HomeMy WebLinkAboutX2020-0288 - PermitsCity of Newport Beach - Building Division
=a 'r 100 Civic Center Drive, Newport Beach, CA 92660
E. }, Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC MECH
COMB Permit: X2020-0288
llllllllllllllllllll�lllllllllllllllllllllllllu
Project No : 0229-2020
Issued Date : 07/08/2020
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/09/2023 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: 4101 MACARTHUR BLVD NB
Description: COMM T1 'BANK OF AMERICA" 5,740 SF
Legal Desc.: PSK 183 PG 14 PAR 2
Owner: BA -MM NEWPORT LLC
Contractor:
SUMMER SYSTEMS INC Architect:
RIVAS SERGIO ARTURO
0
Address: 4419 VAN NUYS BLVD #300
Address:
28942 HANCOCK PKWY Address:
4675 MACARTHUR CT STE 100
V,
SHERMAN OAKS CA 91403
VALENCIA CA
91355
NEWPORT BEACH CA 92660
�0
Phone:
Phone:
661-257-4419
Phone:
949-863-9434 State Lic:C033933
�Vi
M
Applicant: YAM MARK
Con State Lic:
560229
Engineer:
STOVNER ERIC
Address: 392 N LEMAY CT
Lic Expire:
0413012022
Address:
1852 LOMITA BLVD #210
C ,
ORANGE CA 92867
Bus Lic:
BT30069332
LOMITA CA 90717
-
J
Phone: 626-757-2320
Lic Exp Date: 10131/2020
Phone:
310-530-3050 State Lic:S-004204
-®l
Code Edit: 2019
Worker's Compensation
Insurance
Designer:
Type of Construction: VB
Carrier:
TRAVELERS PROP
Address:.
Occupancy Group: B
Policy No:
U84K792484
Added /New sq.ft. Bldg: 5740
Expire:
12131/2020
Phone:
-
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
No of Units : 0
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers: N
Right: /
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $190.000.00
Building Permit Fee: $1,747.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $1,519.89
Additional Fee:
$0.00
Plan check Fee :
$41.50 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: $72.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$24.00
Energy Compliance: $294.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$197.00
CA Seismic Safety: $0.00
WO Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
Disabled Access: $190.00
PM Plan Check : $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$457.36
San Dist: $0.00
Building Green Fee : $8.00
Mechanical %:
$359.36
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $5,474.11
Plan Check Fee:
$2,220.45 Fee Due at Permit Issuance : $3,253.66
PROCESSED BY:
E PUBLIC WORKS APPROVAL:
ZONING APPROVAL: '
"e E
' g U`LlN C9EQK BY-
o
GRADING APPROVAL:
ooc a o
APPROVAL TO ISSUE:
a
" Ne
c
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 L) 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
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).
❑ 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 legall,
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 site:hftp://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty oferju,that I am licensed under provisions of C ter 9 commencing with Section 0 ) of Division 3 of the Business and P fe ions Cod y li nas is i full force
and effect. License Class eZ.o. /3� G'/o . f{� License Nom`% Date —2D Contractor Signatur
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL(S100,000), IN ADDITION TO THE
COST 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:
❑ 1 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
oeorormance of the work for which this permit is issued. Policy No.
have and will Otain 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 aV pplicy number arg:—
Date
lame of Agent w riiviie x
]I 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 agre,
iat, if I should become subject to the work ansa ' n provisions ofSection 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
lignature of Applicant Date
IECLARATION REGAR I CONSTRUCTI ING AGENCY
hereby affirm under pe Ity of perjury that t re i construction lending agency for the performance of the work for which this permit is issued (Section 309 ,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 t me bev€ idt" p party for inspection purposes.
;ionature of Pronertv Owner or Authorized ADen lig-- Print Property Owner's or Authorized Agent's Name (� Q
ACTION DATE BY r I REGULATIONS PA� R� OF N7 E I AND DE OF RUDERAL FOR OFFICE USE ONLY
I ACIMD
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLEDEPA
PERMIT EMENDED D
PERMITFINAL a'Z%'Z07,0 ASBESTOS N4aF FTCACON IS aeo6ApArIBLE !0
CERTIFICATE OF P OSEDCR
OCCUPANCY ISSUED SIGNATURE: f--
•
e s
ee eee • a •• •• *•+