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Home My WebLink AboutX2021-0686 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .. zs Inspection Requests Phone (949)644-3255 `/ztsrrx> Combination Type - CIP ELEC MECH PLUM ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� COMB Permit: X2021-0686 x 2 0 2 1 0 6 8 6 Project No : 0627-2021 Issued Date: 0511712021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0511712024 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: 2131 WESTCLIFF DR NB -A L*L Description: COMM TI - 1437 SF'DR SHELDON LU' DENTAL OFFICE. INCL ROOF -MOUNTED A/C UNIT Legal Desc.: N TR 4225 LOT 1 gg__ Owner: HANKEY INVESTMENT CO Contractor: TANC AND CONSTRUCTION LLC Architect: PAK JIN KYUNG I N V10 Address: 190 NEWPORT CENTER DR Address: 1717 W ORANGEWOOD AVE #1 Address: 6301 CALIFORNIA AV 9100 NEWPORT BEACH CA 92660 ORANGE CA 92868 IRVINE CA 92617 Phone: Phone: 949-788-1060 Phone: 949.261-1001 State Lic:C038478 Applicant: BABIC NIKO Address: 5301 CALIFORNIA AV #100 IRVINE CA 92617 Phone: 949-701-4050 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: B Added /New sq.ft. Bldg: 1437 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Construction Building Permit Fee: $1,837.00 Plan Check Fee: $1,598.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $72.00 Energy Compliance: $140.00 CA Seismic Safety: $0.00 Disabled Access : $200.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTAL FEE: $5,924.66 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 1031279 Lie Expire: 09/3012021 Bus Lie: BT30075091 Lie Exp Date: 04/30/2022 Worker's Compensation Insurance Carrier: CLEAR SPRING Policy No: CSWK0000083780 Expire: 02/08/2022 Building Setbacks Use Zone: 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: I 'arkino Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $480.93 $377.87 $309.17 Plan Check Fee 0 Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lie: Fire Department $92.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: •oem m oamo , mee ® m m 0 m oommoo m mmm m e o om m ° mmmeoo m ° ° m m o mm ° e ° , • o 00 ° .eemo e mmooc mmmmo oo m ° pO omeo ® ° m eommmm moo $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 $2,481.58 Fee Due at Permit Issuance : $3,443.08 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 7e 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 Irofessions 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 7 1, 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 pply 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: ly 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 legall, ell 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 Irofessions 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 .ICENSED CONTRACTOR'S DECLARATION / hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business alltb Pro i s e, a license is in full force nd effect. License Class License No S'/�7 % Contractor Si n t .... IIORKERS' CQMPffNSATION DECLARATION KRHIY4: FAILUIIS�EE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST ORCOMPEt15Af IOIE,.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. hgrebi affirm LndgrOpenalty of perjury one of the following declarations: I 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 ance c(;[%%Mrdrk for which this permit is issued. Policy No. nd,will "ajntain 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 ur%Pce car:jr-and policy number are: arner ..+ PolicAumber Expiration Date ;of Agent, 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.^\ / of :reby affirm under D6nalty 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 L Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owne behalf. I have read this application and the information I have provid correct. I agree to comply with all applicable city and county di t aws relating to building construction. authorize representatives of this city or county n above-' tified property for inspection purposes. Signature of PropertyOwner or Authorized Ag - Print Property Owner's or Authorized . e Name 7 to ACTION DATE ly 14, 6ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 0 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITFINAL 1-c- tOZZ bC for GS BEST NOTIFI TI TA ABLE TO CERTIFICATEOF OCCUPANCY SUED Sl E EM �