HomeMy WebLinkAboutX2022-0036 - Permits�wlc,4 City of Newport Beach - Building Division 'X2022-0036* COMB Permit: X2022-0036
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0046-2022
7
Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
Issued Date : 01/24/2022
Combination Type - BLDG PLUM
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112412025 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 NB
Description: COMM SEWER IMPROVEMENT, RELOCATE SEWER LATERAL, GREASE WASTE LINES AND NEW GREASE INTERCEPTORS
Legal Desc.: N TR 6015 LOT W
Owner:
IRVINE CO OF W VA
Address:
550 NEWPORT CENTER OR
NEWPORT BEACH, CA 92660
Phone:
Applicant:
STANTEC/ROB
Address:
38 TECHNOLOGY, STE 200
IRVINE CA 92618
Phone:
7141329-5608
Code Edit : 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
CIACi.n k!
Contractor:
ALTA CONTRACTING
Address:
369 E. BLAINE STREET
CORONA CA 92879
Phone:
714-380-9233
Con State Lic:
742360
Lic Expire:
1113012023
Bus Lic:
BT01020983
Lic Exp Date:
01/31/2022
Worker's Compensation Insurance
Carrier:
EMPLOYEE SERV GROUP
Policy No:
WC169082801
Expire:
12/31/2021
Building Setbacks Rear: /
Front: I
Left: /
Richt I
Architect
Address:
Phone: State Lic
Engineer:
OSTROM BRANDON D
Address:
6512 CAMINO VISTA 5
ANAHEIM CA 92807 _
Phone:
949-923-6160 State LicC-067582
Designer:
-'
Address:
Phone
Special Conditions:
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone
Construction Valuation: $108,000.00
Building Permit Fee: $1,312.00
Excise Tax:
$0.00
Planning Department -
Fire Department
$0.00
Plan Check Fee: $1,141.44
Additional Fee :
$0.00
Plan check Fee : $52.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00
Fee $0.00
Demolition Fee
Building Dept Adm
$0.00
Record Management : $6.00
Grading Permit Fee:
$0.00
$0.00
In -lieu Housing :
Public Works Department-
General Service
$0.00
Energy Compliance: $0.00
CA Seismic Safety : $0.00
Grading PC Fee:
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check: $203.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
$0.00
Building Green Fee : $5.00
Mechanical W
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$220.81
TOTAL FEE : $2,940.25
Plan Check Fee:
$1,141.44 Fee Due at Permit Issuance :
$1,798.81
131
PUBLIC WORKS APPROVAL:
RA
r rtv-coocv +. -+C
ZONING APPROVAL: J m PLAN CHECK BY: M K' 00
GRADING APPROVAL:
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
is 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 Iicensure 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 L) 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).
1 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
poly 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).
3 1 am exempt from Iicensure 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 structur J.a; 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 Codes, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
;ignature of Property Owner or Authorized Agent Date
.ICENSED CO.NI RACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f D vision 3 of the Business and Professions Code a d my license is in full force
no effect. License Class License No Date '1_H 'LL Contractor Signature
CORKERS' COMPENSATION DECLARATION
ARMING: 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 COMPLNSA) ION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES.
heretry affirm ur,oer penalty of perjury one of the following declarations:
� 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 IN
eAforc,ance of the -work for which this permit is issued. Policy No.
UI hi-e and will maintain 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
Isurance card,)r ar.d policy num)ker are: ,
Policy Number
of Agent
Date
certify that, in the performance 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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant F \ . g __ DE
iECLARATION REGARDING 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
enders 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
ignature of Property Owner or Authorized Agent x Print Prooertv Owner's or Authorized Agent's Name 7� �..'
ACTION
PERMIT EXPI RED
PERMIT CANCELLED
PERMITEXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND ACMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PROPOSED[
SIGNATURE:
NOTIFICATION IS NOTAPPLICABLE TO
FOR OFFICE USE ONLY
K I I 1 'Al LL
Civil Code).
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