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Home My WebLink AboutX2021-2512 - PermitsM1 ortnft% City of Newport Beach - Building Division y� 100 Civic Center Drive, Newport Beach, CA 92560 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP MECH ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2512 x 2 e 2 1 2 5 1 2 Project No : 2171-2021 Issued Date: 0410712022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/07/2025 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: 900 NEWPORT CENTER DR NB Description: COMM TI - MARRIOTT POOL BAR & FOOD SERVICE AREA 1864 SF Legal Desc.: P BK 75 PG 33 PAR 1 Owner: NEWPORT CENTER HOTEL LLC Contractor: R D OLSON CONSTRUCTION Architect: Address: 1400 NEWPORT CENTER DR #230 Address: 400 SPECTRUM CENTER DR #1200 Address: NEWPORT BEACH CA 92660 IRVINE CA 92618 Phone: Phone: 949474-2001 - Phone: Applicant: KLUTE ALLISON Con State Lic: 953845 Engineer: Address: 2630 SEPULVEDA BLVD Lic Expire: 1013112022 Address: TORRANCE CA 90505 Bus Lic: BT30009757 Phone: 310-750-8223 Lic Exp Date: 05/31/2022 Phone: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: I-A-SPR Carrier: STARR INS Address: Occupancy Group: R1/A2/B Policy No: 100001219 Added New sq.ft. Bldg: 0 Expire: 07/01/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special No of Units : 0 Front: / Bldg Height: 0 Left: I - Bldg Sprinklers: Y Right: / Construction Valuation: $80,000.00 Building Permit Fee: $1,066.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $995.42 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans Record Management: $96.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $91.00 PNV Plan Check : $0.00 Hazardous Mat $0.00 Electrical %: $279.08 San Dist: $0.00 Building Green Fee : $4.00 Mechanical %: $219.28 NMUSD Fee: $0.00 Plumbing %: $179.41 TOTAL FEE: $3,043.19 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: WICKETT WILLIAM HAROLD IV 2630 SEPULVEDA BLVD TORRANCE CA CA 90505 State Lic:C030971 HEALTH DEPT APPROVAL REQUIRED Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $1,394 75 Fee Due at Permit Issuance : $1,648.44 PUBLIC; WORKS APPROVAL: PLAN CHECK BY: „F 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, priorto 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 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). ❑ 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 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 70 ) of Divisi a Business and Profvssipns Code, and lic is in ful o ce and effect. License Class License No Date Contractor Signatur WORKERS' COMPENSATION DECLARATION 3�zz ✓DARNING: 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 (E100,000), 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: 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 France of the work for which this permit is issued. Policy No. have and will m In workers' cam ensation 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 carder an poll number ar ie of Agent certify that, in the performance of the . if I should become subi@ct to the wo Date for which this permit is issLIed-, I sh not employ any person in any manner so as to become subject to the workers' compensation laws of ggy r?en ttbn provisions o 700 of the Labor Code, I shall forthwith comply with those provisions. lignature of Applicant 0N.4ef, ` —� 1 !ice vv Dabs )ECLARATION,REGAtRDING CONSTRUCTION LENDING AGENCY ! �— 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). 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. 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 a ter the above -identified property for inspection purposes. ` ,� ,/ //� //� , �Zi ;ianature of PrODertv Owner or Authorized ADent V Print ProDertv Owner's or Authorized ADent's Naar Alt/•llhlh lam`// ACTION DATE BY �.(�6E RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / REG NS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED ISUBMITTE SBESTOS NOTIF.CA"iIOATO PERMITC4NCELLEO EPA' --`—.—` PERMITEXTENDED ❑AQMD PERMITFINAL CERTIFICATE OF �? ) ASBESTOS N IFICATION IS NOTAPPLIC LE T PROPOSED DE N � OCCUPANCYISSUED SIGNATURE: �yi