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Home My WebLink AboutX2019-1786 - PermitsMawr„4r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1786 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 7 8 6 Project No: 1286-2019 Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 Issued Date : 0610612019 Combination Type - CIP ELEC Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 4490 VON KARMAN AVE NB Description: COMM INSTL SOUND DOORS OR FRAME "SMART CIRCLE INTERNATIONAL" 200 SF (FLOORS 1 & 2) Legal Desc.: P BK 181 PG 13 PAR 6 Owner: VON KARMAN V URES LLC Contractor: ITX CONSTRUCTION/CONSULTA TS Ar itecty, FINN, SEAN MICHAEL Address: 4490 VON NV N AV 3, }b (� �Z-ZA'dress: 1285 S LEWIS STREET �ai�scl t�124255 REVERE PL NEWPORT BEAC CA QBO.e" 2805 ptr�n �CayUnL�Vp�ERr �CyITY CA 9022�3I,2 " Phone: Phone: L714-254-8400 El oPtrmne:Or Dt?@e"5?efundta Lic:CO29995 Applicant: ITX CONSTRUCT` NICQNSULTANS Co _- to 21 IAA Engineer: n ^ ^ Address: 1285 S LEWIS ST EET : + Li e � I 201 (� ddress:- ANAHEIM CA 928 '. to w'�torn Phone: 714-254-8400 �,.I,, Exp t 1311 0 Phone: Stet Lic: Code Edit: 2016 Worker's Compen tion Designer: - Type of Construction: V-B- R ' - rjt,t; E ALA Address: Occupancy Group: BIA-3 f.1 -_ P N .` 78 0Z-1i .1 Added lNew sq.ft. Bldg: � 0 0 ''> "a- - Phone: Added /New sq. ft. Garage. &Kom No of Stories: 2 Building Setbacks Rear / Special Conditions: No of Units: 1 Front: / Bldg Height: 0 Left: / e Bldg Sprinklers: Y - - I i s r ark Flood Zone: +e, n 1 _ aces: `�f+fr fa ne Construction Valuation: 4F00O.C111111111110/� (no work started) Building Permit Fee: $691.0 E(: started) $0.00 Planning Department - Fire Departme Plan Check Fee: $601.17 Additional Fee : $0.00 Plan check Fee : $80.00 Fire Inspectio $0.00 Overtime Plan Ck: $0.0a Grading Bonds Fee: $0.00 Fair Share : $0.00 Investigation Fee: $0.0le • SJH Trans : $0.00 Demolition Fee Record Management: $24.0 Grading Permit Fee: $0.00 In -lieu Housing Fee: Insp. E$aiMals: dm $0.00 Energy Compliance: $0.0 Gradin PC epa ment - General Servi a $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee, - «: _2arkedtrra'S'" a un epos it $0.00 Disabled Access : $87.00 PAW Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $96.74 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 II`TOTAL FEE: $1,581.91 n PROCESSED BY: ZONING APPROVAL: 8 GRADING APPROVAL: Plan Check Fee : $1,581.91 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Z^� LTz. 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 items) (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 L) 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 t` a 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). n I am exempt `rom 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 legal[, SO 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 Prote,rions 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 O,vner or Authorized Agent Date LICENSED CON rRACTOR'S DECLARATION I herebv affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se Lion 7 00) f D611sT 3 of the Bus! s nd Pr i s Code, and my license is in full force and effect. License C:ass License No D Contrac r nature WORKERS' COMPENSATION DECLARATION i AaRIJNG: FAILURE TJ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO E HUNDRED OUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DWAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IWeuy affirm uncle, pe,,alty of perjury one of the following declarations: 1 have and wit; i,aintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for rormance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Expiration Date of Agent Phone # ertify that, in the perf9arnamce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compe sation laws of California, and agre if I sh om ubject to the w�9r'kj€r_ )compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisirrny�, / lure f Appl' nt l I IVY fi /[�4te�Q42, _A TI EGARDING CONST ON LENDING AGENCY / hereby a$Ir rK under penalty of perjury th�tlthbre is a construction lending agency for the performance of the work for which this permit is issued (SecticN3�097, Civil Code). _ender's Name Lender's Address By my signature below, I certify to each of Me 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 o o ente ove-identified property for inspection purposes. Si nature of Pro ertOwner zed A nt Print Property Owner's or Authorized Agent'5 ame ACTION DATE BY DEC COMPLIA CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU NS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED 4-Z/-Z-Z IU I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMITEXTENDED qM PERMITFINAL ESTO NOTIFICATION 15 NOT APPLICABLE TO CERTIF/CATEOF R OSED EMOLITI OCCUPANCYISSUED G E. O, W$