HomeMy WebLinkAboutX2021-2853 - PermitsCity of Newport Beach - Building
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Combination Type - CIP MECH ELEC PLUM
Division _ 111111111111111111111111111111111111111111111111111111
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COMB Permit: X2021-2853
Project No : 0580-2021
Issued Date : 10/21/2021
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
Job Address: 900 NEWPORT CENTER DR NB
Description: COMM - TI *CHANGE OF CONTRACTOR* ADD 777 SF/REMODEL 26988 SF "MARRIOTT" (PACIFIC LANDING BUILDING) 48 GUESTROOMS
Legal Desc.: P BK 75 PG 33 PAR 1 Z
Owner: NEWPORT CENTER HOTEL LLC
Address: 1400 NEWPORT CENTER DR #230
NEWPORT BEACH CA 92660
Phone
Applicant: WICKETT BJ
Address: 2630 SEPULVEDA BLVD
TORRANCE CA 90505
Phone: 310/750-8223
Code Edit : 2019
Type of Construction: I-A-SPR
Occupancy Group: R1
Added /New sq.ft. Bldg: 777
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Flood Zone: X
Contractor:
DIGNEY YORK ASSOCIATES LLC
Architect:
TYNER RUSSEL EDWARD
Address:
1919 GALLOWS ROAD # 950
Address:
2630 SEPULVEDA BLVD
VIENNA VA 22182
TORRANCE CA 90505
Phone:
703-790-5281
Phone:
310-326-3050 State Lic:C014979
Con State Lic:
1080482
Engineer:
STEWART JOSEPH E
Lic Expire:
0813112023
Address:
2401 COLORADO AVE, #315
Bus Lic:
BT30076453
SANTA MONICA CA 90404
Lic Exp Date:
06/3012022
Phone:
310/828-1536 State Lic:5-003065
Workers Compensation Insurance
Designer:
Carrier:
TRANSPORTATION INS
Address:
Policy No:
7011432027
Expire:
10/01/2022
Phone:
Building Setbacks
Rear: /
Special Conditions:
Front: /
Left: /
Right: /
Use Zone:
Parkinq Spaces: 0
Fire Hazard Zone
Construction Valuation:
$0.00
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee: $0.00
Additional Fee :
$38.00
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 :
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access:
$0.00
P/W Plan Check:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist :
$0.00
Building Green Fee :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $38.00
PROCESSED BY:
ZONING APPROVAL:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $38.00
PI IB1.IC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APn ROVAL 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 theappJa-,ble 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).
7 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,
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).
7 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.html.
'signature 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 70 ) of Division 3 of the Business and Prof ss' s Cyd�,%and my license is in full force
nd effect. License Class License No Date D Zf Z Contractor Signatur ��
IIORKERS' COMPENSATION DECLARATION
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 ($100,000), IN ADDITION TO THE
DST 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:
7 I 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
erfprmance of the work for which this permit is issued. Policy No.
have and wil mtain worker ' ompensation 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
uance carrier nd olicy num5qr a :
Tier 1 li y mber Expiration Date
ne of Agent Phone #
certify that, in the performance of t w rk 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 agree
t, if I should becoXsubje o the ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.nature of ApplicaCLARATION RE STRUCTION LENDING AGENCY
:reby affirm under penalty o 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
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 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 Fite above -identified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag
ACTION I DATE I BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
IONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED I U I SUBMITTED ASBESTOS NOT IF'CAT:ON TO
PERMITCANCELLED EP
PERMITEXTENDED Q D
PERMIT FINAL ASBES OS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSE �yp,�''OLIT
OCCUPANCY ISSUED SIGNAT Eft �-