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Home My WebLink AboutX2020-1782 - PermitsrwWt'r,r City of N wport Beach - Building Division 100 Civic Cent r Drive, Newport Beach, CA 92660 H 't Permit Countei Phone (949)644-3288 ,.. 4, Inspection Re uests Phone (949)644-3255 Combination Type - CIP ELEC t 04'u Job Address: 3700 (CS) CAMPUf Description: COMM "T-MOBILE Legal Desc.: P BK 104 PG 37 P1 Owner: CLAYTON NICK Address: 3700 CAMPUS DR t NEWPORT BEACH, Phone: 949-852-0300 X 2 0 2 0 1 d I�� II COMB Permit: X2020-1782 Project No : 1428-2020 Issued Date : 0812712021 Inspection Area : 7 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/27/2024 OR PERMIT WILL BE INVALID n 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 R NB tEPLACE (6) ANTENNAS, (3) RRUS AND ADD (3) RADIOS 1 92660 Applicant: COASTAL BUSINESP GROUP Address: 24310 MOULTON P WY, STE O #1009 LAGUNA HILLS CA 2637-3306 Phone: 949/336-1550 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Valuation: Building Permit Fee: $: Plan Check Fee: $358.58 Overtime Plan Ck: Investigation Fee: Record Management: Energy Compliance: CA Seismic Safety: Disabled Access Hazardous Mat Building Green Fee PROCESSED BY: Contractor: PROCESS CELLULAR INC Address: DBA PROCELL 3020 W HARVARD ST Phone: 714-617-9921 Con State Lic: 951819 Lic Expire: 0813112022 Bus Lic: BT300796409 Lic Exp Date: 0813112022 Worker's Compensation Insurance Carrier: CYPRESS INSURANCE CO Policy No: PRWC127440 0 Expire: 0911712021 0 Building Setbacks Rear: I Front: / Left: / Right: / Use Zone: Parking Spaces: 0 TOTAL FEE 1 $921.02 ZONING APPROVAL: GRADING APPROVAL: Excise Tax: $0.00 Additional Fee : $68.00 Grading Bonds Fee: $0.00 Grading PC Consultant : $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee : $0.00 Electrical %: $87.44 Mechanical W $0.00 Plumbing %: $0.00 Plan Check Fee Architect Address: Phone: State Lic Engineer: PINA PAUL Address: 2204 TORRANCE BLVD 105A TORRANCE CA 90501 Phone: State Lic:C-041035 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 : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 N Fire Department $52.00 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 $353.92 Fee Due at Permit Issuance : $567.10 PLIFLIC 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 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). ❑ I 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 legall, 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 o perjy'iJJry th t I am licensed under provisions of: �gpmmencing with Section 700) o D' Isio 3 f the Business and Prof Slons i e is in full force and effect. License Class /A�/ t, G20 License No 49�C 14 Date 6) z Contractor Signat NORKERS' 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 I$ IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 >eArmance of the work for which this permit is issued. Policy No. have and will a' fain workers' cv nsation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this ermit is issued. My workers' compensatio rance carrier a d p cy y ar are' q ier 5 LJ01 b �K uic Q Expiration Date �% �721 Ie of Agen Phone # certify that, in4h erformance of the w rk fo whi Is emIll is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre t, if should become subject to the work c io provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. nature of Applicant '_7 2.) CLARATIO31 REGAR CONSTRUCTIO E GE CY '�—� !reby affirm under pe alty of perjury that ther c 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 ow r s b alf. I have read this application and the information I have provi ad N. or ct. I agree to comply with all applicable city and county ordina as an s relating to building construction. ' I authorize representatives of this city or county enter ' an party for inspection purposes.exrs / ,1 F[)��/� nature of Property Owner or Authorized Agent Print Property Owner's or Authorized ADent's Nam ( Z uLwctP l n�re �h ACTION DATE BY DECLARATI N 0 WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATI0 PART 610E TITLE 40 AND AQMD RULE 1403 PERMIT EXPIREDLJI SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED QM D PERMITFINAL i , ZLJASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: