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Home My WebLink AboutX2021-2882 - PermitsCity of Newport Beach - Building Division 'X2021 -2882` A COMB Permit: X2021-2882 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 2514-2027 Permit Counter Phone (949)644-3288 u 3 Inspection Requests Phone (949)644-3255 Combination Type - CIP � � i.J�� 1� Issued Date : 03/15/2022 L-, n Inspection Area : 7 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/15/2025 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: 4701 TELLER AVE NB Description: COMM ALT PRIOR TOT] "MIRAMONTES CAPITAL' 7,740 SF Legal Desc.: N TR 9626 LOT 11 .._..- . . Owner: MIRAMONTES SID Address: 620 NEWPORT CENTER DR STE 650 NEWPORT BEACH, CA 92660 Phone: 909-519-8056 Applicant: TOKA MELINDA Address: 9850 IRVINE CENTER DR IRVINE, CA 92618 Phone: 949-679-6880 Code Edit : 2019 Type of Construction: V-B Occupancy Group: B Added /New sq.ft. Bldg: 7740 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $37,900.00 Building Permit Fee: $666.00 Plan Check Fee: $579.42 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access, $91.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,398.42 PROCESSED BY: Contractor: CASCO CONTRACTORS INC Architect: Address: 9850 IRVINE CENTER DR Address: IRVINE, CA 92618 Phone: 949-679-6880 Phone: State Lic: Con State Lic: 790706 Engineer: Lic Expire: 0113112023 Address: Bus Lic: BT30041027 Lic Exp Date: 10/31/2022 Phone: State Lic: Worker's Compensation Insurance Designer: OSBORN CHERYL Carrier. ZURICH AMERICAN Address: 9850 IRVINE CENTER DR Policy No: WC452503200 IRVINE, CA 92618 Expire: 01/0112023 Phone: Building Setbacks Rear: / Special Conditions: Front: I Left: I Right: / Use Zone: Parking Spaces: 0 Fire Hazard Zone : N 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 Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check, $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 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 Plan Check Fee : $722.42 Fee Due at Permit Issuance : $676.00 PUBLIC WORKS APPROVAL: ZONING APPROVAL: A F PLAN CHECK BY: 10 1_ 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 repair the checcture, s i I have placed ce, to one 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 :he 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 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 U all of or (_) portionBusiness and Professions Code: The s Of the work, and the Structure is not intended or offered for sale (Section 7044, Contractors' eanapply owner of employees' ril rproperty, improves the tr improvements are not medd ooff d for sale. If, however, thebudngor improvement ssoldwithiin one year of completion, the Owner -Builder have the burden of proving that it was not builto improved for the purpose of sale). truct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to cons 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). 71 1 an exempt from :icensure 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 -see. 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 la*on the Business and Professions Coda, is aJailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Slnnatt^e of Property Owner or Authorized Agent LICcn1SED COMTRACTOR'S DECLARATIONCCdNIuleoaffirm under deCT of perjury that am licensed under provisions of Chapter 9 (commencing with Section 7 0 f ivisio 3 of the Business and Profe slicenseisinfullforce a.Il a"ect. License Class License No DContractor SignatureVi;ORAERS'COMPFNSATION DECLARATIONWARNING: FAILURE TO 3EGURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECCT N EMPL YEREYS TO CRIMINALPENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH00,0001, IN ADDITION TO THE nn�T "F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, I her�hy affirm -nde, penalty of perjury one of the following declarations: 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 IN p ormance of the work 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' compensatior insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent t �� Phone # ❑I certify that, in the perform a the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if should become subje t t workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ��,� /ZZ Signature of Applicant Date DECLARATION REGARDING STRUCTION LENDING AGENCY I hereby affirm under penalty o erjury that there 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 prrty owner's behalf. I have read this application and the information I have Ed is correct. I agree to comply with all applicable city and county o ces and state laws relating to building construction. K I authorize representatives of this city or county to en r ab e-identified property for inspection purposes. J RR l ( „ Signature of Property Owner or Authorized A ant: Print Property Owner's or Authorized Agent's Name J N S Date ACTION DATE BY DE RATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED ❑I SUBMITTED AS B TOS NOTIFICATION TO PERMIT CAN CELLED EPA PERMIT EXTENDED QMD PERMIT FINAL 3-/7 ZZ Al %r-GS SEES NOTIF A IS NOT APPLICABLE TO CERTIFICATE OF OPOSED DEMOU OCCUPANCY ISSUED SIGNATURE: