The URL can be used to link to this page

Home My WebLink AboutX2019-2631 - PermitsCity of Newport Beach - Building Division COMB Permit: X2019-2631 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 6 3 1 Project No: 1877-2019 (9) Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 0711612020 Combination Type - BLDG ELEC Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0711712023 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 Holidays Job Address: 3600 (CS) E COAST HWY NB Description: COMM CELL SITE "T-MOBILE" Legal Desc.: Owner: FISCHER STEVEN Contractor: QUALTEK WIRELESS LLC Architect: Address: PO BOX 343 Address: 1150 FIRST AV STE 600 Address: CORONA DEL MAR CA 92625 KING OF PRUSSIA, PA 19406 Phone: Phone: 484-804-4500 Phone: State Lie: Applicant: DARISO CHASE Con State Lie: 1042849 Engineer: CAI XINGUO Address: 3300 IRVINE AVE #300 Lie Expire: 08/31/2020 Address: 1825 W WALNUT HILL LN #120 NEWPORT BEACH CA 92660 Bus Lie: BT30072376 IRVING TX 75038 Phone: 760-521-6818 Lie Exp Date: 07/31/2021 Phone: 855-669-5421 State Lic:C-082301 Code Edit: 2016 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Valuation: $50,000.00 Building Permit Fee: $762.00 Plan Check Fee: $725.94 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $22.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,61 PROCESSED BY: ` ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: FIRST LIBERTY INS CO Policy No: WC6631510650028 Expire: 11130/2020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I Designer: Address: Phone: Special Conditions: $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 $99.75 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 - $0.00 Plan Check Fee: $694.45 _fee Due at Permit Issuance : $917.24 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 ie 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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 licensure under the Contractors' State License Law for the following reason: ly 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 ell a structure that 1 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://w .leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Division 3 of the Business andN I �sio de�nd n lie is is in full force nd effect. License Class License No Contractor Sign VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUS r DOLLARS ($100,0001, IN ADDmON TO THE DST 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: 7 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 thi %dormance 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 is of Agent certify that, in the performance of the work for which if I should become subieclto theav6rRrs' rorrAm Date issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and is of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. j . Signature of Applicant " are_ I v v DECLARATION REGARDWE diQNST CTI N LENDING AG CY I hereby affirm under penalty of perjuryat ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 law lating to building construction. I authorize representatives of this city or co o an e a c -ide tified r any for inspection purposes. n Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Nam V" Date ACTION DATE BY DEC R ION OF A COMP WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE TIONS PART 61 OFTITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED ASBESTOS NOTIFICATION TO PERMITFINAL /f U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY fSSUED SIGNATURE: