HomeMy WebLinkAboutX2021-1205 - PermitsCity of Newport Beach - Building Division
y'rs� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - GRAD
IIIIIIIIIIIIIIIIIIIillllllllllllllllllllllllllllllllllllll COMB Permit: X2021-1205
Project No : 1067-2021
Issued Date : 0512812021
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0512812024 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 GRADING -TEMPORARY ACCESS ROAD GRADING "MARRIOTT'
Legal Desc.: P BK 75 PG 33 PAR 1
Owner: NEWPORT CENTER HOTEL LLC
Address: 1400 NEWPORT CENTER DR #230
NEWPORT BEACH CA 92660
Phone
Applicant: SLASOR ORIANA
Address: 16795 VON KARMAN AVE #100
IRVINE CA 92606
Phone: 7141906-3130
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation
Building Permit Fee:
Plan Check Fee: $0.00
Overtime Plan Ck:
Investigation Fee:
Record Management:
Energy Compliance:
CA Seismic Safety:
Disabled Access:
Hazardous Mat
Building Green Fee
PROCESSED BY:
0
0
$0.00
$0.00
$0.00
$0.00
$6.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL FEE: $4,490.38
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
R D OLSON CONSTRUCTION
Architect:
Address:
400 SPECTRUM CENTER DR #1200
Address:
IRVINE CA 92618
Phone:
949-474-2001
Phone:
Con State Lic:
953845
Engineer:
Lic Expire:
1013112022
Address:
Bus Lic:
BT30009757
Lic Exp Date:
05/31/2021
Phone:
Worker's Compensation
Insurance
Designer:
Carrier
STARRINS
Address:
Policy No:
100001219
Expire:
07/01/2021
Phone:
Building Setbacks
Use Zone:
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: I
Parking Spa
$0.00
$981.88
$0.00
$1,102.08
$1,698.00
$241.92
$0.00
$0.00
$0.00
$0.00
0
State Lic:
SLASOR ORIANA
16795 VON KARMAN AVE #100
IRVINE CA 92606
f
949-474-1960 State Lic:C-063451
Special Conditions:
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$43.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$370.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$47.50
$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 : $1,696.06 Fee Due at Permit Issuance : $2,794.32
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
ie 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
'rofessions 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
of 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved 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
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
lgnature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001,ef Di Is'on 3 f the Business and Professi . s C e, d my license is in full force
nd effect. Licevc lass License No Date (Contractor Signature
PORKERS' COI'.rENSATION DECLARATION /11
'A-3 11:C: FAILUR= TJ SLCURE 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
OST OF COMPENSA110N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
,ereby affirm under penalty of perjury one of the following declarations:
I have and will R.a:ntain 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
(� ante of the wort for which this permit is issued. Policy No.
: ave and wig, ma.ntain 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' compensatior
isyfance carrier anJ policy number are:
Policy Number
Jame a. Agent _ _
Date
?-ffy that, in the performanc of the ork forwhich 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 agrel
if I should hrrome'subj to he w rker ' co pensation provisions of S Gtion3700 of the Labor Code, I shall forthwith comply with those provisions.
ature of Applicant Da)
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
y 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 nces and state laws relating to building construction.
I authorize representatives of this city or county to ter e a entified property for inspection purposes. t l - - ,�
icnature of Prooertv Owner or Authorized Anent Print Property Owner's or Authorized Agent's Name Y`� S kl� Date
ACTION DATE BY I REGULATIONS 5'POARTOMPLIACE WITH CODE OF 610F TNTLE OAND AQMD RULERAL FOR OFFICE USE ONLY
PERMITEXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EIEPA
PERMIT EXTENDED
13AQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
p
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SEJASBESTOS
/
NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: