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Home My WebLink AboutX2021-1026 - Permitswfvka City of Newport Beach - Building Division `X2021-1026" COMB Permit: X2021-1026 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0940-2021 Permit Counter Phone (949)644-3288 m q--��® Inspection Requests Phone (949)644-3255 ' N Combination Type - CIP MECH ELEC PLUM Issued Date : Inspection Arearea :2oz1 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/26/2024 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: 1301 DOVE ST NB St: 1 FI: 9 Unit: 910 Description: COMM TI *SPEC SUITE' 1,891 SF Legal Desc.: P BK 120 PG 27 PAR 1 Owner: USPF V 1301 DOVE LP Address: 1301 DOVE ST#370 NEWPORT BEACH CA 92660 Phone Applicant: IAN/S PACES Address: 3150 BRISTOL ST #205 COSTA MESA CA 92626 Phone: 949-724-1499 Code Edit : 2019 Type of Construction: I-A-SPR Occupancy Group: B Added /New sq.ft. Bldg: 1891 Added /New sq. ft. Garage: 0 No of Stories: 10 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Contractor: SMITH & SEVERSON BLDRS Address: 21072 BAKE PKWY #106 LAKE FOREST CA 92630 Phone: 949-232-1222 Con State Lic: 989943 Lic Expire: 01/31/2022 Bus Lic: BT30061129 Lic Exp Date: 11/30/2021 Worker's Compensation Insurance Carrier: ZURICH INSURANCE Policy No: WC456733001 Expire: 09/0112021 Building Setbacks Rear: / Front: / Left: / Right: / 0 Architect Address: Phone: State Lic Engineer: Address: Phone: State Lic: 1 3 Designer: PATRICK RANDALL Address: 3150 BRISTOL ST #205 COSTA MESA CA 92626 Phone: 949-724-1499 Special Conditions Building Permit Fee: $1,081.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $940.47 Additional Fee : $0.00 Plan check Fee : $46.25 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $462.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $54.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $91.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $283.01 San Dist: $0.00 Building Green Fee : $4.00 Mechanical %: $222.36 NMUSD Fee: $0.00 $0.00 Plumbing %: $181.93 $0.00 TOTAL FEE : $3,427.02 Plan Check Fee : $1,458.58 Fee Due at Permit Issuance : $1,968.44 PROCESSED BY: NA PUBLIC WORKS APPROVAL: I r1 ZONING APPROVAL: A^L\ ^ J PLAN CHECK BY: L� GRADING APPROVAL: APPROVAL TO ISSUE: �� OWNER -BUILDER 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 U 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). 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). I am exempt fl c.T. licensure under the Contractors' State License Law for the following reason: By my signature "low 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 legallt :,ell a St. ucture 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 ,Profess:ons Code, is a.ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signat'Ire of Property Owner or Authorized Agent Date i.IGFNSED CONTRACTOR'S DECLARATION I hereby affirm Imde, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) of ivi on 3 of the Business and Pr sio god d m li se is in full force Lnd effi-t. License Class License No Date Contractor Signatur WORKERS' CUTAPENSATION DECLARATION WARNING`. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I. herebyaffirm under 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 armance of tha 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, bsoce carrier and policy number are: tier Policy Number of Agent Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for for the performance of the work for which this permit is issued. My workers' Date I certify that, in the performance of the ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the work ' compensation laws of California, and agre tat, if I should becom su ect t e w r;' cgRf7Densation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant �3/X.L�L Date 6562( IECLARATION REGARDIW—CONSTRUCTION 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, 6ill 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 c u 1 ordi¢¢anc d state laws relating to building construction. 1� / j I authorize representatives of this city or counteryte,Ivthe yyjtified property for inspection purposes. \ / lionature of Prooerty Owner or Authorized AGent II nn /��,�S Print Prooertv Owners or Authorized ADent's Name xx 11 ACTION PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY - LL� OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE EPA ASBESTOS NOTIFICATION TO NOTIFICATION 19)NJVAPPLICQBLE TO