HomeMy WebLinkAboutX2019-2941 - Permits��,,•#,� City of Newport Beach - Building Division
z 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
��xai v Combination Type - CIP MECH ELEC PLUM
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COMB Permit: X2019-2941
Project No : 2066-2019
Issued Date : 11/0812019
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: 2001 WESTCLIFF DR NB St: 1 FI: 1 Unit: 103
Description: COMM TI MEMORIAL GARE OSHPOD 3 "BREAST CARE CENTER" 3,513 SF
.. Legal-Desc.: .. -
Owner:
HANKEY INVESTMENT COMPANY
Address:
4751 WILSHIRE BLVD #110
Occupancy Group:
LOA ANGELES CA 90010
Phone:
3513
Applicant:
BABIC NIKO
Address:
15161 CALIFORNIA#100
No of Units :
IRVINE CA 92612
Phone:
949-701-4050
Code Edit:
2016
Type of Construction:
V -B -SPR
Occupancy Group:
B
Added /New sq.ft. Bldg:
3513
Added /New sq. ft. Garage:
0
No of Stories:
3
No of Units :
0
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
11 Construction Valuation:
$735.000.00
Building Permit Fee: $4,752.00
Plan Check Fee: $4,134.24
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$168.00
Energy Compliance:
$484.00
CA Seismic Safety:
$0.00
Disabled Access:
$735.00
Hazardous Mat
$0.00
Building Green Fee :
$30.00
TOTAL FEE: $19,000.29
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
SLATER BUILDERS INC
Architect:
WOOD RICK
Address:
3100 - B PULLMAN STREET
Address:
15161 CALIFORNIA #100
Expire:
COSTA MESA CA 92626
Phone:
IRVINE CA 92612
Phone:
714-615-6108
Phone:
949.769-6240 State Uc:C15130
Con State Lic:
675832
Engineer:
WANG DANIEL SI-YIU
Lic Expire:
08/31/2021
Address:
5161 CALIFORNIA AVE
Bus Lic:
BT30025319
Public Works Department -
IRVINE CA 92617
Lic Exp Date:
02128/2020
Phone:
949-261.1001 State Lic:S-004453
Worker's Compensation Insurance
Designer:
Carrier:
CYPRESS INS COMPANY
Address:
Policy No:
SLWC030989
Plan check Fee :
Expire:
02116/2020
Phone:
Building Setbacks
Rear: /
Special Conditions:
Grading PC Consultant:
Front: I
SJH Trans :
$0.00
Left: I
Grading Permit Fee:
$0.00
Right: I
Use Zone:
Parkina Soaces: 0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
$718.00
Demolition Fee
Additional Fee :
$0.00
Plan check Fee :
General Service
$160.00
Grading Bonds Fee:
$0.00
Fair Share:
$4,012.73
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PMI Plan Check:
$0.00
Electrical %:
$1,244.07
San Dist:
$0.00
Mechanical %:
$977.49
NMUSD Fee:
$0.00
Plumbing %:
$799.76
Po
Fire Department
Fire Inspection:
$0.00
Fire Plan Rev
$718.00
Demolition Fee
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $6,023.88 Fee Due at Permit Issuance : $12,976.41
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PLAN CHECK BY:
``.� E'�. •%WPdt6VPit TO ISSUE:
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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
is 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).
1, 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,
Iusiness 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
n 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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
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.htmi.
Iignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION tcy
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000), of= n 3 of the Business and Pr Si ryy )FI' a—ace is in full force
nd effect. License Class License No Date Contractor Signature lC7f"
YORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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
q/formance of the work for which this permit is issued. Policy No.
have andI 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'
rance carriaV policy nurr24r ale:
Number
of
Date
3 certify that, in the 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 agree
iat, if I should become subject t hee rrrkkers' compen provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant_X//_!'iw! (��//iQ
IECLARATION REGARDING CONSTRUC71ON LENDING AGENCY
hereby affirm under penalty 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).
Ender's Name Lender's Address
ly my 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 eor thVa4ve,4ggtj(04-property for inspection purposes. • J C-.
Si nature of Property Owner or Authorized Agentf Print Property Owner's or Authorized Agent's Name G' D ll b
ACTION DATE BY If I D -RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
GULATI NS PART 61 OF TITLE 40ANDAQMD RULE
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CERTIFICATE OF
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