HomeMy WebLinkAboutx2021-1406 - Permits�;,x•rrr.
City of Newport Beach - Building Division
•X2021--1406"
COMB Permit: X2021-1406
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Project No : 1231-2021
Inspection Requests Phone (949)644-3255
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Combination Type - BLDG ELEC
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Issued Date : 0111412022
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0111412025 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: 3233 PACIFIC VIEW DR NB
Description: COMM CELL SITE "VERIZON"
Legal Desc.: IRVINE SUB LOT POR OF BILK
96 SHOWN AS PARCEL 1 OF PARCEL MAPS -7/42-
Owner: RECTOR WARDENS
Contractor:
TECHSICO ING
Architect:
O°"
Address: 3233 PACIFIC VIEW DR
Address:
910 S HUDSON AVENUE
Address:
;°°°o•°°•°m
CORONA DEL MAR, CA 92625
TULSA, OK 74112
Phone:
Phone:
918-720-0123
Phone: State Lic:
•
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Applicant: MARTINEZ LUIS
Con State Lic:
1052016
Engineer: LEEPER MICHAEL
°•••%
Address: 22347 LA PALMA AVE STE 107
Lic Expire:
0413012023
Address: 506 SECOND AVE #1533
•
'° • ° :
YORBA LINDA, CA 92887
Bus Lic:
BT30077541
SEATTLE WA 998104
....
Phone: 562-631-7008
Lic Exp Date:
12/31/2022
Phone: 442-237-3749 State Lic:C-083930
..••.
Code Edit: 2019
Worker's Compensation Insurance
Designer:
••°•°°
Type of Construction: V-A
Carrier:
TRANSPORTATION INSURANCE CO
Address:
•, •
• • •
: . :
Occupancy Group: U
Policy No:
6024207214
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......
Added/New sq.ft. Bldg: 0
Expire:
04/01/2022
Phone:
:'• °•
°°.,,°
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions: TELECOMMUNICATION SITE
No of Units: 0
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: /
A
Construction Valuation: $30 000.00
Fire Hazard Zane : N
Building Permit Fee:
$570.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $563.90
Additional Fee :
$0.00
Plan check Fee :
$52.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$48.50
Investigation Fee: -
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$28.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$61.00
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,
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$74.61
San Dist;
$0.00
Building Green Fee :
$2.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $1,400.01
PROCESSED BY:
ZONING APPROVAL:
M
UA
Plan Check Fee : $675.12 Fee Due at Permit Issuance : $724.89
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: M r- D-Jk '3 G
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER-BU LDER DECLARATION
I hereby afhmunder penatyofpe4wy that I a m exempt. from the Contracbrs.SWe License. Law fat be reasons) indi Gist bebw by tm dre *Twk(s) 1 have. pboed neu to the appicableicem(s)
(Section 70315. S ainess and Professions Code:. Anyotyo r ommttyihat requhm a pemito wmtuct alter, urprove; denoish, orrepair prbrto its. issuance, also rewires fteappdcant br
the pemt to fie a signed slatenentt bathe or she is Tcensed pursuant b he p o visions of tee C ilracbrs' State License Law (Chapter S (comencing wib Section 7000) of Dmson 3 cf fie Susaeess and
Profssarts Code) or •lathe or she 's eoernptfromlbansure and the basis for the alleged exemption. Any tiDLdon o f Section 703f-5byanyappl'cant br a pemd subjects the appicant to a ovi penalty of
not rime than Eve hutetted dollars *SW).
❑ I, as owner of be property, or ny employees wth wages as etek sole oatpensaten, val do L) al of orL) portions of the work and be studare is not intended or offered br sab (Section 7044,
Business and Pofessons Code: The ContracbW Sate Ucense Law does notappfyb an owner ofpropertyywho. through employees' or personal Offal, burlis ot-urraroves. the.pmperry, provided that the
improvernems are not intended oroffered for We. If, however: the bumlft or Fnproverrent is sob wthin one yearof conpkroon,. the Cwner$urZ9erwl have the burden ofppwng-twit was Oct bull or
rm roved br the purpose of sale),
L.I [,as owuarc f& a property, am exch si * contracting wth fcensid Contacbrs to construct the project (See6on 7044,.Bvsness and Professions Cade: The Contractxs State Lcense taw doesnat
apply b an &M pfpropertywho brntls or irrpmves erereon, and wbo contracm lor the projects wits a Loensed Contracbf pursuant to the ContraclorS State License Law).
' W. Cam exewthmtoensrneundertheContra,=WState License L.aNfor eveb5mingreason:
By nysigrurtnatebwIacknowledge ther.exoeptbrmypersonalresidence itwhchImust have reWed for atleastoneyew prior bmmpetionofthe inprovemenscovered byWr.pennitlcannot ftal
seta structure Brat Tha ve built as an owner-buider di has not been carmWoted inks entiretyby foertsed ombactors. I understand"a copyoftee apploabb mw, Section 7044: or tor_ Business and
fiq@sscos Cone. is avenlabb upon request hen this aWkatbn is submitted or at the fdtrw ing Web sil?:http:Avwww.legm:fo.ca.govkat3wr.hrd.
matune of Pm
.qFMOwner or Autho&ed Agent Dale
Le NSED•C A ORSDECLAiATN _
' I tlrtrebyaf smi6er penalty of per' t am licensed under provsionsof r tang. wits Secton 7000 of Dvfson 3of the Susnness and Profmons Code, and my k*nse is in fig force
• als S%ct Liog�Ctass Seejroni um"--ew— 1052016 1 Date 1/14/2022 1
CmiracbrSigrta6Re X
• WMKERS' CPWENSATION DECLARATION
• M.IO.pJO: FPRV�£TQ YNDFRHti'G43NPFdrW gMCOV8tA0E 1f UNLr6Mrit F1A 74AL.L aummo7AMWFLOYEr TO CRWHILPIX4LTESAMCM Fn1Ef4PTOONE HMDFWTHQUWW COLLAR irl'M(OCL rADOnWM TOM
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Llnoyaitirmrmder pwmltyof per)rryone of the b%wing decIsratiorm
I have andl rA laintan a. certificate of Consent to set -insure for worier5 OOnpensafon., issued try he 4rector of hdustrial. Felatarrs as provded br by Semen 3700 of the Labor Glade, for 7onnanCe or the work for whbh the perrat is issued. FOIGyNo.
have and %t mantan w odwrs' oompEnsafon insurance, as required Section 3700 ofthe Labor ®de, br be Perbre ence of be vwrkfor which this is isared.. My worteW oonperrtmi a
ranee earerand pofcy number are: W C712119784 2/5/2022
ter Rae front Polcy Nurtber Expiratan Las
-e of Agent Phone*
Certifybat, in the par brrranoe ofthe work forwhiDh tds permit is slued, I shot not employ anypw son h anyrrenner so as b bemane subject -to the worWrs cornpensafba law sofC31 fom is, and ogre=.
, tt I shoutl becomes ttothe worlers corrpensafiooprovfsbnsofSeoton 3700 of be labor Code, I shall fortm thcanptywith hose prorons- Date 1/14/2022
ratrne of Appkant/
mbyat5rmunder penaltyof psTyTythad there is a construcftfertdng agency br the perbrnance of the workbr which this pemit is issued (SecbmM7, Oval Code).
det'sName LerA sAddiess
Tysignature betTw, I cerffyto each of the blbw ing:.
I am be propertycwner or auborited to act on the propertyowrer's behalf,
I beveread this appiicatonand .the 'ulbnTEtion I have provtled iseorrecL
agree tocoupiywfthaftappfrcabieciymid countyon tances:andslatelawsrela6ngtobindingconstrue6on.
i auborce mpresenta6ves ofteis etyorcoun enter te-identi5W propertybr irtspwlion proposes. X 1/14/2022
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REGULATIONS PART51 OFTITLE 40AN.D AQMD RCAF
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