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HomeMy WebLinkAboutX2022-0250 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 v Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG *X2022-0250* COMB Permit: X2022-0250 Project No : 0226-2022 7 (', R f^n !r-*, +,-s^°�..n.�.�.�, Issued Date : 02/07/2022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210712025 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 an Sundays or Holidays Job Address: 4500 MACARTHUR BLVD NB Description: COMM REMOVE (E) 2,000 GALLON UST Legal Desc.: P SK 173 PG 31 PAR 3 Owner: WJ NEWPORT LLC Address: 730 N DIAMOND BAR BLVD DIAMOND BAR CA 91765 Phone: Applicant: SILCVA CARLOS Address: 27570 COMMERCE CENTER DR#129 TEMECULA CA 92590 Phone: 951-676-0600 Code Edit : 2019 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Valuation: Building Permit Fee: $402.00 Plan Check Fee: $349.74 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $810.74 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: TANK SPECIALISTS OF CALIFORNIA Architect: Address: 27570 COMMERCE CENTER DR #129 Address: TEMECULA, CA 92590 Phone: 951-676-0600 Phone: State Lie: Con State Lie: 745065 Engineer: Lie Expire: 01/31/2024 Address: Bus Lie: BT30077486 Lie Exp Date: 12/3112022 Phone: State Lie: Worker's Compensation Insurance Carrier: STATE COMP.INS Policy No: 9129323 Expire: 03/26/2022 Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: I Parking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Designer: E SILVA CARLOS Address: 27570 COMMERCE CENTER DR TEMECULA, CA 92590 Phone: 951-676-0600 Special Conditions Hazard 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 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building DeptAdm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $401.74 Fee Due at Permit Issuance : $409.00 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) 1 have placed next to the applicable item(s) 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 (Section 7031.5, Bu 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 U all of or `) 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 no 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below 1 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 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 Cod= 's available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. Date Signature of Pronerty owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION hereby affirm indsr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se Dioaie7 00) lk of D'visi n 3 of tConBtractoSSignaturef s 'on 9e, an my lice e,is'n full force and effect. License Class License No `91OPI(ERS' COMPENSATION DECLARATION WORNIVG: FAILURE TOiON,CDARE WO AS PROVOIDED FOR IN SECTION OVER37 IS UNLAWFUL, AND SHALL THE LABOR COOS, INTEREST,SUBJECT AAND AE ORNEY MPLOYER F CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN AUDITION TO THE I hereby affirm pnd,e', penalty of perjury one of the following declarations: I hive 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 th performance of the work for which this permit is issued. Policy No. havL and will main'n 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' compensatio �ai s( slv "s� carrier and policy number are: Expiration Date Ca•r€r Policy Number Phnne # ame of Agent I certify that, in the performance of t ork 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 agree lat, if I should becomLsuect tot eskers' c mpensat' p ov' ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.Dateignature of ApplicantIECLARATION REGACONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that 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 ly 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. authorize representatives of this city or county t ant tla ab ve-iden Iedq operty for inspection purposes. Dat Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EMENDED AQMD PERMITFINAL LI•Jp.J'} (Cyr P BESTOSN TIFICATION IS NOT APPLICABLE TO CERTIFICATE OF P OPO D N + OCCUPANCY ISSUED SIGNATURE