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HomeMy WebLinkAboutX2020-0452 - Permitsgo,tyv,.e ro4, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 �`S Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 a ,u Combination Type - BLDG ELEC `X2020--0452* COMB Permit X2020-0452 Project No : 2466-:',019 Issued Date : 08131120.20 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/0112023 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 Holic ays Job Address: 3443 PACIFIC VIEW DR NB Description: COMM (4) LIGHT POLES "HARBOR DAY SCHOOL" Legal Desc.: IRVINE SUB LOT 463 BILK 96 FOR OF LOT 6 Owner. HARBOR DAY SCHOOL Address: 3443 PACIFIC VIEW DR CORONA DEL MAR, CA 92625 Phone: Applicant: SHULMAN GINGER Address: 5301 CALIFORNIA AVE IRVINE, CA 92617 Phone: 949-701-4163 Code Edit : 2016 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: $15,000.00 Building Permit Fee: $331.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $375.33 PROCESSED BY: ZONING APPROVAL: Contractor: DPR CONSTRUCTION Address: 4665 MACARTHUR CT #100 NEWPORT BEACH CA 92660 Phone: 949-955-3771 Con State Lic: 953749 Lic Expire: 10131/2020 Bus Lic: BT30042122 Lic Exp Date: 12/3112020 Worker's Compensation Insurance Carrier: LIBERTY INS CORP Policy No: WA766DO66943038 Expire: 09101/2020 Building Setbacks Rear. / Front: / Left: / Right: / 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: EAVES DAVID ALLEN 5924 E CALLE PRINCIPIA ANAHEIM CA 92807 949-261-1001 State Lic:CO2546; MASOOD ZEESHAN " 316 SAINT VINCENT IRVINE CA 92618 949-261-1001 State Lic:S-005951 Special Conditions: Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee: Grading Bonds Fee: $0.00 Fair Share: Grading PC Consultant : $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WO Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical %: $43.33 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbinglo: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : ` 375.33 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: JYli Ly APPROVAL TO ISSUE: J� OWNER -BUILDER DECLARATION I hereby affirm un ler penalty of perjury that Iam exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(s) ;Section 7031.5, Bus.neaa and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for the permit to file a sieaed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter g (commencing with Section 71 of Division 3 ol. the Business and arofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Anyviolation of Section 7031.5 by any applicant fora permit subjects the applicant I a civil penalty of iot more than five huid ed dollars ($500). , I, as owner of the properly, or my employees with wages as their sale compensation, will do L) all of or U portions of the work, and the structure is not intended or offered For sale (Sc ction 7044, Business and Professions Code: The Contractors' State License law does not-applyto an owner of property who, through employees' or personal effort, builds or improves the property, provided that (he mprovements are not intended cr offered for sale. If, however; the building or improvement is said within one year of completion, the Owner -Builder will have the burden of proving that it vas not built or 5roved forthe purpose ofsale). 1, as ownerof the 3ropedy, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business: and Professions. Code: They Contractors'. State Licens_ Cawdoes not 1pply to an owner of f repertywho builds or improves' thereon, and who contracts for the projects with a licensed Contractor: Pursuant to the Contractors' Stale License Law). 5 tam exempt from licensureunder the Contractors' Stale License. Law for the following reaspn: iy my signature belo', , I acknuwledge that, except for my personal residence. In which I must have resided: far at least one year prior to completion of the improvementscovered by this pe',nit. I cannot legall! ella structure that I i. eve built as an owner -builder if it has not been constructed in its entirely by licensed Contractors. ) understand that.a copy of the applicable. law,: Section7044 of the v.usiness and Irofessions: Cede, is : vailable:upon request when this. application Is'. submitted or at the following: Weh slte hlip:/Av %.legidfo.cs.govlcalaw.htmi, iignature',of Property ]wner,or Authorized Acent Dale .ICENSEG CO;dTF ACTOR'S DECLARATION hereby atnr-r •rder ,enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00)'.of ' Isi D.3 of the Business and Prof si n Cod Icerse is in full force Ind Cl d effect, License ass .License No Cats Contractor Signature �"a'"'""�+� VORKERS' COMPENSATION DECLARATION •ARNINaz FAILURE TO SE ]URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T r<.. DOLLARS (SIOD OOC'., N ADOMON TO THE WT OF COMPENSATION, DAMAGES AS PROVIDED FOR N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby aOrm under r enalty, 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 Eric anre'of the we: k for which this permit is issued. Policy No. and will inai Itain 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 woe;ers' caner and Iolicy number are: Policy Number _ Expiration Date of A4'^f certify tLat, in the performance of 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 agm 1, if I shc! If`1 )=come subject to the e' pinpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pmvfstons. nature of TIApplicant R (O U r �""-NC Date: CLAFtATION REGARC BTRUCTION LENDING AGENCY — I ireby affirm under p,n lty of Peedury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). tder's Name Lenders Address my signature below I cedlry to each of the following:. I am the property c wrier or authorized to act on the property owner's behalf. I have read this ap Acation and the Information I have provided is correct. I agree to comply %rith all applicable city and county ordinances and state laws relating to building construction. 1 authorize representatives of this city or county toante above-idonlifled p_r_np_edy1oiainapection purposes, nature of Property [owner or Authorized A ent( , , , '��� ^ s +♦ 9qy1 } _g Print PrODeAV'OWnerSor Authnrioed Anonl•e Nome a �lrr��dYYltll�.n�r.. iJl��1/� ACTION DATE BY Id:- ECLARATION OF COMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE ((( 1403 PERMITEXP/RED 1 stiBMn-TED ASBESTOS NOTIFICATION TO �f PERMITC4NCELLED _ EPA PERMIT EXTENDED QMD �, ,ram '�� G/`S)pp M S J�l�/r ` •• / �53 PERMITRNAL aESTOS NOTIFICATION IS NOT APPLICABLE TO CERT/FIC4TEOF /,- C5 PR OSEDDE IqrION OCCUPANCYISSUED NATURE: 11