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Home My WebLink AboutX2019-1955 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-195 r�«rrk n� 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 1 9 5 5 Project No : 1421-2019 Permit Counter Phone (949)644-3288 v a Inspection Requests Phone (949)644-3255 Issued Date : 0210312020 Combination Type - CIP ELEC MECH PLUM Inspection Area M : PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 20331 IRVINE AVE NB Description: COMM TI "ANTON AESTHETICS" 5,644 SF Legal Desc.: Owner: THE JETTY NEWPORT BEACH LLC Contractor: V T CONSTRUCTION Architect: BAGLEY AMY STEINER Address: 3501 JAMBOREE RD 94200 Address: 14542 HARPER ST Address: 17800 MITCHELL NORTH NEWPORT BEACH CA 92660 MIDWAY CITY, CA 92655 IRVINE CA 92614 Phone: 949-219.2329 - Phone: 714-330-0096 Phone: 714-299-5957 State Lic:C030804 Applicant: WRIGHT CARRIE Con State Lic: 590997 Engineer: BISHOFF RYAN WILLIAM Address: 17800 MITCHELL NORTH Lic Expire: 03131/2020 Address: 9252 DALTON CIR IRVINE CA 92614 Bus Lic: BT30070892 WESTMINSTER CA 92683 Phone: 949-683-3984 Lic Exp Date: 02/28/2021 Phone: 949-862-8510 State Lic:S-006250 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE COMP Address: Occupancy Group: B Policy No: 1966371 Added /New sq.ft. Bldg: 0 Expire: 08101/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: RAINBOW DISPOSAL No of Units : 0 Front: / TO HAUL DEBRIS Bldg Height: 0 Left: / Bldg Sprinklers: N Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $375,000.00 Building Permit Fee: $2,818.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $2,512.66 Additional Fee : $324.00 Plan check Fee: $200.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $19,2B8.12 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $126.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $24.00 Energy Compliance: $262.50 Grading PC Fee: $0.00 Public Works Department - General Service $197.00 CA Seismic Safety: $0.00 WQ Inap. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $375.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $737.75 San Dist: $0.00 Building Green Fee : $15.00 Mechanical %: $579.66 NMUSD Fee: $0.00 $0.00 Plumbing %: $474.27 $0.00 TOTAL FEE : $28,497.96 Plan Check Fee : $4,246.72 Fee Due at Permit Issuance : $24,251.24 PROCESSED BY: PUELIC'WORKS 'APPF 0OVAL: g� ZONING APPROVAL: 1J PLAN CHECK BY: GRADING APPROVAL: V_ Tu !SSQE: 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 (_) 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-Builderwill 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 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 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 Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o Di ision 3 of the Business and PNfessions de, a'd my I_ a is in full force and effect. License Class License No Date/ 2 U Contractor Signature / I, Z� WORKERS' COMPENSATION DECLARATION (IA WARNING: 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 ($100,000(, 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 performance 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: Policy Number of Agent Date certify that, in the performance of the work forwhich 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 agref I, if I should become s ubje ct ttoo/jhe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant �[ L SY�!"—`+--^ DaV ��i_l w CLARATION REG KERG CONSTRUCTION LENDING AGENCY Ireby 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or coun to enter t above identifid property for inspection purposes. �1 nature of Prooertv Owner or Authorized ADent � . —G,r.— Print Prooertv Owner's or Authorized ADent's Name\ / k— "16 / ?' iA14 Date 'Z-/5 // 2° ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF REGULATIONS PART 61 Or TITLE 0ANDAQMD RULE �L FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED A..iBES TOS NO: IFI-ATION TO PERMITCANCELLEO DEPA PERMIT EXTENDED UAQMD PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED (2 p I'+�C'� IZASBESTOS NOTIFICATION 15 NOT APPLICABLE TC PROPOSEDDEM Lino SIGNATURE: