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HomeMy WebLinkAboutX2021-2273 - Permitsri,wt=Uk City of Newport Beach - Building Division 4 0, 100 Civic Center Drive, Newport Beach, CA 92660 ti Permit Counter Phone (949)644-3288 c... Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC COMB Permit: X2021-2273 Project No : 1965-2021 Issued Date : 10/06/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010612024 OR PERMIT I L BE 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 Job Address: 660 NEWPORT CENTER DR NB St: 1 FI: 14 Description: COMM TI - NON-STRUCTURAL ELEVATOR LOBBY REMODEL 475 SF Legal Desc.: P.M. 295-33 PAR 6 POR OF PAR Owner: IRVINE CO Contractor: ESPLANADE BUILDERS INC Architect: MORFORD PAUL Address: 4343 VON KARMAN AVE #350 Address: 23820 HAWTHORNE BLVD Address: 4675 MACARTHUR CT #100 NEWPORT BEACH, CA 92660 TORRANCE CA 90505 NEWPORT BEACH CA 92660 Phone: Phone: 310-783-7664 Phone: 949-863-9434 State Lic:C019058 Applicant: YAM MARK Address: 392 N LEMAY CT ORANGE CA 92867 Phone: 626-757-2320 Code Edit : 2019 Type of Construction: I-A-SPR Occupancy Group: B Added /New sq.ft. Bldg: 475 Added /New sq. ft. Garage: 0 No of Stories: 16 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Valuation: $120,000.00 Building Permit Fee: $1,384.00 Plan Check Fee: $1,204.08 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $42.00 Energy Compliance: $84.00 CA Seismic Safety: $0.00 Disabled Access : $120.00 Hazardous Mat $0.00 Building Green Fee : $5.00 TOTAL FEE: $3,301.91 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 831964 Lic Expire: 0212812022 Bus Lic: BT30045862 Lic Exp Date: 01/31/2022 Worker's Compensation Insurance Carrier: ZURICH AMERICAN Policy No: WC380467000 Expire: 0110112022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / 'Eking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $362.33 $0.00 $0.00 0 Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lic: Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $48.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $1,677.15 Fee Due at Permit Issuance : $1,624.76 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 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 far 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 U 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-Builderwill 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 I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) 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 GUNTRACTOR'S DECLARATION "I h.En7by affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 10) o Divis' n f the Business and Prof s o ode, Ind my Iic e i in ull force and effect. _.: ense Class License No Dat Contractor Signatur iKORKERS' 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 T U AND DOLLARS ($100,006), IN ADDITION TO THE COS OF COMPFNSAI IUN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hulaby affirm under penalty of perjury one of the following declarations: �P I have and :pill 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 the formance of the work for which this permit is issued. Policy No. I .ave 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' compensatio urance carrier and policy number are: 'Carr'sr Policy Number Expiration Date Name of Agent _ Phone # ❑I certify that, in the perforiflance of the work for h 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 that, if I should become subOct the workers' co sation p ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signatureof Applicant% Date IV_l-Y DECLARATION REGAR ONSTRUCTIC) LENDIN AGE CY I hereby affirm under peme ty f perjury that there is a construction 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 t e property owner's behalf. I have read this application and the information ave provided i c rrect. I agree to comply with all applicable city and co my ordinances tate laws relating to building construction. I authorize representatives of this city or cou t r the abo e i en i ro rt for inspection purposes. Signature of Property Owner or Authorized Age rint Property Owner's or Authorized Agent's N e� to - ACTION DATE B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QM D PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED WIA�9ESTOS NOVIFICATION IS NOT POSE D LITION t, SIGNATUR M W iTvA d P0 I BILE TO I