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HomeMy WebLinkAboutX2017-3895 - PermitsYap City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 zy�yt* Combination Type - CIP MECH ELEC PLUM *X2017-3895* COMB Permit: X2017-3895 Project No: 2730-2017 Issued Date : 01104/2018 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 Id y Job Address: 1400 NEWPORT CENTER DR NB St: 1 FI: 2 Unit: 260 �t CTO Description: COMM TI "'BERKSHIRE HATHAWAY" 673 SF, SUITE 260 � ?%Vi,,, Legal Desc.: IRVINE SUB BLK 93 POR OF BLK t- R Owner: IRVINECOMPANY Contractor: SIMPSON DAVID CONST CO INC Architect: MORFORD PAUL Address: 550 NEWPORT CENTER DR Address: 17177 GILLETTE AVE #A Address: 4675 MACARTHUR CT #100 NEWPORT BEACH CA 92660 IRVINE CA 92614 NEWPORT BEACH CA 92660 Phone: Phone: 949-250-1348 Phone: 949-863-9434 State Lic:C019058 Applicant: YAM MARK Con State Lie: 381149 Engineer: Address: 392 N LEMAY CT Lie Expire: 03/31/2019 Address: e e c e ORANGE CA 92867 Bus Lie: BT00006013 Phone: 626.757-2320 Lie Exp Date: 06/30/2018 Phone: State Lie: e.ne `oe o40OOo Code Edit: 2016 Worker's Compensation Insurance Designer: 0 a e° o°o Type of Construction: III-A-SPR Carrier: OAK RIVER Address: Occupancy Group: B Policy No: DAWC808906 Added /New sq.ft. Bldg: 0 Expire: - 05/0112018 Phone: acoo 0 o c Added /New sq. ft. Garage: 0 -- o`eO ooe°o No of Stories: 2 Building Setbasks Rear: I Special Conditions: oocc °°o000 No of Units : - 0 Front: I ° DOPc.Oe Bldg Height: 0 Left: I Bldg Sprinklers: Y Right: Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $25,212.00 e o e Building Permit Fee: $452.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $393.24 Additional Fee : $0.00 Plan check Fee : $0.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $56.00 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 : $82.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $118.33 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $92.98 NMUSD Fee: $0.00 $0.00 Plumbing %: $76.07 $0.00 TOTAL FEE : $1,272.62 Plan Check Fee : $620.44 Fee Due at Permit Issuance : $652.18 PROCESSED BY: 4 , - ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: _n APPROVAL TO ISSUE: `I� 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) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair anystructure, prior to its issuance, also requires the applicant for 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 �fessions 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 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, riness 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 Movements 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 Moved 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 fly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 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 Iegalll 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 ,fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent toCS TENSED CONTRACTOR'S DECLARATION Meby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) f iylsion 3 of the Business and Professio ode, n m Icense s i full force I effect. LicentI Class License No D e Contracto I ature Si dRS' CQA4ArASATION DECLARATION ININGe 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 ($10 , , IN ADDITION TO THE iYOFF�LOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. eb4 affirm underpenalty of perjury one of the following declarations: I%aeie 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 0!1rWnce of M4 ADrk 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 this permit is issued. My workers' compensatiol awes carrier and policy number are: rler : •:.•s: Policy Number Expiration Date DrMfy that, iA Al?e R fform ) of the wor for whi is permit is issued, I shall not employ any person in any manner so as to become subject to the wgq�jjrkers' compensation laws of California, and agre hat, if I should me bje the work 'comp anon of Section 3700 of the Labor Code, I shall forthwith comply with those provisions�Date Signature ofA an DECLARATION REGARDING CONSTRUCTION LERDIfIG 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). -enders Name Lender's Address 3y 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 DIP antes and st to la relating to building construction. I authorize representatives of this city or county to ant the above-i ntified roperty for i s action purposes. L Signature of Property Owner or Auth rizi Agent dt Property Owner's or Authorized fAg nfs Name �-" ` c� �% s� ate ACTION DA B DECLARATION OF COMPLIANCE WIT CODE OF FEDERAL FOR OFFICE USE ONLY //y�J REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE pI 12,1-1% /�/ 1403 PERMIT EXPIRED I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO CERTIFICATE OF ITFINAL P POSED DEM0NOT11 ONION IS7APP AB TO OCCUPANCYISSUED G TURE:/�