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HomeMy WebLinkAboutX2019-2734 - Permitswt, City of Newport Beach - Building Division 0 a 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 #b Inspection Requests Phone (949)644-3255 Combination Type - BLDG GRAD PLUM ELEC *X2019-2734* COMB Permit: X2019-2734 Project No : 1948-2019 Issued Date : 0610212020 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/03/2023 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: 850 SAN CLEMENTE DR NB A Description: COMM ROUGH GRADING INCLUDING UNDERGROUND UTILITIES "VIVANTE" Y Legal Desc.: P BK 81 PG 8 PAR 2 ,`• Owner: VIVANTE NEWPORT CENTER LLC Contractor: 4 COM INCORPORATED Address: 1 MACARTHUR PL #300 Address: 10961 SUNNYSLOPE DRIVE SANTA ANA CA 92707 RIVERSIDE CA 92505 Phone: Phone: 9491305-4376 Applicant: ERES ROBERT Con State Lic: 925854 Address: 1 MACARTHUR PL #300 Lic Expire: 05131/2022 SANTA ANA CA 92707 Bus Lic: BT30071941 Phone: 714-546-5600 x220 Lic Exp Date: 06131/2021 Code Edit: 2016 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: Flood Zone: X Valuation: $527,711.00 Building Permit Fee: $3,717.00 Plan Check Fee: $3,294.79 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $16.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $22.00 TOTAL FEE: $17,882.92 PROCESSED BY: Worker's Compensation Insurance Carrier: REDWOOD FIRE & CASUALTY Policy No: FOWC012166 Expire: 06104/2020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical W Plumbing %: Rear: / Front: / Left: I Right: / Parking $0.00 $0.00 $0.00 $1,983.58 $5,476.00 $435.42 $108.00 $486.56 $0.00 $626.57 0 Architect: HARRIER DONALD /��si Address: 1030 TEHAMA AVE MENLO PARK CA 94025 Phone: 415-356-3800 State Lic:CO21353 Engineer: VANDERVIS JACOB Address: 701 N PARKCENTER DR SANTA ANA CA Phone: 714-560-8200 State Lic:C-046301 Designer: Address: Phone: 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: $660.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $400.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $228.00 $0.00 $0.00 $0.00 $430.00 $0.00 $0.00 Plan Check Fee : $4,506.60 Fee Due at Permit Issuance : $13,376.32 PUBLIC WORKS APPROVAL: D U i ZONING APPROVAL: i JZ GRADING APPROVAL: \T- PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER 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 is 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). 3 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 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.htmi. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f 1 i ion 3 of the Business and Profe s Coe, an ' en_se is full force not effect. License Class License No Date CC) Contractor Signature VORKERS' OOMPE'YSATION DECLARATION el 'ARNING: 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 ($110D,000), IN ADOIT10N TO THE 'O]l Ur GOMPEN$A1lj)N, 0,4MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I heve 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 perfomance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: to Y,',gent __ _ certify that, 16 the pee should becom= E Policy Number Expiration Date 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 Veer�ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant / 1 �,— --T'— Date CLARATION REG DI/�k INOVCO TION LENDING AGENCY )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, Civil 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. I agree to comply with all applicable city and count na ces and tate laws relating to building construction. f I authorize representatives of this city or county ter ntifled property for inspection purposes. nature of Prooertv Owner or Authorized ADent Print Prooertv Owners or Authorized Aoent's Name 1✓ r ACTION DATE BY`- DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART fie OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EIEPA PERMIT EXTENDED 13AQMD PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED 7-U-73 U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: