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Home My WebLink AboutX2021-2595 - Permitsr'rr, City of Newport Beach - Building Division h 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2595 x 2 0 2 1 2 5 9 5 Project No: 1950-2019 Issued Date: 09/27/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/27/2024 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 NS Description: COMM COVERED TRASH ENCLOSURE "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: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $419.00 Plan Check Fee: $364.53 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.50 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $887.78 PROCESSED BY: ZONING APPROVAL: Contractor: NEXUS CONSTRUCTION SERVICES INC Address: 1 MACARTHUR PLACE SUITE 300 Address: SANTA ANA CA 92707 Phone: 714-546-5600 Phone: Con State Lie: 767678 Engineer: Lie Expire: 0813112023 Address: Bus Lie: BT30071422 Lie Exp Date: 03/31/2022 Phone: Worker's Compensation Insurance Carrier: OAK RIVER INS Policy No: NEWC213365 Expire: 07/01/2022 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee : Electrical W Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / Designer: Address: Phone: Architect: 1030 TEHAMA AVE MENLO PARK CA 94025 415-356-3800 State LiG:CO21353 VANDERVIS JACOB 701 N PARKCENTER DR SANTA ANA CA 714-560-8200 State Lic:C-046301 Special Conditions: REV21-0517 ICI $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: $50.75 Grading Bond: $0.00 $0.00 San Dist : $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 plaM(',heckFep :,, $0700 Fee Due at Permit Issuance : $887.78 -' FUELIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: :. .. AFPF�OVALTO 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). ❑ 1 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 Iegall) 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/calaw.html. Signature of Property Owner or Authorized Agent ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) ivisic 3 o the Business and P fess' e, nd i e is i II f rc and effect. License Class License No Date Contractor Signat WORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,0130), IN ADDITION TO THE COST 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 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 pellbrmance of the work for which this permit is issued. Policy No. JI have and wil6kiaintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatio nsurance carrier n olicy num re: 'arrier ,oli Number Expiration Date Jame of Agent Phone # ❑I certify that, in the pAte wo for 's permit is issued, shall not employ any person in any manner so as to become subject to the workers' comp nsation laws of California, and ogre hat, if I should becomkers' o p sat n provisions o ection 3700 of the Labor Code, I shall forthwith comply with those provisions.3ignatureofApplicaDECLARATION R ACTIO NC ING AGENCY 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). -ender's Name Lender's Address 3y my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the property owner's b alf. I have read this application and the information I harri vided isor agree to comply with all applicable city and countynces n t la s relating to building construction. I authorize representatives of this city or county t o -1 pro yfUr Inspection purposes. ,' 1 signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam V`-' ��E-F_ Dat 1 ACTION DATE BY DECLARATION OF FMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED QMD PERMITFINAL LJASBESTOSNOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: