HomeMy WebLinkAboutX2019-2383 - PermitsIII IX��I� III I���� I�I I�I�� III II
COMB Permit: X2019-2383
Project No : 1719-2019
Issued Date : 0 9/1 712 01 9
Inspection Area : 7
1
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: 815 NEWPORT CENTER DR NB
Description: COMM TI "CHANEL" 1200 SF
Legal Desc.:
Owner:
IRVINE CO
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City of Newport Beach - Building Division
'.
100 Civic Center Drive, Newport Beach, CA 92660
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$350.00
Permit Counter Phone (949)644-3288
VILHAUER JUSTIN
Address:
Inspection Requests Phone (949)644-3255
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Combination Type - CIP ELEC.MECH PLUM
III IX��I� III I���� I�I I�I�� III II
COMB Permit: X2019-2383
Project No : 1719-2019
Issued Date : 0 9/1 712 01 9
Inspection Area : 7
1
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: 815 NEWPORT CENTER DR NB
Description: COMM TI "CHANEL" 1200 SF
Legal Desc.:
Owner:
IRVINE CO
Address:
550 NEWPORT CENTER DR
Record Management :
NEWPORT BEACH, CA 92660
Phone:
$350.00
Applicant
VILHAUER JUSTIN
Address:
8370 WILSHIRE BLVD #330
Hazardous Mat
BEVERLY HILLS, CA 90211
Phone: `
310-275-7774
Code Edit:
2016
Type. of Construction:
III -B -SPR
Occupancy
Group: M
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units: 0
Bldg Height: 0
Bldg Sprinklers: Y
Building Permit Fee: $3,568.00
Plan Check Fee: $3,104.16
Overtime Plan Ck
$0.00
Investigation Fee:
$0.00
Record Management :
$142.00
Energy Compliance:
$350.00
CA Seismic Safety:
$0.00
Disabled Access:
$500.00
Hazardous Mat
$0.00
Building Green Fee :
$20.00
TOTAL FEE: $10,777.69
PROCESSED BY:.
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
LEVEL 5 RETAIL CONSTRUCTION
Address:
210 THUNDER BAY DR
USBECK MATTHEW r
LUCAS, TX 75002
Phone:
469.909.61621
Con State Lic:
1005738
Lic Expire:
07131/2021
Bus Lic:
BT30068867
'Lic Exp Date:
0913012020
Worker's Compensation Insurance
Carrier:
TRANSPORTATION INSURANCE
Policy No:
60676156856
Expire:
04106/2020
Building Setbacks
Rear: I
$0.00
Front: I
NMUSD Fee:
Left:
$600.49
Right: /
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee
Electrical %:
Mechanical %:
Plumbing%:
$0.00
I r
.Architect:
USBECK MATTHEW r
c oc
-
Address:
233 BROADWAY, 16TH FLOOR
$0.00
SJH Trans;
$0.00
NEW YORK, NY 10279
In -lieu Housing Fee:
Phone:
646-908-7866 State Llc:C033171
$0.00
Park Dedication :
Engineer:
UNSDERFER BRIAN JEFFREY
PAN Plan Check:
$0.00
Address:
13456 SE 27TH PL STE 20Q
$0.00
$733.94
NMUSD Fee:
BELLEVUE WA 98005
$600.49
Phone:
State Lic:S-005099
Designer.
0
Address:
0
Phone:
0
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Special Conditions:
WASTE MANAGEMENT TO
HAUL
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a
°eeo:
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Fire Havarti 7nna - N
$0.00
Planning Department -
$0.00
Plan check Fee
c oc
$0.00
Fair Share
$0.00
$0.00
SJH Trans;
$0.00
$0.00
In -lieu Housing Fee:
$0.00
Public Works Department -
$0.00
Park Dedication :
$0.00
$197.00
PAN Plan Check:
$0.00
$934.10
San Dist:
$0.00
$733.94
NMUSD Fee:
$0.00
$600.49
Plan Check Fee : $5,049.57 Fee Due at Permit Issuance : $5,726.12
PUBLIC WORKS APPROVAL:
_ PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
c oc
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$24.00
General Service
$197.00
- Refund Deposit
$564.00
Grading Bond:
$0.00
- $0.00
$0.00
Plan Check Fee : $5,049.57 Fee Due at Permit Issuance : $5,726.12
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 reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
3ection 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
'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
of 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
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 Code: The Contractors' State License Law does not
pplyto 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:
ymy 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
ignature 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) f iisW of the Business and P ofeeo de, and my license is in full force
nd effect. License Class License No D'/ Contractor SI a re
/ORKERS' C,Of I13%'1SATION DECLARATION
ARNING6FAILURE tVSECURE 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
WWOW COMPENSPYTION, gQMAGES AS PROVIDED FOR IN SECTION 0700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm unclis:lienalty of perjury one of the following declarations:
1'le 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
ance of the work for which this permit is issued. Policy No.
e and will mainSain 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' compensatiol
carridf a; a policy number are:
Policy Number
Date
Y
ahe werformgpce,pf the work for which this permit is issued, I shall not employ any person iI any manner so m l become subject to the workers' compensation laws of California, and agree
ecomesu/b"li�c'/tJtltlh\e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
hereby affirm lmder penaof 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
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
1 have read this application and the inform tion I have provided is correct.
I agree to comply with all applicable cit nd county ordinances and state laws relating to building construction.
I authorize representatives of this or county to t r the above -identified property for inspection purposes. .Y1'_
Signature of Property Owner or Autho ' e 'Agent Print Property Owner's or Authorized ent's NamevE5 G
IA
ACTION DATE - BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED i 1 1 U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA_
PERMITEXTENDED A OMD
PERMITFINAL Z-I9'"lACO 'F RESTOS N0TIF l0 ISNOTAPPLICABLE TO
CERTIFICATE OF R OSED DEM TIO
OCCUPANCYISSUED RE: