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Home My WebLink AboutX2021-1098 - Permits;,xwtr,� City of Newport Beach - Building Division *X2021-1098* COMB Permit: X2021-1098 m 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 0860-2021 �, % Permit Counter Phone (949)644-3288 �� "u.. '" Inspection Requests Phone (949)644-3255 I i F-s S �'m ETU Issued Date : 08/30/2021 `',axransr Combination Type - CIP Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/30/2024 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: 853 PRODUCTION PL NB Description: COMM HIGH PILE STORAGE RACKS ITT' "HIXSON METAL" BETWEEN BLDG 3 & 4 Legal Desc.: Owner: METAL FINISHING HIXSON Contractor: Address: 829 PRODUCTION PL Address: NEWPORT BEACH, CA 92663 Phone: Phone: Applicant: CAMPOS RIK Con State Lic: Address: 10156 SHARON CIR Lic Expire: RANCHO CUCAMONGA CA 91730 Bus Lic: Phone: 626-594-6419 Lic Exp Date: Code Edit : 2019 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Building Permit Fee: $198.00 Plan Check Fee: $172.26 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $371.26 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: QUALITY MATERIAL HANDLING INC Architect: 10156 SHARON CIR Address: RANCHO CUCAMONGA, CA 91730 626-812-9722 Phone: 731100 Engineer: 01/31/2023 Address: BT30076421 08/30/2022 Phone: Worker's Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSA505942000 Expire: 02/0112022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / 'arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee State Lic: PALKHIWALA NARESH 1815 WRIGHT AVE LA VERNE CA 91750 909-596-1351 State Lic: C-026608 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: m o ommmmo 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $371.26 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: • o �emm00 0 mmb00 0 mmmoo m000ce m o 0 a o mmobco m c oomm 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). 1, 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, 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 improved 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 apply 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 exempjJtlrsm licensure under the Contractors' State License Law for the following reason: By my Signatuie.11elgw 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 Wj,pAructure tpaQ 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 Professions Cede-, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION IJler4y affirm;untieepenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section f Di vi ion 3 of the Business and Pro, fgssipns Cgd�ld my license is in full force antljelfEct. LiCLInsBClass License No Date ) Contractor Signature 1 / / 4fQWERS' �VMPENSATION DECLARATION Wli1llid: FAILURE*TE*S'ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. taret; affirm under penalty of perjury one of the following declarations: s.1.4ave and 1V11I 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 thi oerforrnance of the work for which this permit is issued. Policy No. 00 have 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 su nce carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of th rk 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 agre t, if I should become subject o the ork s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ij^ „ 1 JU I i (nature of Applicant/V\ GCat CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby 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). Tder'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 state laws relating to building construction. ppl I authorize representatives of this city or county a er t ove- entified property for inspection purposes. IIY/luicLl (nature of Prooertv Owner or Authorized ADentK Print Property Owner's or Authorized Agent's Name I Da ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED AQMD ISNOTAPPLICABLE TO CERTIFICATE OF OCCUPANCYISSUED