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Home My WebLink AboutX2022-0778 - PermitsCity of Newport Beach - Building Division 10o Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH 11411►I 1;11 II 1►1► COMB Permit : X2022-0778 Project No : 0689-2022 Issued Date : 04/25/2022 Inspection Area : 7 Job Address: Description: Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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 1 HOAG DR NB COMM - (2) 24'x40' MODULAR TRAILERS FOR TRAINING WORKROOMS. ADD POWER TO TRAILERS AND RAMP ENTRANCES. RE -STRIPE PARKING AREA, IRVINE SUB BLK 1 LOT 172 POR OF LOT HOAG MEMORIAL HOSPITAL- 1 HOAG DR NEWPORT BEACH, CA 92663 949-764-4496 LIEBKE STEVEN 1340 REYNOLDS AVE #115 IRVINE CA 92614 949-752-5052 Code Edit : 2019 Type of Construction: V-B Occupancy Group: B Added /New sq.ft. Bldg: 1780 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : Bldg Height: Bldg Sprinklers: Flood Zone: 0 0 N X Construction Valuation: $50.000.00 Building Permit Fee: $810.00 Plan Check Fee: $704.70 Overtime Plan Ck: $0.00 Investigation Fee: Record Management : Energy Compliance: CA Seismic Safety : Disabled Access : Hazardous Mat, Building Green Fee : $0.00 $32.00 $0.00 $0.00 $91.00 $0.00 $2.00 TOTAL FEE : $2,121-13 Contractor: Address: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: SOUTH COUNTY CONTRACTORS 23639 RIDGEWAY MISSON VIEJO CA 92692 949-205-6304 988175 11/30/2023 BT30048035 07/31/2022 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: 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 %: $212.06 $166.62 $0.00 Plan Check Fee : Rear: I Front: / Left: / Right: / Parking Spaces: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: LIEBKE STEVEN S 1340 REYNOLDS AVE #115 IRVINE CA 92614 949-400-5462 State Lic:CO2834 NIEMAN ADAM 11624 N 151ST LANE SURPRISE AZ 85379 81-571-9877 State Lic:C-091181. Special Conditions: LANDSLIDE & LIQUEFACTION Fire Hazard Zone : N $0.00 Planning Department - $0.00 Plan check Fee : $0.00 Fair Share: $0.00 SJH Trans : $0.00 In -lieu Housing Fee : $0.00 Public Works Department - $0.00 Park Dedication : $0.00 P/W Plan Check : $50.75 San Dist : $0.00 NMUSD Fee: $0.00 $52.00 $0.00 $0.00 $0.00 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: $1,074.63 Fee Due at Permit Issuance : $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,046.50 CO rn 0 C) PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 0 0 0 0 Is 0 Is tlb0 -E o oo 0 0 0 0 C d o G E V 0E 0 0 o 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, 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 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 improved 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). ❑ I 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 legally 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 Sectio 70 0) of Division 3 of the Business and Profes nn Code, �(Id r)1fy license is in full force and effect. License Class License No Date Contractor Signatur %/�A/ (AAA WORKERS' COMPENSATION DECLARATION I WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the perfg$nance of the work for which this permit is issued. Policy No. FBI have and wi 'ntain workers' compensation insurance, as requited by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation nsurance carrier d licy number Carrier , oelmi Expiration Date Name of Agent _ `` Phone # ❑I certify that, in the performance of the work for hich 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 agree that, if I should become subject to the work' cq(ilpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant obi/ DECLARATION REGA CONSTRUCTION LENDING AGENCY I hereby affirm under nalty 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). Lender's Name 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 owner's behalf. I have read this application and the information I have provided is correct. I agree to comply wi h all applicab e city and county ordinances a�star laws relating to building construction. I authorize representatives of this city or countyvto� me the abo :-ides ified property for inspection purposes. Signature of Property Owner or Authorized Agent A /. Print Property Owner's or Authorized Agent's Nary tnvIF)i is ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED 1-I »11. DEPA I__VTQMD • 000 it. fer Lei SBESTOS NOTIFICATION IS NOT APPLICABLE TO/ PROPOSED DEMOLITION SIGNATURE: • •s. • .• ••• • • • • • • • • • • 9 •• • • • ••• • • • •••• • .• • • P "0 0, _ e 0 c^.n 00 0 n 003 JJ