The URL can be used to link to this page

Home My WebLink AboutX2021-2786 - Permits�ty0kt< - City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 a Permit Counter Phone (949)644-3288 s� Inspection Requests Phone (949)644-3255 ribo,> Combination Type - CIP MECH ELEC PLUM IIIIIIIIIIIIIIII'IIIIIIIIIIIIIIIII� II COMB Permit: X2021-2786 Project No: 2422-2021 Issued Date : 11/19/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111912024 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: 453 NEWPORT CENTER DR NB Description: COMM SET ROOFTOP A/C UNIT IN PLACE. ALL ELEC CONDUIT, CONDUCTORS, PNL, DUCTING & ENERGY DOCS IS THE RESPONSIBILITY OF THE TENANT'S GENL CONTRACTOR. r ) Legal Desc.: N TR 6015 LOT W 4F Owner: IRVINE CO Contractor: ALTA CONTRACTING Architect: BAGLEY AMY STEINER �l� Address: 110 INNOVATION Address: 369 E. BLAINE STREET Address: 17800 MITCHELL NORTH IRVINE, CA 92617 CORONA CA 92879 IRVINE CA 92614 Phone: 949-720-3198 Phone: 714-380-9233 Phone: 714-299-5957 State Lic:C030804 Applicant: WRIGHT CARRIE Con State Lic: 742360 Engineer: BISHOFF RYAN WILLIAM Address: 17800 MITCHELL N Lic Expire: 11/3012021 Address: 3300 IRVINE AVE #245 IRVINE, CA 92614 Bus Lic: BT01020983 NEWPORT BEACH CA 92660 Phone: 949.683-3984 Lic Exp Date: 01/3112022 Phone: 949-862-8510 State Lic:S-006250 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: EMPLOYEE SERV GROUP Address: Occupancy Group: A3 Policy No: WC169082801 Added /New sq.ft. Bldg: 0 Expire: 12/31/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Y Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $160,000.00 Building Permit Fee: $1,624.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,412.88 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: $46.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $112.00 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 : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $425.16 San Dist: $0.00 ' Building Green Fee : $7.00 Mechanical %: $334.06 NMUSD Fee: $0.00 $0.00 Plumbing %: $273.32 $0.00 TOTAL FEE: $4,286.42 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Gbock Coe: -!2,06 26 0" Fee Due at Permit Issuance : $2,229.16 t 4 ° PUBLIC WORKS APPROVAL: PLAN CHECK BY: 0AeP1?f1VAr T'FO ISSUE: t i�✓iJ/ 0 4 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 Iicensure 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 U all of or U 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). ❑ 1, 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 Iicensure 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 legally 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 7000) f ivision 3 of the Business and Prof es�5ions-Code�ylicense is in full force and effect. License Class License No Date 1 (� LI Contractor Signal uce�C _ 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 DOLLARS I$100,0001, 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 th 3erjormance of the work for which this permit is issued. Policy No. have agdwill 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' rance me and policy nunj/ er are: f� ier _.._ I !"f It 7 Q1 P.61iEdNumber Expiration Date of JI 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant D e IECLARATION R -E, GODING CONSTRUCTION LENDING AGENCY hereby affirm under enalty 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). 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. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or cou t enter the abo- ntified property for inspection purposes. Sionature of Propertv Owner or Authorized Agent S G1 - Print Property Owner's or Authorized Agent's Name N paE�l 11,'Lj ACTION DATE BV RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 2 REGU TIONS PART 610E TITLE 40 AND AgMD RULE 3 •+ ... •• +:• PE MITEXPIRED LISUBMID ASBESTOS NaTIFICATION TO+ � • s • - • + PERMIT CANCELLED DEPA • • • • • PERMITEXTENDED qMD PERMITFINAL ASBESTOS N, TIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DE I- I N •` '••-.•'• •+• OCCUPANCYISSUED •"+ •% SIGNATURE: e c • + o0 ooa n c ooe cco cn<