HomeMy WebLinkAboutX2019-0134 - Permitst City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII II
ff 100 Civic Center. Drive, Newport Beach, CA 92660 - X 2. 0 1 9 0 1 3 4
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255.
�r aveus� Combination Type - CIP MECH PLUM ELEC
COMB Permit: X2019-0134
Project No: 2143-2018
Issued Date.: 01114/2019
Inspection Area : 7
Added /New sq. ft Garage: 0
No of Stories:. 1 Building Setbacks Rear: I Special Conditions:
No of Units : 0 Front: I
Bldg Height: 0 Left: I
Bldg Sprinklers: Right: I
Building Permit Fee:$2,878.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
$0.00
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:
1280 BISON AVE NB St: B Ft:
1 Unit: B-15
CA Seismic Safety:
$0.00
Disabled Access:
Description:
COMM TI "SPEC SUITE' 10,840 SF INT DEMO FOR FUTURE TENANT
$0.00
Building Green Fee ;.
Legal Desc.:
N TR 12309 LOT 6
In -lieu Housing Fee:
$0.00
$0.00
Owner
IRVINE COMPNAY
Contractor:
K D C CONSTRUCTION
Architect:
BAGLEY AMY STEINER
Address:
550 NEWPORT CENTER DR
Address:
1442 E LINCOLN AVE #334
Address:
17800 MITCHELL NORTH
$0.00
NEWPORT BEACH, CA 82660
$316.58
.ORANGE CA 92868
$0.00
IRVINE CA 92614
Phone.
Phone:
714-632-6717
Phone:
714.299-5957 State Lic:C030804
Applicant:
WRIGHT CARR
Con State Lic:
763589
Engineer:
BISHOFF RYAN WILLIAM
Address.
17800 MITCHELL NORTH
Lie Expire:
0 513112 01 9
Address:
9252 DALTON CIR
IRVINE CA 92614
Bus Lie:
BT30061831
WESTMINSTER CA 92683
Phone:
714-299-5967
Lie Exp Date:
01/3112019
Phone:
949-862-8510 State Lic:S-006250
Code Edit:
2016
Worker's Compensation Insurance
Designer:
Type of Construction:
V-BSPR
Carrier:
TRAVELERS PROP
Address:
- Occupancy Group: M.
Policy No:
VTC2JUB8G251648
Added YNew sq.ft. Bldg:. 0
Expire:.
0 410 112 01 9
Phone:
Added /New sq. ft Garage: 0
No of Stories:. 1 Building Setbacks Rear: I Special Conditions:
No of Units : 0 Front: I
Bldg Height: 0 Left: I
Bldg Sprinklers: Right: I
Building Permit Fee:$2,878.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$42.00 -
Energy Compliance:
$0.00 -.
CA Seismic Safety:
$0.00
Disabled Access:
$384.82
Hazardous Mat
$0.00
Building Green Fee ;.
$16.00
TOTAL FEE: $5,124.34
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
PROCESSED BY:
ZONING APPROVAL: L
GRADING APPROVAL:
$0.00
Planning Department -
Fire Plan Rev
$0.00
$0.00
Plan check Fee :
Building Dept Adm
$40.00
$0.00
Fair Share;
Refund Deposit
$0.00
$0.00
SJH Trans:
$0.00
$0.00
In -lieu Housing Fee:
$0.00
$0.00
Public Works Department -
$0.00
Park Dedication:
$0.00
P/W Plan Check:
$0.00
$402.92
San Dist:
$0.00
$316.58
NMUSD Fee:
$0.00
$259.02
Plan Check Fee`.
$0.00
Fire Department
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Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$5,124.34
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 item(s)
ction 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
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
fessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Mesa 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
rovements 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
roved 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
ply 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 exenlj j ¢prp•iicensure under the Contractors' State License Law for the following reason:
myeignature 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 legalh
'a'g}ructuraiat l.liave 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, Se ian7044-of-theBalness and
fevsions Code, is hailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
natsre of Property Owner or Authorized Agent Date
,VNSED CONTRACTOR'S DECLARATION
re affirm under �enalt of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 f Division 3 of the Busines and ass' ns ,and lice in full force
bi P Y P 1 rY p P ( 9 )
%Nect. LigW@ Class License No Date 1 'Z�i.4;ontractor ature ,
AXERS' COIf�PENSATION DECLARATION
'.PIRG: FAILURE TID SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO O E-WIiuOR THOU34un nOW=AR 100,0001, IN ADDITION TO THE
"FSCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
reby affirm JeIW�%nalty of perjury one of the following declarations:
I°IY*e 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
'ormance of'tD%Suprtc for which this permit is issued. Policy No.
have 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'
Fence carrier and policy number f)
of Agent
if I
of
Policy
of the work for which this
lrebyaffirmderppaltyofperjury thatthere' nsfruction�endl
Ider's Name CC
my signature below, I certify to each 9Me following:
I am the property owner or autho ' ed to act on the property owner';
I have read this application and a information hav§§�ee
Pprovided is a
I agree to comply with all appli able cit
I authorize representatives of t 's ' or cou to
nature of Prooertv Owner or A o ' d Aaen
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
Date
ued, I shall not employ any person in any manner so as to become subject to the workers' 01ripensation laws of California, and agre
of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Da L( / LG I of
g.agency for the performance of the work for which this permit is issued (Section 30 ,Civil Code).
�r Lender's Address
to building construction.
purposes. CrEfL�'S5.
iertv Owner's or Authorized Aaent's Name AL
aL 4CA\,4
DECLARATION OFC LIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
TO
I FOR OFFICE USE ONLY