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Home My WebLink AboutX2019-2672 - Permitsr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII II COMB Permit: X2019-2672 i 4 100 Civic Center Drive, Newport Beach CA 92660 x 2 9 1 9 2 6 7 2 Project No : 1903-2019 Permit Counter Phone (949)644-0288 E~ rr $ Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC Issued Date . 08127/2019 Inspection Area : 7 PERMITS EXPIRE 180DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.. I 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: 555 SAN NICOLAS DR NB Description: COMM-ADD.(3) CHAGING STATIONS@ EXTG PARKING STRUCTURE, (3). EV SIGNS, RESTRIPE EV STALLS' ' Legal Desc.: ,: INSPECTOR Owner, IRVINE COMPANY Contractor CASCO CONTRACTORS INC Architect .-. 'Address: 620 NEWPORT CENTER DR #150 Address:.: 9860 1RVINECENTER. OR Address: NEWPORT BEACH CA 92660 IRVINE, CA 92618 Phone: i949-729-7220 " Phone: 949.679.6880 Phone: - - State Lic Applicant: VACH RAID Con State Lic.. 790706 - Engineer Address: 9850 IRVINE CENTER DR :Lic Expire 01/31/2021 Address: - IRVINE CA'92618 ' :Bus Lic BT30041027 Phone 949-679-6880 tic Exp Date: 1013112020 Phone: State Lic : • a • .. • I,I Code Edit 2016 Worker's Compensation Insurance Designer VACH RAID - • • Type of Construction II-B-SPR Carrier: CYPRESS INS Address: 9850 IRVINE CENTER DR m `m b •.• Occupancy Group: S2 Policy No: CAWC922797 IRVINE CA 92618: ` Added /New sq.ft. Bldg: 0 Expire: 01101/2020 Phone: 949-679-6880 ` • ` , °� Added/New sq. ft. Garage:. 226460 No of Stories: 3 Building Setbacks Rear I Special Conditions ° ° ° ° • ° No of Units 0 Front I .•® Bldg Height: 0 Left. I ° • •I, o Bldg Sprinklers -. Y - Right / ••P°° Flood Zone. X Use Zone. Parking Spaces: 0 Fire Hazard Zone: N a ° °°• Construction Valuation: $65,000.00 Building Permit Fee: $868.00 Excise Tax: $0.00 Planning Department- Fire. Department . °®ma`o' Plan Check Fee: $755.16 Additional Fee :. $0.00 Plan check Fee, $40.00 Fire Inspection.: $ 60 Overtime Plan: Ck $0.00 Grading Bonds Fee $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee $0.00 Grading PC Consultant: $0.00 SJH Trans $0.00 Demolition Fee Record Management: $14.00 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 :. $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 : Electrical %: $227.24 San .Dist: $0.00 Building Green Fee . '$3.00 Mechanical % $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL F E : $1, 48.65 Plan Check Fee: $1,170.13 Fee Due at Permit Issuance : ' $778.52 PROCESSED BY: PUBLIC WORKS APP OVAL: {� ZONING APPROVAL: 'T PLAN CHECK BY: I GRADING APPROVAL: APPROVAL TO ISSU 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) ction 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 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 fessions Cade) 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 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, dness 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 rovements 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 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 ,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: 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) 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 fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date :ENSED CONTRACTOR'S DECLARATION ireby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Di isi n 3 of the Business and Proles ' s C de, an my license is in full force effect. License Class License No Date Contractor Signature )RKERF.CCQAPENSATION DECLARATION MING: 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 �i OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'reby affiM under penalty of perjury one of the following declarations: 1 4lave 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 liante of ihB%Vrk for which this permit is issued. Policy No. i1aV and �iil�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 e carrii@rXo Policy number are: I r. Policy Number Expiration Date 0e of Agent' ' Phone # certify that •in ttfe aerformance 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 if.1 should becomE6subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -ature of ApjDate -1 AGATInNmgzrbdnI4 I I / N I FNITINfi Af:FNCV ' 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) der's Name.' Lender's Address ny signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. 1 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 enteC the above -identified property for inspection purposes. ,.r.,— . f or. ,, nm. r — AI,rH^ripen A^enr k Print Prnnertv Owner's or Authorized Anent's Name ) kev 1 T ULi Date DATE I BY DECLARATION OF I REGULATIONS PART 61 OF IITLE 40 AND QMD RULECIE WITH CODE OF FOR OFFICE USE ONLY LJEPA r1AQMD ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION