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Home My WebLink AboutX2019-3652 - Permitsrwwhrik City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 rt<„x"•' Combination Type - CIP ELEC MECH PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II x 2 0 1 9 3 6 5 2 COMB Permit: X2019-3652 Project No : 2508-2019 Issued Date : 12118/2019 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: 896 DOVE ST NB St: 1 Ft: 4 Unit: 450 Description: "SPEC SUITE" 'NSP^^I®R AN L Legal Desc.: TRACT NO 7694 LOT 4 AND LOT 5 POR OF LOT TRACT 9L-�- /V- Owner: NEWPORT PLAZA OFFICE LLC Contractor: CALIBER CONSTRUCTION INC Architect: KELLY LISA M Address: 17877 VON KARMAN #200 Address: 2001 ROSS AVE #2800 Address: 240 NORTH ORANGE AVE IRVINE CA 92612 DALLAS TX 75201 Phone: BREA CA 92821 7141572-0700 Phone: 949-798-7300 State Lic:C032528 Phone: Applicant: KELLY LISA M Con State Lic: 635842 Engineer: Address: Address: 17877 VON KARMAN 9200 Lic Expire: 01/3112020 IRVINE CA 92612 Bus Lic: BT30062464 Phone: , State Lic: Phone: 949-798-7300 Lic Exp Date: 0313112020 Code Edit: 2016 Workers Compensation Insurance Designer: Type of Construction: I-A-SPR Carrier: TRAVELERS PROPERTY Address: Occupancy Group: B Policy No: UBOK19760619 Phone: Added /New sq.ft. Bldg: 1554 Expire: 02/13/2020 - Added /New sq. ft. Garage: 0 Building Setbacks Rear: I Special Conditions: p No of Stories: 5 Front: I No of Units : 0 Left: I - Bldg Height: 0 Right: I ' - Bldg Sprinklers: Y Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N Flood Zone: X Construction Valuation: $82 000.00 • - Building Permit Fee: $987.00 Excise Tax: $0.00 Planning Department - $40.00 Fire Department Fire Inspection: $0.00 Plan Check Fee: $858.69 Additional Fee : $0.00 Plan check Fee : Fair Share : $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: Grading PC Consultant: $0.00 $0.00 SJH Trans : $0.00 Demolition Fee Investigation Fee: $0.00 $58.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Record Management: $57.40 Grading PC Fee: $0.00 Public Works Department - General Service 0.00 Energy Compliance: CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Par DediPlancation Grading Bond: Deposit g0.00 Disabled Access : $87.00 PAN$0.00 $0.00 Hazardous Mat $0.00 Electrical %: $258.40 $203.03 San Dist: NMUSD Fee: $0.00 $0.00 Building Green Fee : $4.00 chanical %: $0.00 PI tubing %: $166.11 ' TOTAL FE $2,719.63 Plan Check Fee : $1,335.05 Fee Due at P I s nce : $1,384.58 PUBLIC WORKS APPROVAL: PROCESSED BY: PLAN CHECK BY: ZONING APPROVAL: APPROVAL TO ISSUE: GRADING APPROVAL: J 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 U 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-Builderwill have the burden of proving that it was not built or improved 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 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). ❑ 1 am exempt from licensure 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 of perjury that I am licensed under provisions c C1}�pter 9 (co mencing with Section 700 f Divi i n of the Business and Professi d an li nse is in full force and effect. Lice:loc C'a3s �-� License No sj'?�-1�%>4�%L Dat � ). � Contractor Signature XORKERS' COMPENSATION DECLARATION M.IRNING: \`AILURErO S-C6RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), n TION TO THE :OFT OE COMPENSAI IUN, 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: ' I have and v.i:: ,i.&ii.tain 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 fofiF ce of the work for which this permit is issued. Policy No. nave Nl nd whl.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 J. a.1 c�rnerr and p licy number are: `' —f �7 e'9 �-�7 Policy Number_ � i`— I (C!0 Expiration Date G �/� / 2 �` me of Agent _��. I.ezn (V7;i �✓' . Phone # —7 I_— 2r2Y . I certif7 that, in'te 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 agre t, it f should bennme subject to the workers' compensation of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant .,4 l/{tf' Dat rZ CLARATION REG CTION LE I GENCY areby affirm under pen of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code). lder'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 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 laws relating to building construction. I authorize representatives of this city or county to above-i entif d property for inspection purposes. I / p�� f/I nature of Property Owner or Authorized Agent / Giy� Print Property Owner's or Authorized Agent's Name f LX e / arP It/ ACTION DATE BY - ION OF COMPLIA WIT CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610E AND AQMD RULE 1403 PERMIT EXPIRED 111 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED I 171cDA PERMITFINAL ZJ // ❑ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF �'Il- G PROPOSED DEMOLITION OCCUPANCY ISSUED clr-MATI mc.