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Home My WebLink AboutX2022-0903 - Permits.: o�,T City of Newport Beach - Building Division *X2022-0903* COMB Permit: X2022-0903 ` �,� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1950-2019 r~ Permit Counter Phone (949)644-3288 m Inspection Requests Phone (949)644-3255 .��,y��u,,.= Combination Type - BLDG Issued Date : 06/24/2022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY OR PERMIT WILL BE INVALID Construction Hours: Monday- Friday TOO 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 Description: COMM NEW DETACHED CARPORTS "VIVANTE" Legal Desc.: P BK 81 PG 8 PAR 2 Owner: VIVANTE NEWPORT CENTER LLC HARRIER DONALD 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 X220 Code Edit : 2019 Type of Construction: VB Occupancy Group: U 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: Construction Building Permit Fee: $1,414.00 Plan Check Fee: $1,230.18 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $20.00 Energy Compliance: $0.00 CA Seismic Safety: $0.50 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $5.00 TOTAL FEE: $2,721.68 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: NEXUS CONSTRUCTION SERVICES INC Address: 1 MACARTHUR PLACE SUITE 300 Address: SANTA ANA CA 92707 Phone: 714-546-5600 Phone: Con State Lic: 767673 Engineer: Lic Expire: 0813112023 Address: Bus Lic: BT30071422 Lic Exp Date: 0313112023 Phone: Worker's Compensation Insurance Designer: Carrier: OAK RIVER INS Address: Policy No: NEWC213365 Expire: 07/01/2022 Phone: Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical Plumbing %: Rear: I Front: / Left: / Right: I 0 Architect: 1030 TEHAMA AVE MENLO PARK CA 94025 415-356-3800 State Lic:CO21353 VANDERVIS JACOB 701 N PARKCENTER DR SANTA ANA CA 714-560-8200 State Lic:C-046301 Special Conditions: �L $0.00 Planning Department- Fire Department $0.00 Plan check. Fee : $52.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Public Works Department- General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 $0.00 San Dist : $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $1,230.18 Fee Due at Permit Issuance : $1,491.50 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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). ❑ 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 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 legal) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/caiaw.html. Signature of Property Owner or Authorized Agent Date LICENSED COM11,RACTOR'S DECLARATION hereby affirm w WPd penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Ivisio 3 of the Business and Professi , , an ense is in full force a'Id effect. LiLensr .lass License No Date/ Signature WOOKERS' COMPENSATION DECLARATION !'ARNING: FAILURE TO £E:URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E10 ,000(, IN ADDITION TO THE COST 0- COMPENSATiON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm Imder penalty of perjury one of the following declarations: TI.h'ave and Mll::Taintain 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 aerformance of the work for which this permit is issued. Policy No. N ve 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' compensatior trance carriul and -policy number are: rer— i Policy Number Expiration Date ne of Agent Phone # certify that, in the performance 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 :, if I should become sub' t to the orkers' con1pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L� nature of Applicant Daty��`x?-- .., A 1, "Deco _ nncnrrnci unurr_ nr_er.iry I hereby 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). Lender's Name Lender's Address By 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 county ydinances and state laws relating to building construction. I authorize representatives of this city or county to a abo a-ide tified property for inspection purposes. LqAJI y L. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name ate a�/ ACTION DATE BY DE RATION OF O PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED _LJEPA PERMIT EXTENDED qMD PERMIT FINAL UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: