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Home My WebLink AboutX2021-0558 - Permitsf,� City of Newport Beach - Building Division *X2021-0558" (� 100 Civic Center Drive, Newport Beach, CA 92660 I S PECT P j ` :., ; Permit Counter Phone (949)644-3288 LLL ct.,,, "A Inspection Requests Phone (949)644-3255 - x �Irreua�'t� - Combination Type - CIP ELEC MECH PLUM - COMB Permit: X2021-0558 Project No: 0534-2021 Issued Date : 0712812021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0712612024 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: 363 NEWPORT CENTER DR NB Description: COMM TI "AMERICAN EAGLE OUTFITTERS, INC" 6,306 SF Legal Desc.: P BK 221 PG 30 PAR 3 Owner: IRVINE COMPNAY Contractor: TIMBERWOLFF CONSTRUCTION INC Architect: MORGAN CORTLAND Address: 550 NEWPORT CENTER DR Address: 1659 WEST ARROW ROUTE Address: 711 N FIELDER RD NEWPORT BEACH, CA 92660 UPLAND CA 91786 ARLINGTON TX 76012 Phone: Phone: 909-949-0380 Phone: 817-635-5696 State Lic:CO25519 •••• ° Applicant: DAVES SCOTT Con State Lic: 740882 Engineer: .... ARMSTRONG ROLF Address: 140 S LAKE AVE #323 Lic Expire: 09/30/2021 Address: 376 SW BLUFF DR ' ° • , m o • ° ° ° PASADENA CA 91101 Bus Lic: BT30075616 BEND OR 97702 m m e Phone: 626-585-2931 Lic Exp Date: 06/30/2022 Phone: 541.389.9659 State Lic:C-061726 • • • � m• o Code Edit: 2019 Worker's Compensation Insurance Designer: m• e ® • • • Type of Construction: II-B-SPR Carrier: NEW HAMPSHIRE INS Address: Occupancy Group: M Policy No: WC0113266660 ...... Added /New sq.ft. Bldg: 0 Expire: 03/01/2022 Phone: • ° ° ° m m • o 0 Added/New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: / • m ...... Bldg Sprinklers: Right: / mmommm mmm•� Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $378,360.00 Building Permit Fee: $2,938.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $2,666.06 Additional Fee : $0.00 Plan check Fee : $52.00 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: $200.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 Energy Compliance: $264.86 Grading PC Fee: $0.00 Public Works Department - General Service $219.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access: $378.36 PNV Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $769.17 San Dist : $0.00 Building Green Fee : $16.00 Mechanical %: $604.35 NMUSD Fee: $0.00 $0.00 Plumbing %: $494.47 $0.00 TOTAL FEE : $9,082.26 Plan Check Fee : $4,083.10 Fee Due at Permit Issuance: $4,999.16 PROCESSED BY: l'�� PUBLIC WORKS APPROVAL: ZONING APPROVAL: �/ V �-/ PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: �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) Iction 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 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 rfessions 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 L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3iness 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 )rovements 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 )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 )Iy 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 Iega11,. I 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 rfessions 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 - Date TENSED cb"T.NACTOR'S DECLARATION iraGuaffirm undeipenalty, of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) o Div i n 3 of the Business and Pro ions Code, ar.UJ my license is in full rce t eff&t. Lict9ge Class License No Date Contractor Signatur `/vim DRkERS' COIAPENSATION DECLARATION 114IG: FAILURE TO SF%IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE iT OF COMPENSATION, WAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. ii affirm unrrer penalty of perjury one of the following declarations: . Vrke .... and-wiR gyalntain a certificate of consent to self -insure for workers' compensation, e of the work for which this permit is issued. Policy No. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for and wig marr4tain 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 carridrNfl pplicy number are: _ :7 4 11 Ls, rvr r C IS Policy Number IA: C_n L L Z_ hoc. `j 1 Expiration Date 'al I, rho of Agent" ' i 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 t, if I should beco ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Inature of Applicant _1,�, Date �- k1 DECLARATION REGARDI*G CONSTRUCTION LENDING AGENCY I 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). Lender's Name Lender's Address By 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 ou y ordinances and state laws relating to building construction. I authorize representatives of this city or cou o enter the -identified prope inspection purposes. I Signature of Property Owner or Authorized Agent l vt^ Pint Property Owner's or Authorized Agent's Name Xb, LO-(44 Da ACTION DATE BY V DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE 1 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL OCERTIFICATE CCUPANCY OSUED �•�WZ�.�I' A SI NAOTURHI OLII ON-f TAPPLICABLa