-475-1000 State Lic:C018015 Applicant: ANIAG STEPHANIE Con State Lic: 969729 Engineer: Address: 3300 IRVINE AVE STE 300 Lic Expire: 08/31/2022 Address: NEWPORT BEACH, CA 92660 Bus Lic: BT30073771 Phone: 714-414-9443 Lic Exp Date: 12/3112022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: SENTINEL INS Address: Occupancy Group: U Policy No: 72WEAQ10518 Added /New sq.ft. Bldg: 0 Expire: 10/1212022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $25,000.00 Ila Building Permit Fee: $504.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $438.48 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire: Plan Rev $48.50 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $22.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 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 : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $65.97 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $1,131.95 Plan Check Fee: PROCESSED BY: �iau iDo° ne.a m ZONING APPROVAL: " GRADING APPROVAL: << c v om oo� $569.67 Fee Due at Permit Issuance : $562.28 PUBLIC WORKS APPROVAL: {L- PLAN CHECK BY: V /�y�� d-J V_ APPROVAL TO ISSUE: 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) 'action 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 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 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 n 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 pply 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: 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 legally 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://w .leginfo.ca.gov/calaw.htmi. ',ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury at I am licensed under provisions,gf� er 9 ommencing with Section 70 0, of Division 3 of the Business and Professions Code,.an y license is in full force nd effect. License Class ig License No `9f D Date j"'ry'� Zz- Contractor Signatures CORKERS' COMPENSATION DECLARATION 'ARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain 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 6kfgrmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date ne of Agent rnone s 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' compensation laws of California, and agree t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 9 nature of Applicant Date CLARATION REGARDING CON UCTIOWIMENDING AGENCY :reby 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 to an er t a ve-identified property for inspection purposes. nature of Prooertv Owner or Authorized ADertS./ _ Print Property Owner's or Authorized Agent's Name A'iwti�7 M FL02�L Dated •7 -ZLXs� ACTION PERMIT EXPIRED PERMITCANCELLED CERTIFICATE OF OCCUPANCYISSUED DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 19�9i1r % REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE 1403 NOTIFICATION TO LIASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION - rrr