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Home My WebLink AboutX2021-2041 - Permitsr wr•oy City of Newport Beach - Building Division "X2021-2041` COMB Permit: X2021-204 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1775-2021 F~ > Permit Counter Phone (949)644-3288 ". Inspection Requests Phone (949)644-3255 Issued Date : 1110512021 Combination Type - BLDG ELEC MECH Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/05/2024 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: 4601 JAMBOREE RD NB Description: COMM REPLACE GENERATOR @ PARKING LOT W/NEW CONCRETE PAD "HARBOR JUSTICE CENTER" Legal Desc.: IRVINE SUB LOT 138 BLK 50 POR OF LOT wg�� A{.�+' 1�1_ �/151;—fit Owner: COUNTY OF ORANGE Contractor: AMTEK CONSTRUCTION Architect: I 1 � S 1 I`CTO 1' I Address: 700 CIVIC CENTER WEST Address: 12409 SLAUSON AVE #1 Address: SANTA ANA, CA 92701 WHITTIER CA 90606 ' Phone: 657-622-7765 hone: 562-696-7111 Phone: State Lic: Applicant: KLOOG DEREK Can State Lic. 49 82 mom' '"� - Engineer: NAMDAR NADER , Address: 946 N LEMON 28 - /30/20,25 / Address: ON RD STE 157-283 , ORANGE, CA 92867 s `i T30671� ANAHEIM, CA 92808 - Phone: 630.936-6790 Llc Exp Date' u3/31 /2022 Phone: Sttate Lic:S-005527 " Code Edit: 2019 ark sComp ation"I'd—SuTeRce r— Designer: �f BppllCabf@• '>>' -1 Type of Construction, arrier MPLOYEE SERVICE GROUP -' -y A&ldngls�j ❑ �00 Occupancy Group: U olicy N r ¢9975951 y 1 Added /New sq.ft. Bldg: 0 +"�: ram: 'I'H�Q111022 /O Or QQ% r��y�n�;; , Added /New sq. ft. Garage: 0 r :Pisi'?a .r No of Stories: 0 wld Rear: I Specia -C 5: to whom: No of Units: 0 / f"';' Bldg Height: 0 t: FF�'a �.-' Bldg Sprinklers: Ight / y } �`- a C !g, . Flood Znr+e Use. Pa S R `"'� a � d ZJ : N Construction Valuation: $833,330.00 K*m° Building Permit Fee: $5,542.00 %xcis FaX $0.00 Planning Department- Fire Department Plan Check Fee: $4,821.54 Additi al 0 0 ��•••aaa Plan check Fee : $104.00 Fire Inspection: $0.0 Overtime Plan Ck: $0.00 -Cradi B 9 g re : 00 Fire Plan Rev $145.5 Investigation Fee: $0.00 43;radi P on - Rant: $$f: y' aI, r ns: 0. 0 Demolitio Fee Record Management: $32.00 -Qradi ermit Fee: ( �rOQ, e In -lieu ousing Fee: e $0.0 Energy Compliance: $0.00 erect PC Fee: �4yOMO' tar tee ublic Works Department- Gyrre a is p e $0. Disabled AcceCA Seismic ss: $0.00 WQ I_ V Fee, , $0.00 Park PAN PIanlcation $0.00 Check : $50.775 (no work � id pdgsit i $0. 0 Hazardous Mat $0.00 Elects al W San Dist : $0.00 Building Green Fee : $34.00 'Meth hical %: $414.54 NMU e 0 $0 0 Plum ing °t° $ 00 TOTAL FEE: $11,869.78 Plan ChecK`ee'i""35fr8t1 ,,.,,�.., Fee ue ehmlt uance : $6,510.9$ �....; PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: A GRADING APPROVAL: 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 far 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 Iicensure 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from Iicensure under tF -Contractors' State-L-icense•Law.for the. following _reason: By my signature below I acknowledge tIl��oaaat, except for my personal r 'den�� 'n whi I St have resided for at least one yea_rprior to completion of the improvements covered by this permit, I cannot legal sell a structure thai . nave built as an o ver b$'ilperjf it has not lbcon F¢cteB irety by licensed contractors. I understand thata copy of the-applicableJaw, Section 7044 of the Business and Rofessicns Code, is available upon re Est wffeh'th�sapplica" miffed or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. Sgnature of Prorer'y Ol-mer cr Authori d Anent - Date i LICENSED CONTRACTOR'S DE( I nerehv affirm under penalty of perjury and effect. Licen„ O C'',ass ✓pORK£RS' COMPENSATION DE NARNING: FAILURE fu SECURE WORKERS' CI COST OF COMPENSITIOC', DAMAGES AS PRO% hereby affirm under penalty of perjury J I have and wii, mEintain a certiflcl Derformance of the .vork for which this' ave` and will memtain workers' c nce carrier and policy number al ie of Agent certify that, in the performance of if I should b come ubjeeGt to the lature of Appli ireby affirm under penalty of perjur t ider's Name my signature below, I certify to Sect I am the property owner or author E I have read this application and th I agree to comply with all applicable I authorize representatives of this E of Property Owner or At ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED 1 am licensed under provisions of Chapter g (commencing with Sec .90) of Division 3 of the'Bu less and Professio, Codl License No D //-'S�Zo=-! Co,[18�ictor Signature NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL f ` fTION PENALTIEISLJ,ND CLy�1FINES UP TO ONE HUMORED THOUSAND OI FOR IN SECTION 0106 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES ` INi I _; M, o wing declarations �f on Ut to self insure for workers' compensation: issued by the Drfedtos,of Industrial Relations as provided for by Section lik�sued. Policy No. :47nn insurance, es Pequlred by -Section 3700 of the Labor. Code for the performance of the work for which this permit is is x_-s Policy Number Expiration Date 4 hicli t-j— s ad I lI t loy any pers n in y r%o as to become subject to the workers' c .rs compensation rows s f Idh z37$010 1 Labor Co e, Is. II f rth v those rnvislons - p (wol k st?rted) s P R TION LENDING AGENCY no Work "jf^"}P tb�rq is a construction lending agency for the performance of the work for which this permrtls� tte (action 3097, Civil VV CC Lender's Address of the following: or county to I DATE I BY owner's behalf. property for Insp. initials! Print Prooertv Owner's or Authorized AD DECLMBMION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: license is in full force 00,000), IN ADDITION TO THE the Labor Code, for workers' laws of California, and