HomeMy WebLinkAboutX2019-0275 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
I) COMB Permit: X2019-0275
6 100 Civic Center Drive, Newport Beach, CA 92660 - X 2 0 : 1 9
0 2 7 5 Project No: 0199-2019
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
Building Permit Fee $1,288.00
Issued Date : 2019
Combination Type - CIP MECH PLUM ELEC
Planning Department -
Fire Department
Inspection Arearea : 7
PERMITS EXPIRE 980 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: 4675 MACARTHUR CT NB St:.1 FI: 7
$0.00
Description: COMM TI- NIS (E) RESTROOM ACCESSIBILITY UPGRADES 434SF
Fire Inspection:
Legal Desc.: P BK 196 PG 40 PAR 3
Owner:. IRVINE CO - .Contractor: REDHAWK.BUILDERS INC
Architect: MORFORD PAUL
Address: 550 NEWPORT CENTER. DR Address: 200 TECHNOLOGY STE L
Address: 4675 MACARTHUR CT #100
NEWPORT BEACH, CA 92660 IRVINE CA 92618
NEWPORT BEACH CA 92660 -
Phone: Phone: 949.754-9050
Phone: 949.863-9434 State Lic;C019058
Applicant: YAM MARK Con State Lic: 692901
Engineer:
Address: 392 N LEMAY CT Lic Expire: 1013112019
Address: .
ORANGE CA 92867 Bus Lic: BT30027314
Phone: 626-757-2320 Lic Exp Date: .0413012019
Phone:. State Lic: -
- Code. Edit: 2016 Worker's. Compensation Insurance -
Designer.
Type of Construction:. V -B -SPR Carrier: INS OF THE WEST
Address: -
Occupancy Group:. B Policy No: - WSD5031148-
Eno cgy-Gompliance: $0.00
Grading PC Fee:
$0.00'
Added /New sq.ft. Bldg: 0 Expire 0910112019
Phone:
$0.00
Added /New sq. ft. Garage: 0
`
WQ Insp. Fee:
$0.00.
Park Dedication : $0.00
No of Stories: 15 Building Setbacks Rear: /
Special Conditions:. ;
L isehlacCAccesl ..... $0.00
a
No of Units : 0 Front: /
PAN Plan Check $0.00.
Grading Bond:
Bldg tLelgpt: .00• 0 Left: /
Bldg Sprinklers: • o o m Y Right:
Electrical %:
Fl0042on°e': ® Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
cpnstruollon valuation: ® 812uluuu.uu
Building Permit Fee $1,288.00
Excise Tax:
$0.00-
Planning Department -
Fire Department
PdamCheck Fee4{',U0:56
Additional Fee :
$0.00
Plan check Fee: $40.00
Fire Inspection:
$0.00
Gvertime Plan Ck`:' � " $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00 .
Idle%tigdbon Feg:• ° ® 0 $0.00
Grading PC Consultant:
$0.00
SJH Trans : $0.00
Demolition Fee
lieco(,d.Managemunt - • $30.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : ` $0.00
Building Dept Adm
$0.00
Eno cgy-Gompliance: $0.00
Grading PC Fee:
$0.00'
Public Works Department -
- General Service
$0.00
CA Seismic Safety: 4 $0.00
WQ Insp. Fee:
$0.00.
Park Dedication : $0.00
Refund Deposit
$0.00 _
L isehlacCAccesl ..... $0.00
-
PAN Plan Check $0.00.
Grading Bond:
$0.00
I-lazardobs Mat .... .$0.00
Electrical %:
$337.20
San Dist; $0.00
Building Green Fee.,.. • • $5.00 -
Mechanical %:
$264.94
NMUSD Fee: $0.00
$0.00
Plumbing %:
$216.77
$0.00
TOTAL FEE : $3,302.47
Plan Check Fee
$1,541.55 Fee Due at Permit Issuance :
$1,760.92
PROCESSED BY:.
PUBLIC WORKS APPROVAL:
/+
ZONING APPROVAL "�
PLAN CHECK BY:.
GRADING APPROVAL:
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 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).
1:11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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
im 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
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).
❑ 1 am exempt from 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)
sell 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
Professions 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 Datel
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 f ' �slon 3 of the Business and Profes n m ' grys�tsrn full force
and effect. License Class License No Da e ` Contractor Signaturg
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 th
pe rmance of the work for which this permit is issued. Policy No.
1 9_
ve 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' compensatio
insur nce carrier and policy number are:
er Policy Number. Expiration Date
Name of Agent Phone # • _"_
I certify that, in the performa c f t e 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 Califomla!antP6g're
that, if I should become subje th s'7
' n 'rrovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n/� ... •.. • o
Signature of Applicant '{/� Da 71/ • • �' ° ° ° °
DECLARATION REGAR TRUCTIO LE DING AGENCY �l/\/— • ° 0 0 0
I hereby affirm under penalt f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, CiJil Code). • • ° ° ° °
Lender's Name Lender's Address o° o
By my signature below, I certify to each of the following: ; , •' • ' • ° o °
I am the property owner or authorized to act on the propertycanera behalf. •' ' o 0 0
I have read this application and the information I hav o c ect
I agree to comply with all applicable city and count ria a t a relating to building construction. ; •,,,, , °
l authorize representatives of this city or county to t o -i I property for inspection purposes. %/A!/ {'(�� ///yj/' • • 00000
Signature of Prooertv Owner or Authorized Aoen� Print Property Owner's or Authorized Agent's Nanf". �'(•1 'G /, �(/% -' • 09te
ACTION
DATE
BY - DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY V 1
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
DEPA
PERMIT EMENDED
LIAQMD
PERMITFINAL
Se���` \
F N1ft, ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
f'
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: