HomeMy WebLinkAboutX2021-2855 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
4,'rt 4 Permit Counter Phone (949)644-3288
Inspection Re °jests Phone (949)644-3255
Combination Type - CIP ELEC MECH PLUM
COMB Permit: X2021-2855
Project No : 0246-2021
Issued Date : 10121/2021
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012112024 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
Jab Address: 900 NEWPORT CENTER OR NB
Description: COMM TI *CHANGE OF CONTRACTOR* "MARRIOTT" 52593 SF & ADD 2289 SF (HARBOR POINTE BLDG) 153 GUESTROOMS Z
Legal Desc.: P BK 75 PG 33 PAR 1
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Owner: NEWPORT CENTER HOTEL LLC
Contractor:
. DIGNEY YORK ASSOCIATES LLC
Architect:
TYNER RUSSEL EDWARD
Address: 1400 NEWPORT CENTER DR#230
Address:
1919 GALLOWS ROAD # 950
Address:
2630 SEPULVEDA BLVD
NEWPORT BEACH CA 92660
VIENNA VA 22182
TORRANCE CA 90505
Phone:
Phone:
703-790-5281
Phone:
310-326-3050 State Lic:C014979
Applicant: WICKETT BJ
Con State Lic:
1080482
Engineer:
STEWART JOSEPH E
Address: 2630 SEPULVEDA BLVD
Lic Expire:
08/31/2023
Address:
2401 COLORADO AVE, #315
TORRENCE, CA 90505
Bus Lic:
ST30076453
SANTA MONICA CA 90404
Phone: 310-750-8223
Lic Exp Date:
06/3012022
Phone:
3101828-1536 State Lic:S-003065
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Code Edit : 2019
Worker's Compensation
Insurance
Designer:
jV
Type of Construction: I-A-SPR
Carrier:
TRANSPORTATION INS
Address:
Occupancy Group: R1
Policy No:
7011432027
Added /New sq.ft. Bldg: 2289
Expire:
1010112022
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 9
Building Setbacks
Rear: /
Special Conditions:
No of Units: 0
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers: Y
Right: /
Flood Zone: X
Use Zone: Parking Spaces:
0
Fire Hazard
Zane : N
Construction Valuation: $0.00
Building Permit Fee: $0.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$38.00
Plan check Fee :
$0.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bands 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: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety : $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist :
$0.00
Building Green Fee : $0.00
Mechanical W
$0.00
NMUSO Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $38.00
Plan
Check Fee :
$0.00
Fee
Due at Permit Issuance : $38.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
A?PROVAL TO ISSUE:
CJ
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 U all of or (_) 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 1 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.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectiorL7 0). of D' J ion 3 of the Business and P r ssion o , and My license is in full force
and effect. License Class License No Date a G ( Contractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
El 1 h�,,A 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
.e of the work for which this permit is issued. Policy No.
as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
have and wil
rance carrier
to of Agent e--'Jm=d %Xl
certify that, in the performance of
if I should become subject to the
of Applicant
Date
wo-rw r
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 California, and ag rep
rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
a
IECLARATION REGARIIJ1NG 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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and countyjo�rdinances and state laws relating to building construction.
I authorize representatives of this city or countQ-tgkTar t ove-i>. deDtifed property for inspection purposes.
2nnnfure of Prooertv Owner or Authorized Aqent �X /`�— Print Property Owners or Authorized Agent's N ��S"t ��
ACTION DATE BY I RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
ULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED
LII SUB ITTED ASBESTOS NOTIFICA, ION FO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
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PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
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A STOTIFIC O)Q IS NOTAPPLICABLE TO
P OS MOL ON /7
SIGNP JR .