HomeMy WebLinkAboutX2019-3131 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
,..n, Inspection Requests Phone (949)644-3255
aw `� Combination Type - CIP ELEC MECH
COMB Permit: X2019-3131
Project No: 2187-2019
Issued Date : 01/06/2020
Inspection Area : 7
$0.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
$0.00
Record Management:
$32.00
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
$56.00
Job Address:
1200 NEWPORT CENTER DR NB St: 1 FI: 1
Unit: 180
$87.00
Hazardous Mat
$0.00
Building Green Fee :
Description:
COMM - TI "FREEDOM ESCROW" 2124 SF
NMUSD Fee:
$0.00
Legal Desc.:
IRVINE SUB BILK 93 POR OF BLK�^q•
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Owner:
IRVINE SA
Contractor:
CASCO CONTRACTORS INC
Architect:
•
Address:
111 INNOVATION
Address:
98601RVINECENTER DR
Address:
m°O•••
IRVINE CA 92614
IRVINE, CA 92618
Phone:
Phone:
949-679-6880
Phone:
State Lie:
°
Applicant:
JENKINS ANNA
Con State Lie:
790706
Engineer:
.....
Address:
9850 IRVINE CENTER DR
Lie Expire:
01131/2021
Address:
° ° • ° e
IRVINE CA 92618
Bus Lic:
BT30041027
Phone:
949-449-1727
Lie Exp Date:
1013112020
Phone:
State Lic:
°
Code Edit: '%%`O_
Type of Construction: III -B
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Construction Valuation: $77.000.00
Building Permit Fee: $952.00
Plan Check Fee: $828.24
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$32.00
Energy Compliance:
$56.00
CA Seismic Safety:
$0.00
Disabled Access :
$87.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $2,322.30
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: SENTINEL
Policy No: 72WEAAE3W83
Expire: 01/01/2021
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: /
Parkina Soaces
$0.00
($122.00)
$0.00
$0.00
$0.00
$0.00
$0.00
$249.23
$195.83
$0.00
Plan Check Fee
Designer: VILLA EDGAR
Address: 9580 IRVINE CENTER DR
IRVINE, CA 92616
Phone: 949-679-6880
Special Conditions
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$1,218.30 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: bll 1 L.
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,104.00
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Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$1,218.30 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: bll 1 L.
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,104.00
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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 (_) all of or L) 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 DR 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:
• uQ my sigpayua•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
;• • 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
Flrofessions Oode, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
• • $jgnature of.Rrspejty Owner or Authorized Agent Date
• ULCENSED.GONTRACTOR'S DECLARATION
I feby affirL;.Wder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 O) of Divisi n 3 of the Business and Profe si e,arad-my i re is in full force
' and effect. •Lideplla Class License No Date - Contractor Signature
WQRKERS' COMPENSATION DECLARATION
WARNVG: FAILUIE T0.9ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDITION TO THE
. OF COMPENSAFIOII$ DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
• I hereby affirm L'nder penalty of perjury one of the following declarations:
I poave and y✓jl,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
{f ormance of the work for which this permit is issued. Policy No.
I 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' compensatiol
in�sbr\ance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
❑1 certify that, in the perfo mance of the work for whiq 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 agre
that, if I should become su ject to the workers/'p dmpe< sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant/7T^reT�' D ems(
;reby affirm under pi�nal{perjury that there is sfion4ending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
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 cdunty ordinances and state law rel ting to building construction.
I authorize representatives of this city or counjy tD n/pr 1Me.abaye4denti.orty for inspection purposes.
Signature of Property Owner or Authorized Age
ACTION I DATE I BY
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMITFINAL 3-070I6
CERTIFICATE OF
OCCUPANCY ISSUED
OF COMPLIA IT CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
D ASBESTOS NOTIFICATION TO
dOL FICATION IS NOT APPLICA@LE TO
FOR OFFICE USE ONLY