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Home My WebLink AboutX2018-3736 - Permits (3)City of Newport Beach - Building Division II IIIIIII II II II I IIIIIII IIIII II II COMB Nermk : X2018-3736 a ,e 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 7 3 6 Pmpc! No: 290:34018 Permit Counter Phone (949)644-3288 - 4 Inspection Requests Phone (949)644-3255 Combination Type- CIP ELEC MECH PLUM Issued Date: 0310412019 Insaeation Arai : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIGN. 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: 2 MILANO DR NB Description: COMM - TI/EXT DEMO 2600 SF "LEASING OFFICE" Legal Desc.: TR 12309 LOT 2 POR OF LOT Owner: IAC AT JAMBOREE, LLC Contractor: CUESTA CONSTRUCTION CO Architect: LAWRENCE MARKEL GREGOR Address: 550 NEWPORT CENTER DR Address: 3195A AIRPORT LOOP DR Address: 5865 OWENS DR NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 PLEASANTON CA 94588 Phone: 949-636-5774 Phone: 714-6575877 Phone: 925-251-7200 State Lic:CO23921 Applicant: MILLARD CHRIS Con State Lic: 568466 Engineer: BIDDULPH SANDRA Address: 550 NEWPORT CENTER DR Lic Expire: 0513112019 Address: 7488 PASEO CRISTAL NEWPORT BEACH CA 92660 Bus Lic: BT20012806 CARLSBAD CA 92009 Phone: 949-636-5774 Lic Exp Date: 1213112019 Phone: State Lic:S-004225 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: INSURANCE CO OF THE WEST Address: Occupancy Group: B Policy No: WSD503883000 Added /New sq.ft. Bldg: 2600 Expire: 12131/2019 Phone: . Added /New sq. ft. Garage: 0 w No of Stories: 1 Building Setbacks Rear: I Special Conditions: ROBERTS WASTE TO .0 1 No of Units: 0 Front: / HAUL DEBRIS s.•* +4 .k t 9`. Bldg Height: 0 - _ Left: / Bldg Sprinklers: - Right: / Construction Valuation: $226,000.00 Building Permit Fee: $1,918.00 Plan Check Fee: $1,668.66 Excise Tax: Additional Fee: $0.00 $0.00 Planning Department- Plan check Fee: $40.00 Fire Department Fire Inspection: $0.00 Overtime Plan Bic Investigation Fee: $0.00 $0.00 Grad ig Bonds Fee: Grading PC Consultant: $0.00 $0.00 Fah Share . 0 SJH Trans: $0.00 Fire Plan Rev Demolition Fee $0.00 Record Management : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $24.00 Energy Compliance: $167.50 Grading PC Fee: $0.00 Public Works Department - General Service $197.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PAN Plan Check: $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $502.13 San Dist: $0.00 Building Green Fee : $9.00 Mechanical %: $394.63 NMUSD Fee: $0.00 $0.00 Plumbing %: $322.80 $0.00 TOTAL FEE : $5,838.87 Plan Check Fee : $5,838.87 Fee Due at Permit Issuance : $0.00 4 PROCESSED BY: PUBLIC WORKS APPROVAL: y. y4J "'•' ZONING APPROVAL: PLAN CHECK BY: /�� GRADING APPROVAL: APPROVAL TO ISSUE: OWNER-BUILDER')ECL/'.RATION - I hereby affirm under pr nelty of perjury that Pam 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 ie 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 Irofessions Code) or that he or she is exemot from IicePeuFe a_rd_ 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 of more than five hundred -dollar, ?$500). I, as owner of the property, or my employees with w, ges a3 tf:eir sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code the Contractor.: 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 nprovements 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 nproved 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 Cade: The Contractors' State License Law does not pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legally ell 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 Irofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000�of Division 3 of the Business and Profes 'b 's,Code, and my icens is in full force nd effect. License Class License No Dat ,-i-(/-/� Contractor Signature VORKERS' COMPENSATION DECLARATION tl IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, 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 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 51rd mance of the work for which this permit is issued. Policy No. veand 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 nce carder and policy number are:��p S//S. /42_ 61C 71ti e (i(/QS� Policy Number //vs.) . O3cfeSO '-D / ._Expiration Date 42 — 31 -lq ie of Agent Nnone IF certify that, in the 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 . if I should become subject to the workers' compmsation pfdyisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date,�_ --F' 7 l7 IECLARATION REGARDING 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, 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. I authorize representatives of this city or county to e9te)lthe above-identgHo prop .for inspection purposes. y� of 1n Print Prooertv Owners or Authorized ACTION DATE BY A R43UlATION�PART 610 COMPLIANCE TILE 40 AND AQMD RULE WITH CODE OF AL FOR OFFICE USE ONLY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED ASBESTOS NOTIFICATION TO PERMITFINAL 077z6/19 JkWl I YOf LHASBEST05 NOTIFICATION 15 NOT APPIL OE TO CERTIFICATE OF Q�•�ti ,� PROPOSED DEM 1 ON OCCUPANCYISSL SIGNATURE;/ �2�0� Date