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Home My WebLink AboutX2020-0048 - Permits1.4 City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F, t Permit Counter Phone (949)644-3288 du Inspection Requests Phone (949)644-3255 c�;xsna Combination Type - CIP ELEC MECH PLUM *X2020-0048* COMB Permit: X2020-0048 Project No: 0048-2020 Issued Date: 06/28/2020 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 4440 VON KARMAN AVE NB St: 1 FI: 2 Unit: 250 Description: COMM TI "EVANS FEAR SCHITTERT (2456 SF) Legal Desc.: N TR 8762 LOT 5 Owner: 4440 VKA TIC 3 LLC Contractor: STELLRECHT COMPANY INCORPORATED THE Architect: INSPECTOR Address: 2 PARK PLZ #700 Address: 15261 TRANSISTOR LANE Address: IRVINE CA 92614 HUNTINGTON BEACH CA 92649 Phone: Phone: 714-898-7557 Phone: State Lie: Applicant: PILKERTON TRICIA Con State Lie: 497453 Engineer: Address: 3150 BRISTOL ST #205 Lie Expire: 0813112020 Address: `- COSTA MESA CA 92626 Bus Lie: BT30062909 Phone: 949-724-1499 Lie Exp Date: 01131/2021 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: PILERTON TRICIA .... Type of Construction: I-B-SPR Carrier: STATE FUND Address: 3150 BRISTOL ST #205 Occupancy Group: B Policy No: 9017146 COSTA MESA CA 92626 Added /New sq.ft. Bldg: 2456 Expire: 07101/2020 Phone: m ` m ®m a ®• • o Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: / Special Conditions: ° • e e ° a No of Units : 0 Front: I mmmm Bldg Height: 0 Left: I me °m °em Bldg Sprinklers: Y Right: I o 0 0 mm o Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ° ° • m ®m • m m o m o Construction Valuation: $109,000.00 e emmmco Building Permit Fee: $1,222.00 Excise Tax: $0.00 Planning Department - Fire Department mm e • • • m • o • ° Plan Check Fee: $1,063.14 Additional Fee : $0.00 Plan check Fee: $40.00 Fire Inspection: • $0 00 ° • ° • ° ° Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev e ° 6.60 ° °. • ° ° Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee .... Record Management : $40.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $76.30 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $109.00 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $319.92 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $251.37 NMUSD Fee: $0.00 $0.00 Plumbing %: $205.66 $0.00 TOTAL FEE : $3,332.39 Plan Check Fee : $1,649.91 Fee Due at Permit Issuance : $1,682.48 PROCESSED BY: PUBLIC WORKS APPROVAL: p�� ZONING APPROVAL: _ FLU/I PLAN CHECK BY:. - GRADING APPROVAL: APPROVAL TO ISSUE: J�--� 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 (_) all of or U 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 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). ❑ 1 am exempt from licensureunder 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 legally 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 applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:htlp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se o 000 I 1 1 of the Bu ' as and Profession cerise is in full force and effect. License Class License No to �.iContra r Signature r' WORKERS' COMPENSATION DECLARATION ✓�rJ7t��J4 NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S AND CIVIL FINES UP TO ONE HUNDRED THOUSA DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. / hereby affirm underpenalty of perjury one of the following declarations: 4 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 (Ice of tqe t4o* for which this permit is issued. Policy No. and win 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 irr>o' &P rrier anU policy number are: Carrier. • ': Policy Number Expiration Date Neme.otpgent • • • • Phone # . .. ❑• I'Qdttlfy that, ift jFYeWlformance 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 Calif rnia, and agree Ihivt,gAl-should b come subject tot orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ..----11 Sgnelureo plieant.. to D�CLAF.S4 O 7:F1nAN C T DNGAGENCY D21t:b)' affirm'undP•�� at tre is a construction lending agency for the pertormance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name • Lender's Address By my signature below; I certify to each of the following: I am the properly 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 'ag,soRoE I authorize representatives of this city or county to ent abov - party for inspection purposes. Signature of Property Owner or Auth r Agent Print Property Owner's or uthorized Agent me ` al4 to ACTION DATE BY TI N OF COMPLIANCE WITH CODE OF FEDERAL FOROF E USE ONLY REGU NS PART 61 OF TITLE 40 AND AQMD RULE , PERMITEXPIRED I I / I L_I I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL [.ZI1&0 QO' inASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PR POSED DEM(;MTft)N !` OCCUPANCYISSUED SIGNATURE: