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Home My WebLink AboutX2021-3451 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u.. y Inspection Requests Phone (949)644-3255 Combination Type - CIP MECH ELEC PLUM IIIIIIIIIIIII�IIIII��IIIIIIIIIIIIIII�IIlllu II COMB Permit: X2021-3451 Project No: 3025-2021 Issued Date : 03/23/2022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/23/2025 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: 4450 MACARTHUR BLVD NB Description: COMM TI "MARK CAPITAL" 7,353 SF Legal Desc.: Owner: M4 MACARTHUR LLC Contractor: SMITH & SEVERSON BLDRS Architect: DWYER SUSAN M Address: 4450 MACARTHUR BLVD Address: 21072 BAKE PKWY #106 Address: 4770 CAMPUS DR NEWPORT BEACH, CA 92660 LAKE FOREST CA 92630 NEWPORT BEACH CA 92660 Phone: Phone: 949-232-1222 Phone: 949-851-3080 State Lie C033724 � Applicant: SMARKER JESSICA Con State Lie: 989943 Engineer: e• Address: 4770 CAMPUS DR STE 100 Lie Expire: 01131/2024 Address: NEWPORT BEACH, CA 92660 Bus Lie: BT30061129 " � Phone: 949-851-3080 Lie Exp Date: 11/3012022 Phone: State Lie: 0 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: I-BSPR Carrier: ZURICH INSURANCE Address: sNd Occupancy Group: B/S2 Policy No: WC466733002 Added /New sq.ft. Bldg: 0 Expire: 09101/2022 Phone: _. - - Added /New sq. ft. Garage: 0 - No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Y Right: / ' Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $600,000.00 Building Permit Fee: $4,372.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $3,803.64 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: $102.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $26.00 Energy Compliance: $420.00 Grading PC Fee: $0.00 Public Works Department - General Service $219.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $600.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $1,144.59 San Dist: $0.00 Building Green Fee : $24.00 Mechanical %: $899.32 NMUSD Fee: $0.00 $0.00 Plumbing %: $735.81 $0.00 TOTAL FEE: $13,010.86 Plan Check Fee : $6,217.38 Fee Due at Permit Issuance : $6,793.48 ya PROCESSED BY: ZONING APPROVAL: q q a ° 9PUBLIi WDFZU APP +TAN CHECK BY: e GRADING APPROVAL: APPROVAL.TOJSSUE: ° o 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, priorto its issuance, also requires the applicant For ie 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 Iicensure 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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). 1 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 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). I am exempt from Iicensure 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://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 70 0) of Divisi n 3 of the Business and Professide, and e e full force nd effect. License Class License No Date)( C� Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING: 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 '.OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 erforrrpance of the work forwhich this permit is issued. Policy No. and IyiLLmaintain 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' Date ame of Agent Phone # �I certify that, in the performance of the ork for which this ennit 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 sat, if I should become su act to th ore c pe t' rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant` Da ECL.ARATION REGARPRa CONSTRUCTION'LENDING AGENCY hereby affirm under pe alty 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). Ender's Name Lender's Address 3y 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 correc I agree to comply with all applicable city and county ordinances an aws " ting to building construction. I authorize representatives of this city or cou ty ente th ab d ti o erty for inspection purposes. 3ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY ATION OF C PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY -REG NS PART 61 OF TITLE 40 AND, RULE PERMITEXPIRED I LEI SUBMIATED A.4BE�TC5 NOTIFI(•471bN�14 PERMITCANCELLED DEPA "s • • • ° ` PERMIT EXTENDED OMD ' • • • • PERMITFINAL ASBESTO NOTIFICATION I5 T PUCABL O CERTIFICATE OF C]�� PROPOSED OLITI OCCUPANCY ISSUED SIGNATL �• •+ .• ••+ s . • a n c ea• •ec no n ooe o oo�