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Home My WebLink AboutX2021-0040 - PermitsCity of Newport be4th - Building Division .�' 100 Civic Center Drive, Newport Beach, CA 92660 rp Permit Counter Phone (949)644-3288 G ar Inspection Requests Phone (949)644-3255 Combination Type - CIP 'X2021 -0040" COMB Permit: X2021-0040 Project No : 1950-2019 Issued Date: 01/0612021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110712024 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: CHANGE OF ARCHITECT- DELTA 6 41 /}� Legal Desc.: P BK 81 PG 8 PAR 2 - V. �• Owner: VIVANTE NEWPORT CENTER LLC Contractor: NEXUS CONSTRUCTION SERVICES INC Architect: �A� DUNNIGAN BRENDAN D Address: 1 MACARTHUR PL #300 Address: 1 MACARTHUR PLACE SUITE 300 Address: 132 10TH AVE ' SANTA ANA CA 92707 SANTA ANA CA 92707 SAN FRANCISCO CA 94118 : " Phone: Phone: 714-546-5600 Phone: State Lic:CO28538 �'' Applicant: ERES ROBERT Con State Lic: 767678 Engineer: VANDERVIS JACOB Address: 1 MACARTHUR PL#300 Lic Expire: 0813112021 Address: 701 N PARKCENTER DR - • - SANTA ANA CA 92707 Bus Lic: BT30071422 SANTA ANA CA ' Phone: 714-546-5600 X220 Lic Exp Date: 0313112021 Phone: 714-560-8200 State Lic:C-046301 ,., - • - Code Edit: 2019 Worker's Compensation Insurance Designer:' Type of Construction: I-A-SPR Carrier: OAK RIVER INS Address: ' Occupancy Group: R2.1,A2 - Policy No: NEWC009913 , ' Added /New sq.ft. Bldg: 0 Expire: 07101/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 6 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: 1 Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $37.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $37.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $37.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: GRADING 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 frnm licensors under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally 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 F roiassions Core is zvailable upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED COEJTRACTOR'S DECLARATION I hereby affirm u:iJur penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Divi ion 3 of the Business and Profession Co e' did my license' in full force aad erfect. Licer� Gass License No Date Contractor Signature WORKERS' com ENSATION DECLARATION WARNING, FAILUR= TO 3=CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), N ADDITION TO THE ,D�T CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. Lcr_,Ly affirm under oenalty of perjury one of the following declarations: 111 have and v. 11' ma;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 the p�-.uorra',1nce of the wor4 for which this permit is issued. Policy No. 'have and will mainein 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 }ance carrier and policy number are: "ier Policy Number Expiration Date 1e of Agent Phone # certify that, in the peIf anc suf 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 b's o th kers' comDensat' oviscomply pions of Section 3700 of the Labor Code, I shall forthwith corn I with those rovisions. lature of Applicant 1 Date��(f//2�2� 11 AA eTInN IrTrnN I F nINR -PNry 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 ly 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 ordin ces and state laws relating to building construction. I authorize representatives of this city or county to sole #above-ideed property for inspection purposes. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I I I V I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL /O-S—Z'S .4 -- upsBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: