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Home My WebLink AboutX2019-0876 - PermitsCity of Newport Beach - Building Division .t _..: 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 F Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC MECH COMB Permit: X2019-0876 Project No : 0594-2019 Issued Date : 12/18/2019 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 900 NEWPORT CENTER DR NB Description: COMM CELL SITE "VERIZON" Legal Desc.: P BK 75 PG 33 PAR 1 Owner: HHR NEWPORT BEACH LLC Contractor: SOLEX CONTRACTING INC Architect: ROME JEFF Address: PO BOX 579 Address: 42146 REMINGTON AVENUE Address: 131 INNOVATION DR#100 LOUISVILLE, TN 37777 TEMECULA CA 92590 IRVINE CA 92617 Phone: Phone: 951-308-1706 Phone: 949-760-3929 State Lic:CO20876 Applicant: ROME ALEXA Con State Lic: 842101 Engineer: ZALZALI WISSAM ^ Address: 20 CORPORATE PARK #400 Lic Expire:. 0713112020 Address: PO BOX 15713 ^ IRVINE CA 92606 Bus Lic: BT30067439 IRVINE CA 92623 Phone: 562-269-4831 Lic Exp Date: 0513112020 Phone: State Lic:C-071655 Code Edit: 2016 Worker's Compensation Insurance - Designer: Type of Construction: Carrier: ZURICH AMERICAN INSURANCE CO Address: ° Occupancy Group: U Policy No: WC013712405 - - Added /New sq.ft. Bldg: 0 Expire: 10/0112020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions:.. NoUnits: 0 Bldgg Height: 0 Front: I Left: I ' � `-+ ! p p S ir" � C � O Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $15,000.00 Building Permit Fee: $312.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $332.44 - Additional Fee: $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 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: $0.00 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 - P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $40.84 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $23.34 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $777.62 Plan Check Fee : $311.44 Fee Due at Permit Issuance : e $466.18 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 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 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). D I, as owner of the property, or my employees with wages as their sole compensation, will do f-) all of or L) 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). 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature helrv'' 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 legal 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 'rYasjions Codc, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Prop?-ty Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penaltt�Y--�PP§§��lu th I a licensed under provisions of r or�mgr�cing with Section 700 f ivisi of,,.fhe Business and Prof ro ode, and m� se is In fu rce nd effact. Licw,sa Cldss,� A= License No / / )� Date YContrector SignatuI.�� dORKERS' COMPENSATION DECLARATION iAG: FAILURE TO SEr,URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HIINDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 71 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. he•eh;r affirm under penalty of perjury one of the following declarations: have and .v.il rodi,ltain 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 x:T.znce of the work for which this permit is issued. Policy No. nave and will mginrain 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' compensa rance carrier and policy number are: Policy Number Te of Agent certify that, in the perfor ance of the work for which this if I should become su a workers' compensatip nature of Applicant _ Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and iqr@of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q Date /i :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, it 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 owner's behalf. ' I have read this application and the information I have provided is correct. agree to comply with all applicable city and co t inances and stat laws relating to building construction. LI I authorize representatives of this city or count er the above -de ified operty for ins ection purposes. / -I gnature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date l '-I ACTION DATE BY DECLARATION F CO PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUILAPQNS PART 61 OFTITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED QMD PERMITFINAL CERTIFIC4TEOF / ASBESTO INCATION IS NOTAP ICAB TO O SED' M LITION OCCUPANCYISSUED SIGNA7U ..ten �iA11