HomeMy WebLinkAboutX2021-1966 - PermitsCity 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
r3 trraiusis Combination Type - CIP ELEC MECH
5
*X2021-1966*
COMB Permit: X2021-1966
Project No : 1720-2021
Issued Date : 0112012022
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VAL169N$ft't fio . ROJECTS MUST BE COMPLETED BY 0112012025 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: 520 NEWPORT CENTER DR NB St: 1 FI: 12 Unit: 1200
Description: COMM TI "EVOLUS" 18,533 SF
Legal Desc.:
Owner: IRVINE CO
Address: 550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone:
Applicant: BRUNO CHRISTIE
Address: 2100 E HOWELL AVE STE 109
ANAHEIM, CA 92806
Phone: 949-431-7093
Code Edit: 2019
Type of Construction: I-A-SPR
Occupancy Group: B
Added /New sq.ft. Bldg: 18533
Added /New sq. ft. Garage: 0
No of Stories: 20
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Construction Valuation: $50,000.00
Building Permit Fee: $810.00
Plan Check Fee: $704.70
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$94.00
Energy Compliance:
$61.00
CA Seismic Safety:
$0.00
Disabled Access :
$91.00
Hazardous Mat
$0.00
Building Green Fee:
$2.00
TOTAL FEE: $2,966.38
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
RENAULT & MORAN CONSTRUC.
Architect:
LINDHOLM CHRISTOPHER D
Address:
19900 MACARTHER BLVD #600
Address:
17496 STAR CANYON COURT
IRVINE CA 92612
RIVERSIDE CA 92503
Phone:
949-412-6500
Phone:
State Lic:C032504
Can State Lic:
1038156
Engineer:
Lic Expire:
0413012022
Address:
Bus Lic:
BT30065288
Lic Exp Date:
1213112022
Phone:
State Lic:
Worker's Compensation Insurance
Carrier: EVEREST
Policy No: 7600021597211
Expire: 0611212022
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: /
Front: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$212.06
$166.62
$0.00
Designer:
Address:
Phone:
Special Conditions: HAULER CA WASTE SERVICES
Fire
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
Plan Check Fee: $908.70
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
0000
• ¢
mao¢
coaam•
$0.00
$773.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $2,057.68
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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' Stale 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 { j 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 andProfessions 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 s pnIE the below 1 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 legalh
sell a stnrcWae that 1 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 Corte, is available upon request when this application is submitted or at the following Web site:http:llwww.leginio.ca.govIcalaw.h"I
�' •' 'Ignalurea4 Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
• Phereby afhhn under penalty of pejury that I am licensed under provisions of Chapt r 9 ((c�ommencing with Sectio O) o Dlv1'sion 3 of the Business antl Pro ons dean icense i 'n full force
• and effect- �e2�tse Class License No (.03 Sfo Dot Ol h! Z2 Contractor Signature - X
. . WORKERS' COMPENSATION DECLARATION
RNING. FAst&M TO SECURE • a • • OS
OF 44j♦1rF�IjISiT10N, DAMAGESASPROVIDED R IN SECTION 3TION 606rS UNLXWFUI� OF THE U1aORACODE, INTEREST, AND ATTORND SHALL SUB.IECT AN EV'S FEESER TO .
PENALTIES AND CML FINES UP TOONE HUNDRED THOUSAND DOLLARS (S10gD0o), IN ADDITION TO THE
• •. , hereby affirm under penalty of perjury one of the following declarations:
;° �• • 1 haveand wall 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 the
• rformeflAd€-fie work for which this permit is issued. Policy No.
`• I have
e 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' compensatfOl
`• Carrier, -t^%1nd policy member; re: R4VG6 IP.Poli Number_ _ (ration Date 04�m I20Zt
ay 'Rfe DOb 7115ci 3 2 t 1
Name of Agent /hl3ASL4 iY1G /1Nit/oN A66.✓G&+ L1 G hone# NA4 S44
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 Calftmia, and agre
tat, if I should becom s ect two tha c r�pensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant 7 f /to c r-r ae- C a yrr U e Date (4l ZZ
iECLARATION REGARD CON TR IU CIN LENDING AGPNCY
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 Lenders Address
h' my signature below, I certify to each of the following:
I am the property owner or authorized to act an the property owners behalf.
I have read this application and the information I have provided is correct
I agree to comply with all applicable city and County ordinan nd state laws relating to building construction.
I authorize representatives of this city or cou a ov entiFed pro rty for inspection purposes.
li nature of Property Owner or Authorized Agent
Print Property Owners or Authorized Agent's Name L6 —r49, 94(AU01, D
4CTION DATE BY I TAPECLARATION OF COMPLIANCE WITH CODEOF FEDERAL FOR OFFICE USE ONLY
R*UTATIONS PART 61 OF TITLE 40AND AQMD RULE
PERMrT EXPIRED
U I suBMrrfED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
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PERMITEXTENDED
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PERMITFINAL
CERTIFICATEOF
OCCUPANCYISSUED
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