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Home My WebLink AboutX2019-3828 - Permits-t City of Newport Beach - Building Division a 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �4+ Inspection Requests Phone (949)644-3255 Combination Type - BLDG MECH *X2019-3828* COMB Permit: X2019-3828 Project No: 2632-2019 Issued Date: 1211112019 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 8:00 a.m. to 6:00 p.m. No work on Stpdays or Holidays Job Address: 888 SAN CLEMENTE OR NB Description: COMM REMOVE AND REPLACE CLOSED CIRCUIT COOLING TOWER ON ROOF Legal Desc.: IRVINE SUB. FOR OF BLOCK 55. Owner: IRVINE COMPANY Contra��gf;,,� �n��E G NEERED SYSTEM$ N� kq�1{tarr��' Address: 550 NEWPORT CENTER DR ress: 6265 SAN FERNANDO RD 1� '^p ddress: NEWPORT BEACH C 0�® GLENDAALLg_c120Y Sta Phone: Li hone-2226 8@ 3'52 Ritlrte®r C, t Applicant: ROBERTSON KE EY J)Ckte = Con State Lic O6LO �•��Engineer:• TREMBI-&Y-PIfkTHA l�Address: 266 MCCORMICK VE Lic kue "5 3tn �ttii+w".s r 'jO$VtOM ---PO BOX 6024 COSTA MESA, CA 2626 iir4Buf,Lk& 4 �1 Bt0 §PINE MOUNTAIN CLUB GPhone: 714.352-2226 Lic �DR `3kav Phone: State Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 3 No of Units : 0 Bldg Height 0 Bldg Sprinklers: Construction iw 6 2016 r'>�cmpehsa iion Insurance Designer: V-B-S Carrier: ARCH Address: B Policy y 1fy1'� 0 112 Phone: 0 is gWA "" Rear. / Special Conditions: {9 Front: I Left: I m Right: I Y Use Zone: Parking Saases: 0 5 Fire Hazard Zone-i,M Building Permit Fee: $938.00 Plan Check Fee: $816.06 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $12.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 PROCESSED BY: xcl �ekr � 0.00 Planning Department- �re-0 ment _ dditio�l Fe 5 .3.1'tG 0.00 Plan check Fee : `, $gJ).00- Fire I ctio Gradih 'iS`dA'ee: $0.00 Fair Share: $000 ,, �. Fi[e PI Grading CConsultant: $0.00 _SJHi-r - unsom0 t demolitio e� Grading Permit Fee: __-_$•0.00 In -lieu Housing Fee $0 b0 -B ii11f$n' g Dept Ak Ntc9rading PC : $0.00 Public r ss artment 1,.w....- General Service 11 �4SS tt`` W nsp. Fee : $0.00 Park DpolcatiorrP-- $L1.00 Refund Deposit -`w:�`PA11%'Plan Check: $0.00 Grading Bond: -deetricarm' ,�„n-_45 1161 San Dist: $0.00 ry ryl Obamis2f°fog' $70.16 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $1,935.22 ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee m m mmommo 0 m o 0000mm m 0 0 mo•oom m e oe 0 o m mmmm $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $944.70 Fee Due at Permit Issuance : $990.52 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: • m oeeeeo 0 0 ommoo m emmoo emooma c m e o oeemoo omm•eo L,t-Z A 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 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 L) 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). 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 ap 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: By 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 legal) sell 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 applicabledaw, 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.htmi. Signature of Property Diner or Authorized Agent 775 Date LICENSED CONTRACTOR'S DECLARATION I heresy affirm underpellalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 000) of Division 3 of the Business rofes s ode, and y li ns is in full force an4effVt. License Clats License No t Contractor Si natu e VJOAKE!kS' COM1PENSATION DECLARATION 1 VLLARS WARNING, FAILURE TO GDOUAE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ($100,000), IN ADDITION TO THE COSIOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. - I hereby affirm u �dej Qgrralty of perjury one of the following declarations: J have and will mainiain 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 rpggce of the ftrk for which this permit is issued. Policy No. ave end wili 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' compensatio i Iyresc%carrier and policy number are: arcior. • • Policy Number Expiration Date Name of Agent •' • Phone # 1:11 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 w kers' compensation laws of California, and agre that, if I shoal become su ject to the wor rs' c mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '� p, f Signature of antI/V Dated �d 1 I DECLARATION GAR ING CO TR CTION LENDING AGENCY I hereby affirm un r penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Se io 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 owners 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 o it ounty t an r the abo a-iden " ad property for inspection purposes. -f-r I2 ISignature �� e` hf.V of Property Owner o Au 1 d Agent Print Property Owner's or Authorized gen_N e a ate ACTION TE BY DECLARbtION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OFTITLE 40 ANDAQMD RULE 1403 PERMITEXPIRED y- I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED LIAQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: