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Home My WebLink AboutX2021-0138 - PermitsCity of Newport Beach - Building Division �1p1111111p11111p11111111111p111Jill 1111ilCOMB Permit: X2021-0138 .. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 3 8 Project No : 0151-2021 n: Permit Counter Phone (949)644-3288 tp Inspection Requests Phone (949)644-3255 'a�1Wna's`� Combination Type - CIP ELEC MECH PLUM Issued Date: Inspection Arearea :2021 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/26/2024 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: 23 CORPORATE PLZ NB St: 1 FI: 2 Unit: 200 Description: COMM TI- SPEC SUITE 5002 SF Legal Desc.: PARCEL MAP 93.45 PAR 20 POR OF PAR AND POR PARS OF SAID PARCEL MAP Owner: IRVINE COMPANY Address: 550 NEWPORT CENTER DR Record Management: NEWPORT BEACH, CA 92660 Phone: $156.80 Applicant: YAM JUDY Address: 392 N LEMAY CT Hazardous Mat ORANGE CA 92867 Phone: 626-863-9434` Code Edit : 2019 Type of Construction: III -A -SPR 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 Building Permit Fee: $1,981.00 Plan Check Fee: $1,723.47 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $92.00 Energy Compliance: $156.80 CA Seismic Safety: $0.00 Disabled Access : $224.00 Hazardous Mat $0.00 Building Green Fee : $9.00 TOTAL FEE: $6,254.79 PROCESSED BY: ZONING APPROVAL: Contractor: SIMPSON DAVID CONST CO INC Address: 17177 GILLETTE AVE #A IRVINE CA 92614 Phone: 949-260.1348 Con State Lie: 381149 Lie Expire: 03/3112023 Bus Lie: BT00006013 Lie Exp Date: 06/3012021 Worker's Compensation Insurance Carrier: OAK RIVER Policy No: DAWC016550 Expire: 05/0112021 Building Setbacks Use Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $518.63 $407.49 $333.40 Architect: MORFORD PAUL Address: 4675 MACARTHUR CT #100 Special Conditions: NGb Nt ?'k Planning Department - NEWPORT BEACH CA 92660 Phone: 949-863-9434 State Lic:C019058 Engineer: $0.00 Address: Fire Plan Rev Phone: State Lie: Designer: Park Dedication: Address: PAN Plan Check: Phone: San Dist: Special Conditions: NGb Nt ?'k Planning Department - Fire Department Plan check Fee: $0.00 Fair Share $0.00 SJH Trans: Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication: $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $2,690.25 Zone : N Fee Due at Permit Issuance : $3,564.54 Pq,9LIC1W6R((S-4PPnO4%%1`lu': o °o PLAN CHECK BY: GRADING APPROVAL: „°,WPPINVVALa O IGSUEv o.0 U o 0 0 0 ou o 0 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $26.00 General Service $219.00 Refund Deposit $564.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $3,564.54 Pq,9LIC1W6R((S-4PPnO4%%1`lu': o °o PLAN CHECK BY: GRADING APPROVAL: „°,WPPINVVALa O IGSUEv o.0 U o 0 0 0 ou o 0 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 Te 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 ,at 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legall7 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.html. ;Ignature of Property Owner or Authorized Agent Da .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of vision f the Business and Profes ons g, np n y lic nse qn Jyri f rq c¢r nd effect. License Class License No Dat �t7 Contractor Signature VORKERS' 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 1$ ,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: 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 IN gVormance of the work for which this permit is issued. Policy 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 thispermit is issued. My workers' compensatioi I nce carrier and policy number are: ri r A Policy Number Expiration Date is of Agent Phone # certify that, in the performance of a work for whit this per ' is issued, tshall not employ any person In any manner so as to become subject to the workers compensation laws of California, and agre If I should become an 'eMPfIT wo e ' o p sation p talons of Sec I n 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applicant Date L ;LARATION REGA DI CONSTRUCTION LENDIN GENCY 17 treby 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). 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. have read this application and the information I have provide correct. I agree to comply with all applicable city and county ordinanc nd state laws BE ting to building construction. I authorize representatives of this city or coun,tt ente a bove-identifier a arty for inspection purposes. (1�y �y (�`,�yl ,�(` nature of Pronertv Owner or Authorized Aaent _ t /%/%/iii// / /(//.Print Pronertv Owner's or Authorized Aaent's N6 .\ IA r�(.ti ,1 %l nlam D ACTION DATE BY- QECf fATION OF COMPCIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R LATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ••• ••• PERMITEXPIRED I UITLEP ASBESTOS DOTIFICA 914 TO. PERMITCANCELLED • EPA • • • . .• • • • • • ' PERMIT EXTENDED qMU PERMITFINAL 14ASBESTOS NOTIFI ION ISN APPLI LE TO CERTIFICATE OF / (/ PROPOSED SM041T N• • ••• OCCUPANCY ISSUED SIGNAT ••• •• •• • • •• ••