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Home My WebLink AboutX2021-2002 - Permits,.roe City 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 MECH ELEC PLUM COMB Permit: X2021-2002 IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II Project No : 1749-2021 Issued Date : 10/0512021 Inspection Area :7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010512024 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: 2161 SAN JOAQUIN HILLS RD NB St: 1 FI: 1 Unit: 103 Description: COMM TI "UCI EXECUTIVE" 685 SF Legal Desc.: P BK 54 PG 23 PAR 1 Owner: SCHILLING AVIATION U S LLC Contractor: HANNA CONSTRUCTION Address: 45 TANAGER WAY #S-802 Address: 1203 W SHELLY COURT GRAND CAYMAN XX, 31240 ORANGE CA 92868 Phone: Phone: 714-633-8200 Applicant: JOHN/BURGHARD ADOLF Con State Lic: 242846 Address: 41951 REMINGTON AVE #250 Lic Expire: 05/31/2023 TEMECULA CA 92590 Bus Lic: BT30076792 Phone: 951-296-2828 Lic Exp Date: 1013112022 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: B 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 Valuation: $86,000.0085.000.00 Building Permit Fee: $1,106.00 Plan Check Fee: $962.22 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $30.00 Energy Compliance: $61.00 CA Seismic Safety: $0.00 Disabled Access : $91.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE: $3,009.41 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9082931 Expire: 01/01/2022 Building Setbacks Use 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: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $289.66 $227.50 $186.14 Architect: BURGHARD ADOLF E Address: 39415 CALLE ANITA TEMECULA CA 92592 Phone: 951-296-2828 State Lic:C013795 Engineer: Address: Phone: State Lic: Designer: Address: Phone: 1� Special Conditions: INSF)Izn Fire Hazard Zone : N �. 1 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 $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $1,493.37 Fee Due at Permit Issuance : $1,516.04 � r _ to o " z Pt9BLIC WORKS APPROVAL: z co L PLAN CHECK BY ,.,APPROVAL TO ISSUE: c 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 :he 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 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 iot 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 L) 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 mproved 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 licensure 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 Iegalll 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. 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 Section 7000) of Division 3 of the Business and Professions ode and my license is in full force and effect. License Class License No Dat��(7`O� "Lt� Contractor Signature \/ WORKERS' COMPENSATION DECLARATION ✓ ,/\I 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 th p rmance of the work for which this permit is issued. Policy No. ave 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' compensatiol ipsurance carrier and policy number are: Policy Number Date ne of Agent """ I certify that, in the performance 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 agre t, if I should become subject to the Workers'f compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant I). �- Dat f oLdl' Z CLARATION REGARDING CONSTRUCTION LENDING AGENCY !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). 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 owners 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 to enter the bove-identified property for inspection purposes. nature of ProDertv Owner or Authorized Agen.a / Print Property Owner's or Authorized Agent's Name �V ��t� c`i-C `1"i�- _ Date ACTION DATE I BY DECLARATION OF REGULATIONS PART 6 OF IITLE 40 AND AQMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATIQI� TO.•• b PERMIT CANCELLED EPA • • • • - • - r • ..• PERMIT EXTENDED QMD PERMIT FINAL Z-7-44�7, f(, /�jr CS 58ESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF ROPOSED DEMOUTIO ••• • .•• •� OCCUPANCY ISSUED SIGNATURE: • •••