The URL can be used to link to this page

Home My WebLink AboutX2019-3418 - PermitstR City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit Counter Phone (949)644-3288 ct. 4t Inspection Requests Phone (949)644-3255 r,rpev' Combination Type - CIP ELEC MECH PLUM *X2019-3418* COMB Permit: X2019-3418 / Project No : 2362-2019 v Issued Date: 04/21/2020 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04122/2023 OR PERMIT WILL BE INVALID 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: 5000 BIRCH ST NB St: 1 FI: 5 Unit: 5200 Description: COMM TI "TOWER JAZZ" 3200 SF Legal Desc.: P BK 181 PG 13 PAR 5 °""" Owner: JOHN HANCOCK LIFE Address: 865 S FIGUEROA ST #3320 Planning Department - LOS ANGELES, CA 90017 Phone: 949.241-4430 Applicant: ANDELIN SHEILA Address: 2070 BUSINESS CENTER DR #220 Bus Lie: IRVINE CA 92612 Phone: 949-757-6996 Code Edit : 2016 Type of Construction: I -A -SPR Occupancy Group: B Added /New sq.ft. Bldg: 3200 Added /New sq. ft. Garage: 0 No of Stories: 10 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y A Construction Valuation: $140.800.00 Contractor: JLC ASSOCIATES INC Address: 3198 A AIRPORT LOOP DR Planning Department - COSTA MESA CA 92626 Phone: 949.241-4430 Con State Lie: 645676 Lie Expire: 05/31/2020 Bus Lie: BT30063881 Lie Exp Date: 0113112021 Worker's Compensation Insurance Carrier: INS OF THE WEST Policy No: WSD5045216 Expire: 01/0112021 Building Setbacks Rear: I Front: / Left: I Right: / Architect: Address: Phone: State Lie Engineer: Address: Phone: State Lie: Designer: ANDELIN SHEILA Address: 2070 BUSINESS CENTER DR #220 IRVINE CA 92612 Phone: Special Conditions Fire Hazard Zone : N 00 0 " o a" 0 Building Permit Fee: $1,414.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,230.18 Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $34.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $98.56 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 : $140.80 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $370.19 San Dist: $0.00 Building Green Fee : $6.00 Mechanical %: $290.86 NMUSD Fee: $0.00 $0.00 Plumbing %: $237.98 $0.00 TOTAL FEE: $3,862.57 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $3,862.57 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: e PLAN CHECK BY: L APPROVAL TO ISSUE: 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 tothe applicable Items) (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 Lew (Chapter 9 (commencing with Section 7000) of Division 3 ofthe Business and Professions. Code) or that he or she is exempt from Rcensure-and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more then 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 1Improved 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). 1111 am exempt from licensure under the Contractors' State License Law for thefollowing 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 1 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 tilte;http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION thereby afgro under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business end Profes '6 L"" d . ,al�ii �n sense is in full force and effect License Close License No Data and 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 (1100,000), 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: 111 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 the performance of the work for which this permit Is Issued. Poilcy 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' rance carrier and policy number are: as of Agent _ certify that, in the pi , if I should become Policy Number which this permit is Data 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree iction 3700 of the Labor Cade, I shall forthwith comply with those provisions. DatedWit, apoLD 6reby affirm under peoalVof perjury that there Is a construction lending 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: 1 am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have prov ed -is correct. I ag�ree to comply with all applicable city and county Ion he and state laws relating to building construction. I aufh`odze representatives ofthls city or county te+�IGye�lentHied property for inspection purposes. PERMITC44NCELLED PERMIT RNAL CERTIFICATEOF OCCUPANCYISSUED "H [ODE OF FEDERAL I FOR OFFICE USE ONLY AND AQMD RULE TO