The URL can be used to link to this page

Home My WebLink AboutX2020-2203 - Permitsrwrar City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH PLUM COMB Permit: X2020-2203 IIIIIIIIII0IIIIIII�IIIIIIIIIIIIIIII'll� II Project No: 1775-2020 Issued Date : 12/03/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1210312024 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: 4 Unit: 4000 Description: COMM - TI "SPEC SUITE" 4245 SF Legal Desc.: P BK 181 PG 13 PAR 5 Owner: JOHN HANCOCK LIFE INS Address: 865 S FIGUEROA ST #3320 LOS ANGELES CA 90017 Phone: Applicant: NARMANLIEMIN Address: PO BOX 16516 IRVINE CA 92623 Phone: 949-608-3726 Code Edit: 2019 Type of Construction: I-A-SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 10 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Construction Valuation: $151,000.00 Building Permit Fee: $1,570.00 Plan Check Fee: $1,433.90 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $46.00 Energy Compliance: $105.70 CA Seismic Safety: $0.00 Disabled Access : $151.00 Hazardous Mat $0.00 Building Green Fee : $7.00 TOTAL FEE : $5,120.81 Contractor: JLC ASSOCIATES INC Address: 3198 A AIRPORT LOOP DR COSTA MESA CA 92626 Phone: 949-241-4430 Con State Lie: 645576 Lie Expire: 05/31/2022 Bus Lic: BT30053881 Lie Exp Date: 01/31/2022 Worker's Compensation Insurance Carrier: INS OF THE WEST Policy No: WSD5045216 Expire: 01/01/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $411.03 $322.95 $264.23 Architect: OI DICKSON Address: PO BOX 16616 IRVINE CA 92623 Phone: 949-608-3726 State Lie C032277 Engineer: Address: Phone: State Lie: Designer: Address: Phone: Special Conditions: WASTE MGMT TO HAUL DEBRIS Fire Hazard Zone : N 9 Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 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 Plan Check Fee : $2,055.54 Fee Due at Permit Issuance : $3,065.27 PROCESSED BY: CA PSBLIC WORKS APPROVAL: ZONING APPROVAL: r ,/� o V PLAN CHECK BY: GRADING APPROVAL: -°° s o 'o° APPROVAL TO ISSUE: 0 GO Bb� O O fl li OP �_J 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 L) 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). ❑ I 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 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION ,� I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) IFDi ision 3 of the Business and Professio a nd Ii -ia-full force and effect. License Class License No D /Z Contractor Signature NORKERS' 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 DOLLARS ($100,000), 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: 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 prmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number ie of Agent certify that, in the performance of the work for which this , if I should become subject to thoAl�prs' compAnipt of Date 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 ;ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dafg1_ CLARATION REGARDING 4ONSTRUC LENDING AGENCY VC 7 :reby affirm under penalty of perjury thatYhere 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. 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 to enter v�`Iden " 1e rt for inspection purposes. /' nature of Prooertv Owner or Authorized Aoent �n /�f' _ _ Print Property Owners or Authorized Agent's Name Date /�/��.bZ/ ACTION DATE BY bECLARATION&VCOMPLrANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ••• ••• • e ••• •u• PERMIT EXPIRED 15UeMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED • • • LIEPA • • . •• PERMIT EXTENDED QMD PERMITFINAL _ C ASBESTOS NOTIFICA N 15 NO APPLIC BLE TO CERTIFICATE OF ••• • R POSEDD 0 I • • ••• •• OCCUPANCY ISSUED SIGNATURE: f • • • s e e s e 0 aco no co � o .,00 roc