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Home My WebLink AboutX2018-3340 - PermitsCity of Newport Beach - Building Division "X20183340* COMB Permit: X2018-3340 4: !. 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2597-2018 Permit Counter Phone (949)644-3288. w Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH PLUM Issued Date : 02/1512019 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: 20360 BIRCH ST NB St: 1 FI: 1 UniLe100 � Cup Description: COMM TI ."EDEN FERTILITY CENTER" 2065 SFA,61N Legal Desc.: d Owner: NEWPORT HEIGHTS VENTURES. Contractor: .MORRIS INC Architect: SAUNDERS NIALL F Address: Address: 4100 BIRCH ST Address:. 2700 W COAST HWY #200 .NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92663 Phone. Phone: 949-333-7015 Phone: 949-721-0730 State Lic:CO26955 Applicant: SAUNDERS NIALL Address:. 2700 W COAST HWY #200 NB CA 92663 Phone: 949-7210730 Code Edit: 2016 Type of Construction:. II-BSPR Occupancy Group: B Added /New sq.ft. Bldg: 2065 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units :. 0 Bldg Height: 0 Bldg Sprinklers: Y Pl M 7nna' Con State Lie: 959349 Engineer: Lie Expire: 1113012020 Address: Bus Lia: BT30061253 Lie Exp Date: 04/30/2019 Phone: State Lie: Worker's Compensation Insurance Designer. Building Permit Feer $1,768.00 Carrier: EMPLOYEE SERV Address: Planning Department- Policy No: WC0933790 Fire Department o ° ° ° • o ° ° •° Expire: 04/01/2019 Phone: 0 0 Building Setbacks Rear: / Special Conditions: o m 0o n .Front: / Grading Bonds Fee: ° ° • • • ° Left:./ $0.00 ° •°o °® Right: / $0.00 Doo° o 000•o° Use Zone: Parkinc Soaces: 0 Fire Hazard Zone : N $0.00 0 0 0 Construction Valuation: $200.000.00 0 0 0 oo°oma o Building Permit Feer $1,768.00 Excise Tax: .$0.00 Planning Department- Fire Department ° ••®oo„ Plan Check Fee: $1,538.116 Additional Fee: $0.00 Plan check Fee: $40.00 Fire Inspection: • 10tao...... ° Overtime Plan Ck: $0.00. Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev. .Mae Investigation Fee: $0.00 Grading PC Consultant :. $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $188.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $140.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $200.00 PAN Plan Check : $0,00 Grading Bond: $0.00 _ Hazardous Mat $0.00 Electrical %: $462.86 San Dist: $0.00 Building Green Fee : $8.00 Mechanical %: $363.68 NMUSD Fee: $0.00 - $0.00 umbing %: Oo TOTAL F $5,006.25 Check Fee : Plan $2,101.13 Fee Due at Permit Issuance : $2,905.12 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE:' 4�s i i 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 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). I' I 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 legally 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.html. Signature of Property Owner or Authorized Agent - Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700 of D'visi n 3 of the Business and Profess' an, and my license is in full force and effect. License Class License No Date 2 / �°% Contractor Signature l i NORKERS' COMPENSATION DECLARATION NARNING: FAILURE T4p.UQURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0130), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. t�h,ereby affirm unier pe n alty of perjury one of the following declarations: rJ,�and ftel RaiQtain 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 thr ce of theyvork 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' carriePArid'drQicy number are: Policy Number Date p;;f,y that, in t11e 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 agrei !if I should bar o m eeubject to�the workers' compgenJ,�aption�prrovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q ... !Sure of Applicant.-Tse-��- .•._..... w.•. -.a ....... Yom...._ ............... _.._..._ ..._-. _.. ,eby affirm untlll•)fenalty 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). ier's Name Lender's Address Ty 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 enter t above-identifierd property for inspection purposes. \� , r, ature of ProDertv Owner or Authorized ADent �---f " — — Print Prooertv Owner's or Authorized Aoent's Name lam% ftrl� ✓� i ACTION DATE BY 'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED UAQMD PERMITFINAL\^�� ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF �l•1�'" PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: noti - 33 Q o "0 2,030 4 ivoi St THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE. Permit No: X2018-3340 Plan Check No: 2597-2018 Address : 20360 BIRCH ST NBSt: 1 FI: 1 Unit: 100 Code Year Edition: 2016 Owner: NEWPORT HEIGHTS VENTURES Occupancy Group : B Number of Stories: 2 ConstructionType : II -B -SPR Use Zone: Fire Sprinklered : Y Tenant: Total Occupant Load: 32 Description of Work: COMM TI "EDEN FERTILITY CENTER" Special Conditions: Chief Building Official: Samir Ghosn, MS, PE, CBO. Signature: ��t V v ate