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Home My WebLink AboutX2020-2479 - PermitsP'wwio,� City of Newport Beach - Building Division COMB Permit: X2020-2479 o - 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1975-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC �, Issued Date : 0310112021 =, �" �r Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310112024 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: 900 (CS) NEWPORT CENTER DR NB Description: COMM CELL SITE, REMOVE (1) CABINET, INSTALL (2) CABINETS, REPLACE (6) ANTENNAS, ADD (3) RRUS, ADD FRP SCREEN Legal Desc.: P BK 75 PG 33 PAR 1 Owner: HHR NEWPORT BEACH LLC Address: PO BOX 579 LOUISVILLE, TN 37777 Phone: Applicant: SAITO BARBARA Address: 3300 IRVINE AVE #300 NEWPORT BEACH CA 92660 Phone: 909-723-6152 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $739.00 Plan Check Fee: $642.93 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record. Management: $62.00 Energy Compliance: $61.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,982.90 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: VELEX INC Architect: Address: 2595 DALLS PKWY STE 300 Address: FRISCO TX 75034 Phone: 972-381-9888 Phone: Con State Lic: 994697 Engineer: Lic Expire: 0713112022 Address: Bus Lic: BT30064651 Lic Exp Date: 1013112021 Phone: Worker's Compensation Insurance Designer: Carder: HANOVER INS CO - Address: Policy No: WMDD23686903 Expire: 06/01/2021 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $193.47 $0.00 $0.00 State Lic: BELLAGAMBA, HENRY 1100 W WOODFIELD RD SCHAUMBURG ILL 60173 847-908-8527 State Lic:C-068925 Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 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: $0.00 $190.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $1,015.44 Fee Due at Permit Issuance : $967.46 PUBLIC WORKS APPROVAL: PLAN CHECK BY: I APPROVAL TO ISSUE: s1 r v C_ 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 (_) all of or U 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). [11, 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 ueluw 1 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 tha; 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 Core, is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. Gignatula of ProocIrt- Owner or Authorized Agent Date LIZENSED CONTRACTOR'S DECLARATION ` I hemol affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectIA k000) of 'vision 3 of the Business and Profdss'ion Ind Icense is in full force and effoct. License CILss License No Dat4` Contractor Signature V'.rORY.ERS' COMPENSATION DECLARATION ' / A•9'4:I:IC: FAILURE TJ SdUURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 havj and call D,air.tain 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 pefformgnoe of the work for which this permit is issued. Policy No. I,&ua and will maintain 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' rance carrier and policy number are: ne of Agent certify that, in the performance of , if I should becomb subject to-* lature of ADolican Policy Number Date I p is issued, I shall not employ any person in any manner so as to become subject to the workers' c mpensation laws of California, and agre a p visions of Section 3700 f-the-Labor Code, I shall forthwith comply with those provisions. 1 — Date aL NG AGENCY :reby affirm under penalty of perjury thatl Iere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, 1 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 co" I agree to comply with all applicable city and coun}y ordina ate law sting to building construction. I authorize representatives of this city or couhty td enter bo-identif' ope petition purposes. , �, 10."r 1 )d '? l�+rn �f7k,r !ii-Y signature of Property Owner or Authorized Agent / Print Property Owner's or Authorized Ag ACTION DATE BY / ECLARATI OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGbYf10N5 PART 610E TITLE 40 AND AQMD RULE ,/L��Z, G 6 PERMIT EXPIRED J I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED QMD PERMITF/NAL BESTOS NDTIFICATION T ICABLE TO CERTIFICATE OF p OP ED IG10` � OCCUPANCY/SSUED IGNATI __