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Home My WebLink AboutX2021-3020 - Permits (3)City of Newport. Beach - Building Division *X2021-3020* COMB Permit: X2021-3020 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2626-2021 H �.. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 \> �. Issued Date Combination Type - CIP ELEC MECH PLUM GRAD Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 453 NEWPORT CENTER DR INS Description: COMM TI "JOEY NEWPORT BEACH" 7,588 SF & NEW PATIO AREA 2590 SQ FT. Legal Desc.: N TR 6015 LOT W Owner: IRVINE COMPANY Contractor: P W I BUILDERS Architect: MOSCATI MATTHEW PETER Address: 110 INNOVATION Address: 3903 WEST MARTIN AVE Address: 448 DELAWARE AVE IRVINE CA 92617-3040 LAS VEGAS NV 89118 BUFFALO NY 14202 Phone: 9491720-3198 Phone: 702-942-8400 Phone: 7161883-3516 State Lic:CO29234 Applicant: SHAVER PAUL Con State Lic: 816987 Engineer: Address: 30900 RANCHO VIEJO RD, STE 285 Lic Expire: 0113112023 Address: • • . SAN JUAN CAPISTRANO CA 92675 Bus Lic: BT300057278 Phone: 949/581-2888 Lic Exp Date: 11130/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: TRAVELERS INDEMINTY Address: Occupancy Group: A2 Policy No: UB7K7781821826G =• ,,, Added /New sq.ft. Bldg: 7588 Expire: 0710112022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: HAULER: WASTE MANAGEMENT = No of Units: 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Y Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $fi 800 000.00 Building Permit Fee: $23,673.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee:$20,595.51 Additional Fee : $0.00 Plan check Fee: $1,144.00 Fire Inspection: $434.00 Overtime Plan Ck: $15,446.63 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $619.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $330.00 Grading Permit Fee: $973.00 In -lieu Housing Fee: $0.00 Building Dept Adm $26.00 Energy Compliance: $550.00 Grading PC Fee: $846.51 Public Works Department - General Service $219.00 CA Seismic Safety : $1,904.00 WQ insp. Fee $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $944.00 PIN Plan Check : $203.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $6,197.59 San Dist: $12,851.68 $0.00 Building Green Fee : $272.00 Mechanical %: $4,869.54 NMUSD Fee: $0.00 Plumbing %: $3,984.17 $0.00 TOTAL FEE : $96,646.53 Plan Check Fee : $45,157.62 Fee Due at Permit Issuance : $51,488.91 PROCESSED BY: I✓ PUBLIC WORKS APPROVAL: M 14 W PLAN CHECK BY: r r " ZONING APPROVAL: GRADING APPROVAL: 5A �� 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, pdor to its issuance, also requires the applicant for :he 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 rot 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 (_) 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 i�m roved 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). ❑ I 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 p=galty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7K000) of Division 3 of the Business and Profes on ode, and ,7�lic e is in full force an% =ffnct. License Class License No Date � ` '{ Z% —ZZCGntractor Signature WORKERS' COMPENSATION DECLARATION NARNI'IG: F1ILURE TO SFGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0 ), IN ADDITION TO THE COJT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. heraby affirm under p�nnity of perjury one of the following declarations: 1 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 oetfurmance of the mark forwhich this permit is issued. Policy No. have and will m,.intain 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' compensatioi urence',carrier and policy number are: pp /� _ 2 �2 er [Y�t1y� 5 Policy Number�I I) K ` (� LZ� Pine n Date 7 G me of F.gent _ Phone # I certify that, in tilt: per;ormance of the 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 agre t, if I should become subject to workers' coTTpen on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. [� nature of Applicant , Tn hr ^^cA ^V Date G r2� - 2 wv , n h enr „ I hereby affirm under penalty of perjury that there is a c6iAtruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 en above -id fied roperty for inspection purposes. /I 27'2 Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ✓cC. W Date ACTION DATE BY DECLARATION OF COMPLI N E WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610 F TLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED OAQMD PERMITFINAL t-7-23 SBESTOS NOTIFICATION IS NOT PLICABLE TO CERTIFICATEOF PROPOSED DEkletITIaN %i OCCUPANCYISSUED SII3NATIIRF- /'