HomeMy WebLinkAboutX2020-1474 - PermitsCity of Newport Beach - Building Division *X2020-1474* COMB Permit: X2020-1474
too Civic Center Drive, Newport Beach, CA 92660 Project No : 1137-2020
Permit counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 06125/2020
Combination Type - CIP MECH ELEC Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST
VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/26/2023 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: 895 DOVE ST NB
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Description: COMM REPLACE (3) ROOFTOP A/C UNITS, "LIKE FOR LIKE"
WISTRUCTURAL �� �� I OR
INSPEC"
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Legal Desc.: TRACT NO 7694 LOT 4 AND LOT 5 FOR OF LOT
GLENBOROUGH NEWPORT PLAZA Contractor:
LIMBACH COMPANY LP Architect:
Address: 2001 ROSS AVE #2800 Address:
1709 APOLLO COURT Address:
DALLAS, TX 75201
SEAL BEACH CA 90740
Phone: State Lic:
Phone: Phone:
714-653-7000
Applicant: NAKAMUA AMY Con State Lic:
962922 Engineer: Y00, DONG YUN
Address: 8707 WALKER ST APT 10
Address: 1709 APOLLO COURT Lic Expire:
0713112021
CYPRESS CA 90630
SEAL BEACH CA 90740 Bus Lic:
BT30072237
Phone: State Lic:C-085632
Phone: 714-715-2618 Lic Exp Date:
06/30/2021
Code Edit: 2019 Worker's Compensation Insurance Designer:
Type of Construction: Carrier:
XL SPECIALTY INSURANCE Address:
Occupancy Group: U Policy No:
CWD7409546
Phone:
Added /New sq.ft. Bldg: 0 Expire:
01/01/2021 ,
Added /New sq. ft. Garage: 0
Building Setbacks
Rear: I Special Conditions:
No of Stories: 0
No of Units : 0
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers: Right: I
Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Flood Zone:
Construction Valuation: $395 630.00
Building Permit Fee: $2,983.00 Excise Tax:
$0.00 Planning Department - Fire Department
Plan Fee : $41.50 Fire Inspection: $0.00
Plan Check Fee: $2,595.21 Additional Fee :
$0.00 check
$0.00 Fair Share : $0.00 Fire Plan Rev $0.00
Overtime Plan Ck: $0.00 Grading Bonds Fee:
$0.00 Grading PC Consultant :
$0.00 SJH Trans : $0.00 Demolition Fee
Investigation Fee:
Record Management: $0.00 Grading Permit Fee:
$0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00
General Service $0.00
Energy Compliance: $0.00 Grading PC Fee:
$0.00 Public Works Department -
$0.00 Refund Deposit $0.00
CA Seismic Safety: $0.00 WQ Insp. Fee:
$0.00 Park Dedication :
PAN Plan Check: $0.00 Grading Bond: $0.00
Disabled Access : $0.00
Hazardous Mat $0.00 Electrical W
$417.62 San Dist: $0.00 $0.00
Building Green Fee : $16.00 Mechanical %:
$613.60 NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
TOTAL FEE : $6,666.93
Plan Check Fee: $0.00 Fee Due at Permit Issuance: $6,666.93
PUBLIC WORKS APPROVAL:
PROCESSED BY:
PLAN CHECK BY:
ZONING APPROVAL:
APPROVAL TO ISSUE:
GRADING APPROVAL:
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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTFWSTOR'S DECLARATION -�
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)!of Div'$ion 3 of the Busine and Profe ion Co a, and y lia in full
ar.ri �6,ac:. Licens Gass License No f�Datea P�?�� lt1.r_'Mc Contracto ignature 4'VN (i
WORKERS' CUMFENSATION DECLARATION 1
NHRh,NG: rAILURE TO'dECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL RS (E100,000), IN ADDITION TO THE
COST OF COMPENSATION, D/'MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby effirm uhd=• penalty of perjury one of the following declarations:
J 1 have and wii. ,na.ntain 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
Nurmarce of tte wort; 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 a,id Dj;.cy number are:
le of Agent
certify that, in the pl
if I should become
Policy Number
Date
ice 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
to the workers',corilpejsption provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignatureof p . a .-fn.wW - w to
iECLARATI ARDING CONST UCTI N LENDING AGENCY (VI'X�—41���Cr1
hereby affirm under penalty of perjulat 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 correct.
I agree to comply with all applicable city and cou y rdinances and st to law i relating to building construction.
I authorize representatives oft ' r county o e r the above- n d r erty for'nspection purposes. 0 {t 1
ignature of Property Owner or riz Agent AAW"i, int Property Owner's or Auth ed Name \/1 I v
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
BY
1403
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE
PART 61 OF TITLE 40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
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