HomeMy WebLinkAboutX2018-3860 - Permitsri rr µ City of Newport Beach - Building Division
`{ 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v y M. Inspection Requests Phone (949)644-3255
Combination Type - CIP
COMB Permit: X2018-3860 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No: 2976-2018
Issued Date : 09/30/2019
Inspection Area : 7
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 1300 DOVE ST NB
Description: COMM TI -INSTALL DECORATIVE LOUVER SYSM ON EXTERIOR ON SELECT WALLS OF BUILDING
Legal Desc.: P BK 63 PG 27 PAR 2
Owner: AG REDSTONE OWNER
Contractor:
REDHAWK BUILDERS INC
Architect:
PERKOWITZ SIMON
Address: 150 PAULARINO STE D182
Address:
200 TECHNOLOGY STE L
Address:
17911 VON KARMAN AVENUE SUITE 200
COSTA MESA AC 92626
IRVINE CA 92618
IRVINE, CA 92614
Phone: 949-333.2114
Phone:
949-754-9050
Phone:
714-921-9361 State Lic:CO24026
Applicant: SMITH LIN
Con State Lic:
692901
Engineer:
Address: 17911 VON KARMAN ST 200
Lic Expire:
10/3112019
Address:
IRVINE CA 92614
Bus Lic:
BT30027314
Phone: 949.221.6272
Lic Exp Date:
04130/2020
Phone:
State Lic:
Code Edit : 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V-B-SPR
Carrier:
INS OF THE WEST
Address:
Occupancy Group: B
Policy No:
WSD5031143
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 5
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $100,000.00
Building Permit Fee: $1,113.00
Plan Check Fee: $968.31
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$108.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $2,233.31
PROCESSED BY:
ZONING APPROVAL:
Expire: 09/01/2020
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee :
Phone:
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication:
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
i^d01PE_CTCR
Fire Department
$40.00
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
$889.92 Fee Due at Permit Issuance : $1,343.39
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: %a
GRADING APPROVAL: 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)
iection 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
is 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
rofessions Cade) 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
Dt more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
n roved for the purpose of sale).
1, 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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 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
-rofessions 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
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect! n 7 00) of ivisio 3 of the Business and Prof e r r I' se is in full force
nd effect. License Class License No D -1 30 ., Contractor Signatur
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:OST 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:
3 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 thi
rmance of the work for which this permit is issued. Policy No.
ave 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' compensatiol
iSur rice carrier and policy number are:
'ar' r Policy Number Expiration Date
dame of Agent Phone #
�I certify that, in the performance of the ork f hi is 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
hat, if I should become subject to rs' mp ns tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant D to
)ECLARATION REGAR CON RUCTI L O N ENCY
hereby affirm under penalty o perjury that there is a c nstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
.ender's Name Lender's Address
3y 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 cor
I agree to comply with all applicable city and county ordi antes and a :laws relating to building construction.
I authorize representatives of this city or county to ante t t OV led property for inspection purposes. ` I 1 \ _ ,, \ er /
;ionature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Vv��'� `">��' r Date
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY ECLAR.WON OF CDPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
p
1403
El 1 SUBMITTED
TO
NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY v