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Home My WebLink AboutX2018-3889 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter. Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC PLUM *X2018-3889* COMB Permit: X2018-3889 Project No : 2999-2018 Issued Date: 0611012019 Inspection Area :V7 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 Sundays or Holidays Job Address: 2538 SAN JOAQUIN HILLS RD N13 Description: COMM TI COMMUNITY FITNESS CENTER 8: RETROOMS 446 SF 8 tom` ww Legal Desc.: IRVINE SUB LOT BLK 93 POR OF BLK (P M 35-1 PAR 1) Owner: IRVINE COMPANY LLC Contractor: WESTERN NATIONAL CONTRACTOR Architect: ROBINSON MICHAEL r; 5 Address: PO BOX 2450 Address: 8 EXECUTIVE CIR Address: 3195-B AIRPORT LOO� R� ` M n NEWPORT BEACH, CA 92658 IRVINE CA 92614 COSTA MESA CA 92626 Phone: Phone: 949456-0326 Phone: 714-825-8888 State Lic:CO20731 Applicant:. PEREZ IRENE Address: 3195-B AIRPORT LOOP DR COSTA MESA CA 92626 Phone: 714-261-5094 Code Edit: 2016 .Type of Construction: V-B Occupancy Group: B Added /New sq.ft. Bldg: 446 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Building Permit Fee: $548.00 Plan Check. Fee: $476.76 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $34.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $87.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE $1,423.46 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Can State Lie: 840973 Lie Expire: 06130/2020 Bus Lie: BT30037724 Lie Exp Date: 1213112019 Worker's Compensation Insurance Carrier: TRAVELERS PROPERTY CO Policy No: UBOK7205411826G Expire: 10/01/2019 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: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $143.47 $0.00 $92.23 Engineer Address: Phone: 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 Plan Check Fee : $626.42 State Lie: 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: oee• o e mmee mmmm o m'o om m m o m omeooe 0 moom m 0000c P ococmom $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $797.04 PUBLIC WORKS APPROVAL: I� PLAN CHECK BY: APPROVAL TO ISSUE: owarrrros ommmo em 000•o 0 o••o 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 items) (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 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 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 Iicensure 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 lega% 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:http://www.leginfo.ca.gov/calaw.html. 11 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 Sectian 700 of Di sion 3 of the Busine Profesf§n od�ncy;mylicense Is in full force and effect. License Class License No DRW Contractor Sig re WORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENDAI (MDAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. ffirm uddllsT penalty of perjury one of the following declarations .;'N and wiM 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 Ice of1he work for which this permit is issued. Policy No. and wiU 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' compensa carrier.ald"licy number are: Policy Number Expiration Date htW Agent• rnone m .. certify that, in 4he performance of the work for which this permit I is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, an agre ,, if becomg subjec�to the rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. pa(p�e of A Int • D to F�,AATIO GARDING C UCTION LENDING AGENCY Ireby affirm une4 enalty of perjury at 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 and state laws relating to building construction. I authorize representatives of this city or county I e! er tfjeab e-identif' -property for inspection purposes. �� nature of Prooertv Owner or AutI�ePPed AGent }�.1 � Print Property Owner's or Authorized Age ,Ke Cy` `j�%�Z']1 to ACTION DATr' • BY DECLARATfONIOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED - UBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED PA PERMIT EXTENDED MD PERMITFINAL S. 50-Zt St. kr CS q6rASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF POSED DEM,OUTIO�7/��}yy OCCUPANCYISSUED qq SIGNATURl J'F r-t� f