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Home My WebLink AboutX2019-2959 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 e 4*• Inspection Requests Phone (949)644-3255 a Combination Type - CIP PLUM IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2959 x 2 9 1 9 2 9 5 9 Project No: 2071-2019 Issued Date : 1210212019 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 3(�3 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: 389 NEWPORT CENTER DR NB Description: COMM REMOVEIREPLACE GREASE INTERCEPTOR Legal Desc.: P BK 221 PG 30 PAR 3...... Owner: IRVINE CO Contractor: J R M CONSTRUCTION MANG WEST LLC Address: 550 NEWPORT CENTER DR Address: 959 SOUTH COAST DR #325 Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Phone: Phone: 949-629-4297 Phone: Applicant: SCHUBERT ROBERT Con State Lic: 1013928 Engineer: Address: 1 CITY BLVD STE 1800 Lic Expire: 05131/2020 Address: ORANGE, CA 92868 Bus Lic: BT30064912 Phone: 714-679-7677 Lic Exp Date: 10/3112020 Phone: Code Edit: 2016 Type of Construction: III-B-SPR Occupancy Group: M Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Construction Valuation: $70,000.00 Building Permit Fee: $903.00 Plan Check Fee: $785.61 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $12.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $1 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: TRAVELERS INS Policy No: UB3K3628431926G Expire: 04/2012020 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $151.97 Designer: Address: Phone: Architect: State Lic BISHOFF RYAN WILLIAM 3300 IRVINE AVE #245 NEWPORT BEACH CA 92660 949.862-8510 State Lic:S-006250 Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $41.25 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $40.00 - Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: •• o • • O o ee e $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $937.56 Fee Due at Permit Issuance : $999.27 n PUBLIC WORKS APPROVAL: U 1 I e. PLAN CHECK BY: APPROVAL TO ISSUE: 0 0 e e c ee o e o m o � m• < o•eom m oseoc omm. oa m c c m c ®4m£9< m mooc 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 le 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 'rofessions Code) or that he or she is exempt from Iicensure 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nproved 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 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). 7 I am exempt from Iicensure under the Contractors' State License Law for the following reason: Iy 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 legalh 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://www.leginfo.ca.gov/calaw.htmi. ',ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm.und¢6denalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) D'dision 3 of the Business and Prof a is in full force nd effect. License Class License No Daft Contractor Signaturr I/ORKERS'lr0MMNSATION DECLARATION XTONG: FAILURE S9bURE 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 TA COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm ender penalty of perjury one of the following declarations: 3-1-have and'Afl ernaintain 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 th i armance pfthp Vmrk forwhich this permit is issued. Policy No. 'have and MI 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' wFurance carries' and policy number are: .arrier ...... Policy Number Expiration Date fit of Agent -vnone a .. certify thy, jrj fhL performefnce of the wor whiermit is issued, I shall not employ any person in any manner so as to become subject to the workers' co ens n laws of California, and ogre I, if I should become sub ct to thew I rs' ati provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date! CLARATION REGAR G CO NSTRUCTION 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 dst� ® count I authorize representatives of this city or R I i. s r ting to building construction. operty for inspection purposes. ,// nature of ProUerty Owner or Authorized Aoent _ Print Property Owner's or Authorized Agent's Name L'/// I ACTION DATE BY DECLARATION OF IREGULATIONS PPA T0MPLIANCE WITH CODE OF 61 OF ITLE 40ANDAQMD RULERAL FOR OFFICE USE ONLY PERMITEXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED I I I UAQMD PERMITFINAL '73.2m ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: