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Home My WebLink AboutX2021-1530 - Permits;tira� City of Newport Beach - Building Division 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .�„ Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH PLUM GRAD IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII COMB Permit: X2021-1530 Project No : 1347-2021 Issued Date: 12/21/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1212112024 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: Description: 20282 RIVERSIDE DR NB NEW COMML BLDG'FRIENDS OF A I Legal Desc.: NEWPORT BEACH ANIMAL SHELTER' 2850 SF /` /� Owner: FRIENDS OF NB ANIMAL SHELTER Contractor: SLATER BUILDERS INC Architect: DWYER MARK 'm Address: 20282 RIVERSIDE DR Address: 3100 - B PULLMAN STREET Address: 3244 BROAD ST UNIT A NEWPORT BEACH CA 92660 COSTA MESA CA 92626 NEWPORT BEACH CA 92660 Phone: 714-651 -4221 Phone: 714-615-6108 Phone: 9491887-2292 State Lic:CO23283 • >^. o��,ol�, Applicant: DWYER MARK Con State Lic: 675832 • o Engineer: YAGHI SHUCRI I Address: 1300 QUAIL ST #208 Lic Expire: 08/31/2023 Address: 112 E. CHAPMAN #D NEWPORT BEACH CA 92660 Phone: 94918872292 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: B Added /New sq.ft. Bldg: 2850 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Building Permit Fee: $4,547.00 Plan Check Fee: $4,023.89 - Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $116.00 Energy Compliance: $443.90 CA Seismic Safety: $177.56 Disabled Access: $634.15 Hazardous Mat $0.00 Building Green Fee : $26.00 TOTAL FEE: $18,721.48 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Bus Lic: BT30025319 Lic Exp Date: 02/28/2022 Worker's Compensation Insurance Carrier: CYPRESS INS COMPANY Policy No: SLWC245302 Expire: 0211612022 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 %: Rear: / Front: / Left: / Right: / Parking Spa $598.50 $0.00 $0.00 $1,377.60 $973.00 $302.40 $152.00 $1,190.40 $935.32 $765.26 ORANGE CA 92866 Phone: 714-997-9120 State Lic:C-043205 Designer: Address: Phone: Special Conditions: CMSD LTR ATTACHED IRVINE RANCH LTR ATT Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAW Plan Check: $507.50 San Dist: $0.00 NMUSD Fee: $355.00 Fire Department $624.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $472.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $6,282.18 Fee Due at Permit Issuance : $12,439.30 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). 111, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Cade: 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-Builderwill 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 signatur, b),bw 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) sell a stucture 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 ?rofes=_'ons Cede, is available upon request when this application is submitted or at the following Web site:http://Ww .leginfo.ca.gov/calaw.html. Signature of ProNuty 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 Section 700 ivi of the Business and urofes 'A d lie s' full force an.i eff:ct. License Gass License No Date Contractor Signature WORKERS' C7MPI�NSATION DECLARATION NARNIN.j: FAILURE TO SE^URE 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 COS f 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 'n^II 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 thI reBNrlance of the work for which this permit is issued. Policy No. Weave 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' compensatio insurance carrier and policy number are: ie of Agent certify that, in the . if I should bacon of Policy Number Date Ice of the work for which 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 to tile,vfe s' co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,� z / / Date hereby affirm unWenalty of perjurythat 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 correct. I agree to comply with all applicable city and couEl—rdmancesAnd state laws relating to building construction. I authorize representatives of this city or coun r h ifie operty for inspection purposes. signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Nam Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U 15UBM ITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED ffEPA PERMIT EXTENDED QM D PERMITFINAL EIASBESTOS NOTIFICATION IS NOTAPPLICARLE TO CERTIFICATEOF ��,3 PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: