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Home My WebLink AboutX2022-0254 - PermitsCity of Newport Beach - Building Division arr'�`r o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 y Inspection Requests Phone (949)644-3255 4ir rha Combination Type - BLDG ELEC PLUM *X2022-0254* COMB Permit: X2022-0254 Project No : 0228-2022 Issued Date : 05131/2022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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 H`p{ir(ays Job Address: 101 BAYVIEW PL NB f{,� Description: COMM FOUNDATION ONLY & WET UTILITIES "CLEARWATER" Legal Desc.: N TR 12528 LOT 1 Owner: KODAKA INC Contractor: O'NEIL W E CONSTRUCTION CO OF CALIFORNIA Architect: DOUGLAS PANCAKE Address: 400 WATER ST, STE 200 Address: 909 N SEPULVEDA BLVD #400 Address: 245 FISCHER AVE #2-B ?, EXCELSIOR MN55331 EL SEGUNDO CA 90245 COSTA MESA CA 92626 Phone: 9521294-1242 Phone: 310-643.7900 Phone: 7141556-5774 State Lic:CO27254 Applicant: THOMAS LE / PANCAKE ARCHITECTS Con State Lic: 494031 Engineer: ADEN MARK D Address: 245 FISCHER AVE #2-B Lic Expire: 06/30/2022 Address: 1314 S GRAND BLVD, STE 2-359 COSTA MESA CA 92626 Bus Lic: BT30078190 SPOKANE WA 99202 Phone: 510-219-6202 Lic Exp Date: 03/31/2023 Phone: State Lic:S-004779 Code Edit : 2019 Type of Construction: 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: Flood Zone: Construction Valuation: $8,750,000.00 Building Permit Fee: $25,135.50 Plan Check Fee:$21,867.89 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $96.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $350.00 TOTAL FEE : $56,202.94 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: ZURICH AMERICAN INS CO Policy No: WC353310322 Expire: 03/3112023 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: / Left: / Right: / Parking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,290.25 $0.00 $4,230.30 0 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $609.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $624.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $21,867.89 Fee Due at Permit Issuance : $34,335.05 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 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 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-Builderwill have the burden of proving that it was not built or im roved 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 Iicensure 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 Iega111 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) of Division 3 of the Business an"i,Professio o , and my license is in full force and effect. License Class License No Date % 5 Contractor Sigrfature /L 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 ($100,000), 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 irrlder 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 ;eAgrmance of the wor, for which this permit is issued. Policy No. vq 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' ice carrier and policy number are: le of Agent certify that, in the p if t should become ignatur= of Policy Number Date of the work for which this pennit is issued, I shall not employ any person in any manner s0 as to become subject to the workers' compensation laws of California, and agre he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IECLAPATION REGARDTNG CONSTRUCTION LENDING AGENCY 5erebvaffirm 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 'y 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 county to r t bo entified property for inspection purposes. lionature of Property Owner or Authorized Aqent _ /l��.. Print Property Owner's or Authorized Agent's Name Jvi�n ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED QM D PERMIT FINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF �) "3 2 PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: