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Home My WebLink AboutX2022-1447 - Permitssnryk City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 4 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP *X2022-1447* COMB Permit: X2022-1447 Project No : 1327-2022 Issued Date: 06/03/2022 Inspection Area :-7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 280 NEWPORT CENTER DR NB St: 1 FI: 1 Unit: 100 / Description: COMM TI "INVISION" 2,385 SF (NO EMP) b' Legal Desc.: P BK 36 PG 35 PAR 9 Owner: 280 NEWPORT CENTER DR LLC Address: 1100 NEWPORT CENTER DR #200 NEWPORT BEACH CA 92660 Phone: Applicant: HIGUEWAR MARIO Address: 1510 COTNER AVE LOS ANGELES CA 90025 Phone: 510-445-2850 Code Edit: 2019 Type of Construction: II-BSPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Valuation: $31,925.00 Building Permit Fee: $594.00 Plan Check Fee: $516.78 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $91.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,261.78 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: RAYCON CORP Architect: LAZERINE NORMAN Address: 17216 SATICOY ST, #402 Address: 5657 WILSHIRE BLVD VAN NUYS CA 91406 LOS ANGELES CA 90036 Phone: 8181535-0911 Phone: 323-937-5474 State Lic:C009153 6 Con State Lic: 1038948 Engineer: .... Lic Expire: 05/31/2024 Address: •a Bus Lic: BT30078930 ° Lic Exp Date: 06/03/2023 Phone: State Lic .... • am a : ° a o m Worker's Compensation Insurance Designer: • •• a•a Carrier: EVEREST PREMIER INS CO Address: .... Policy No: 7600020310221 Sa��a° °' a`• Expire: 04/01/2023 Phone: a ®• ° Building Setbacks Rear: / Special Conditions: • e '°4°O °°ee. '.,°••• Front: / a o°am:• Left: / Right: / • °• Use Zone: Parking Spaces: 0 Fire Hazard Zone : N a a • "'": • •a Excise Tax: $0.00 Planning Department- Fire Department Additional Fee : $0.00 Plan check Fee: $52.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 l Plan Check Fee : $568.78 Fee Due at Permit Issuance : $693.00 �- PUBLIC WORKS APPROVAL PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 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). ❑ 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). ❑ 1 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 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.htmi. (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 of visio 3 of the Business and Pr ssions Code, and my license is in full force and effect. LicensVCass License No Date 0 1- Contractor Signa re irn WORKERS' CdIJRNSATION DECLARATION :URE 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 DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affirm u0ntler•pan alty of perjury one of the following declarations: f xlave and w11l*raintain a certificate of consent to self -insure for workers' compensation, issued 9"ance of 2te wd%for which this permit is issued. Policy No. by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for p'haae 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' ra cia carrier and policy number are: Policy Number Expiration Date stAgent cernify that, fn•tb€ pijrformance 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' corl7.pensation laws of California, and agree i, if 1 should become subje to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant � Z Date06.103= CLARATION REGARDING CONSTRUCTION LENDING AGENCY :reby 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). 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. 99 I authorize representatives of this city or county enter the above -identified property for inspection purposes. �� /) 7 j J '7 j/� �f % nah HB of PrnnerIv Owner or Authorized Anent Print PrODertv Owner's or Authorized ADent's Name � 0. 1 OU& Dat OV d 42 ACTION DATE BY " DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LI I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED ZYAQMD PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED n BESTOS NOTIFICATION IS NOT APPLICABLE OSED REM,,OUTION� SIGNATURE:W Y