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Home My WebLink AboutX2019-2657 - PermitsWnr�. City of Newport Beach - Building Division *X2019-2657* COMB Permit: X2019-2657 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1889-2019 F'. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date: 0412412020 Combination Type - BLDG PLUM Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID gTtp 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: $5BSAN C E DR NB INSPECTOR Description: COMM -DEMO COMMCOBLDG "ORANGE COUNTY MUSEUM OF ART (13,935 SF) Legal Desc.: P.M. 81-8 PAR 1 POR OF PAR Owner: VIVANTE NEWPORT CENTER LLC Address: 1 MACARTHUR PL #300 SANTA ANA, CA 92707 Phone: Applicant: ERES ROBERT Address: 1 MACARTHUR PL #300 SANTA ANA, CA 92707 Phone: 714-546-5600 x 220 Code Edit: 2016 Type of Construction: II-B-SPR Occupancy Group: A3 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $1,768.00 Plan Check Fee: $1,538.16 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTALFEE PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: INTEGRATED DEMOLITION Architect: Address: 4938 E LA PALMA AVENUE Address: ANAHEIM, CA 92807 Phone: 714-340-3333 Phone: Con State Lic: 10035047 Engineer: Lic Expire: 05131/2021 Address: Bus Lic: BT30059006 Lic Exp Date: 04130/2020 Phone: Worker's Compensation Insurance Designer: Carrier: ZURICH AMERICAN Address: Policy No: AC068767900 Expire: 05/21/2020 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: 1 Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $297.56 HARRIER DONALD 1030 TEHAMA AVE MENLO PARK CA 94025 415-366.3800 State Lic:CO21353 , VANDERVIS JACOB 701 N PARKCENTER DR SANTA ANA CA 714-560-8200 State Lic:C-046301 Special Conditions: WASTE MANAGEMENT TO HAUL Fire Hazard 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 $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 71 Plan Check Fee : $1,676.59 Fee Due at Permit PUBLIC WORKS APPROVAL: PLAN CHECK BY: �-�-}- APPROVAL TO ISSUE: -� $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,935.12 DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: iy 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:http://w .leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date }CFNSED CON) HACTOR'S DECLARATION aereby off rm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecFRn 7000) of Ivlslon 3 of the Busine,@S and Profes ions d a myA' c s ull force nd effnct. License CICss License No Ddle by- �y��w Contractd and ✓ORY.ERS' CONIPENSATION DECLARATION FARNIN3: FAILUR@ 10 6E,;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 OS r OF COMPENSATdN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm cads• penalty of perjury one of the following declarations: 7 I have and will ,T.&;ntain 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 -fff,fmance of the, work forwhich this permit is issued. Policy No. ha%e 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' 'ence carriei and p9licy number are: ' A' ' n' P, 1 iLr f (L�tY Policy Number VVC A �U�2 If ` 4 _ l ` Expiration Date 05 - 24 - Ie of Agent' Phone # ertify that, �ln the pe�ormgfice of its workr3c which Is rmit is issued, I shall not employ any person in any manner so as to become subject to the if I should game ubje to a orker mpen atio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of hereby affirm under penalty of perjury that there i�a construction lending agency for the performance of the work for which this permit is issued (Section -ender's Name c 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 owners behalf. I have read this application and the information I have provided' carr I agree to comply with all applicable city and cou ord' a ce S law ing to building construction. I authorize representatives of this city ounty o ant r a e-i of led p or inspection purposes. f signature of Property Owner or Author' d ent Print Property Owner's or Authorize ge t' Na L ACTION DATE BY DECLARATION OF COMP ANCE WITH CODE OF FEDERAL I FOR OFFICE USE ON Y REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMITEXTENOED ASBESTOS NOTIFICATION TO PERMIT FINAL (1 • a • (t5 U ASBESTCP NOTI CERTIFICATE OF PROPOSED qETOL OCCUPANCY ISSUED SIGNATURE: TO compensation laws of California, and (y/-21(- 2oZd Civil Code). M oy