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Home My WebLink AboutX2020-0382 - Permits" City of Newport Beach - Building Division II�I�IIIIII�IIIIIIII�IIIIIIII�IIIIIIIIIIIIIIII II COMB Permit: X2020-0382 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 0 0 3 8 2 Project No: 0288-2020 A a Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 'iimrnx¢�'' Combination Type - CIP ELEC MECH PLUM Issued Date: 06/25/2020 9 Inspection Area: 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OW2612023 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: 610 NEWPORT CENTER DR NB St: 1 Ft: 13 Description: COMM TI CONSTRUCT STAIRS BETWEEN LEVELS 13 & 14 "CHIPOTLE MEXICAN GRILL OFFICE" 919 SF Legal Desc.: P BK 295 PG 33 PAR 4 . - a a Owner: 610 NEWPORT CENTER DR LLC Contractor: CASCO CONTRACTORS INC Architect: BROWN RUSSELL L JR Address: PO BOX 2450 Address: 9850 IRVINECENTER DR Address: 1160 SANTA FE DR .... o NEWPORT BEACH, CA 92658 IRVINE, CA 92618 DENVER CO 80204 Phone: Phone: 949-679-6880 Phone: State Lic:CO20920 Applicant: MONTEJANO NELLIE Con State Lie: 790706 Engineer: FECAROTTA ROBERT a Address: 4740 GREEN RIVER RD #102 Lie Expire: 01/31/2021 Address: 18400 VON KARMAN AVE #600 CORONA CA 92880 Bus Lie: BT30041027 IRVINE CA 92612 Phone: 95'1.357-6916 Lie Exp Date: 1013112020 Phone: 949-252-1022 State Lic:S-004306 a° Code Edit: 2016 Workers Compensation Insurance Designer: Type of Construction: I-ASPR Carrier: SENTINEL Address: Occupancy Group: B Policy No: 72WEAAE3W83 Added /New sq.ft. Bldg: 0 Expire: 01101/2021 Phone: Added/New sq. ft. Garage: 0 No of Stories: 18 Building Setbacks Rear: / Special Conditions: s No of Units: 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Y Right: I Flood Zone: yUse Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $200,000.00 Building Permit Fee: $1,807.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $1,672.09 Additional Fee, $0.00 Plan check Fee : $41.50 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: $98.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $24.00 Energy Compliance: $294.00 Grading PC Fee: $0.00 Public Works Department- General Service $197.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $200.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $473.07 San Dist: $0.00 Building Green Fee : $8.00 Mechanical %: $371.70 NMUSD Fee: $0.00 $0.00 Plumbing %: $304.12 $0.00 TOTAL FEE : $5,954.48 Plan Check Fee: $2,441.13 Fee Due at Permit Issuance : $3,513.35 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 (_) 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 ownetgfpjoperty 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 t 9iiiJitensure under the Contractors' State License Law for the following reason: 0%;iW pjbnature 4gJgvy 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 Iegall) cell a structure thairl 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 Corie, is available upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ca.gov/calaw.html. $igA"& of Propetty Owner or Authorized Agent Date LIGEIJSED CQNTJ"CTOR'S DECLARATION ChEfgVaffirm urnRr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) f Division 3 of the Business and P essio and my ense i 'n full force and effect. LieeAs�e Glass License No Date Z6-__D Contractor Signatu , n uY,QgaRS' 0OMFbENSATION DECLARATION i 14VhFAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Et00,000), IN ADDITION TO THE O O OMPENSgMO AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rhereb?affirm Egejpf penalty of perjury one of the following declarations: "...0 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 p ormance ot{t6%wertc forwhich this permit is issued. Policy No. I have 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' compensatiol inew,ance carrier and policy number are: 3arr0r Policy Number Expiration Date flame of Agent Phone # :1I certify that, in the perfo nce of the work for wit' ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' co ensation laws of California, and agree hat, if I should become subj ct to thew satin provisions of lion 3700 of the Labor Code, I shall forthwith comply with those provisions. �/ Signature of Applicant V — Dat ?U )ECLARATION RI R G CONSTRUCTION LENDING AGENCY hereby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). -ender's Name Lender's Address 3y 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 ha provided is correct. I agree to comply with all applicable city and coun ordinances and state laws relating to building construction. I authorize representatives of this city or county t enter theve-ident d property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name D e , 1£.ter'= ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGJJIATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED ASBESTOS NOTIFICATION TO TO