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Home My WebLink AboutX2021-1315 - PermitsCity of 100 Civic Permit Col w 'fiS Inspection `:rvriiu '' Combinat Job Address: 4063 BIRCH ST Description: COMM - REPL I Legal Desc.: N TR 3201 LOT lewport Beach - Building Division 'X2021-1315* COMB Permit: X2021-1315 nter Drive, Newport Beach, CA 92660 Project No: 1170-2021 er Phone (949)644-3288 1 6 +- > ° -7f`- F ' :quests Phone (949)644-3255 b ,, ate, a j -1, n Type - CIP Issued Date : 02/08/2022 Inspection Area : 7 !ES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210812025 OR PERMIT WILL BE INVALID :tion 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 3 STAIRS & RAILINGS Owner: IRVINE FOUR LLC Address: 11766 WILSHIRE E LVD #820 LOS ANGELES CA 90025 Phone: Applicant: RIGGS JEFFREY Address: 25 PECOS RSM CA 92688 Phone: 949-233-1553 Code Edit : 2019 Type of Construction: V-B Occupancy Group: B Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: 28,750.00 Building Permit Fee: $558. 0 Plan Check Fee: $485.46 Overtime Plan Ck: $0. 0 Investigation Fee: $0. )0 Record Management : $0, 0 Energy Compliance: $0. 0 CA Seismic Safety: $0. 0 Disabled Access : $0. 0 Hazardous Mat $0. 0 Building Green Fee : $2. 0 TOTALFEEI: $1,045.46 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: PARK CONST & MNGMT INC Address: 1709 EAST 22ND STREET LOS ANGELES, CA 90058 Phone: 323-244-1378 Con State Lic: 1049602 Lic Expire: 01/31/2023 Bus Lic: BT30070270 Lic Exp Date: 1213112022 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9244664 Expire: 01/24/2023 Building Setbacks Rear: / Front: / Left: / Right: / Excise Tax: $0.00 Additional Fee: $0.00 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 %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 0 Architect: RIGGS JEFFREY Address: 25 PECOS RSM CA 92688 Phone: 949-233-1553 State Lic:CO21317 Engineer: SOMA JR PHILIP GEORGE Address: 252 SOUTH BRENTWOOD ANAHEIM CA 92804 Phone: 949-252-7660 State Lic:C-046231 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 PNV Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Plan Check Fee: $475.89 i; Fire Department $0.00 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 $0.00 $0.00 Fee Due at Permit Issuance : $569.57 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 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 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 own^r cf 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 exemp, f. Lr.i Iicensure under the Contractors' State License Law for the following reason: By my signature belc,A 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 legal], 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. Sigra'ure of Property Owner or Authorized Agent Date L ICENSED CON IFR.ACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) of ivis on 3 of the Business and Profs s' d , any d my R ense is in full force and effect. License Class License No Date $ ontractor Signature WORKERS' CUM PENSATION DECLARATION WARNING: FAILURE TU SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS l$100,0001, IN ADDITION TO THE ^.OFT OF. COMPENS."31W, 7AMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, i hereby affirm urder penalty of perjury one of the following declarations: I have and Will ma -main 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 th performance of D.e wort: for which this permit is issued. Policy No. have 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' Farce carrier and policy number are: me of Agent I certify that, in the p t, if I should become Policy Number Date of the ork 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 agre he orker compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��. �/ ignature of Applicant �( Date(( -str iECLARATION REGA�I NSTRUCTION LENDING AGENCY I \ hereby 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). 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 corre I agree to comply with all applicable city and county s an ate la s relating to building construction. I authorize representatives of this city or county t en{er t bov iden' d property for inspection purposes. %/ „� 7 /` of Prooertv Owner or Authorized ACTION PERMITCANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED I DATE I "z3 a DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE EPA N IS NOTAPPLICABLE TO FOR OFFICE USE ONLY 01.