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HomeMy WebLinkAboutX2021-0914 - PermitsgNru4, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0914 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 0 9 1 4 Project No: 0845-2021 " Permit Counter Phone (949)644-3288 k.;. Inspection Requests Phone (949)644-3255 Combination Type - CIP MECH ELEC PLUM Issued Date : Inspection Arearea :2021 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0610212024 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: 660 NEWPORT CENTER DR NB St: 1 FI: 14 Description: COMM TI - NIS RESTROOM/CORRIDOR EXTENSION UPGRADES 528 SF Legal Desc.: P.M. 295-33 PAR 6 POR OF PAR Owner: IRVINE COMPANY Address: 111 INNOVATION IRVINE CA 92606 Phone: 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: 0 Added /New sq. ft. Garage: 0 No of Stories: 16 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Building Permit Fee: $1,807.00 Plan Check Fee: $1,572.09 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $50.00 Energy Compliance: $136.50 CA Seismic Safety: $0.00 Disabled Access: $195.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTAL FEE : $5,820.23 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: ESPLANADE BUILDERS INC Address: 23820 HAWTHORNE BLVD TORRANCE CA 90505 Phone: 310-783-7664 Con State Lic: 831964 Lic Expire: 02128/2022 Bus Lic: BT30045862 Lic Exp Date: 01131/2022 Worker's Compensation Insurance Carrier: ZURICH AMERICAN Policy No: WC380467000 Expire: 01/0112022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: I Architect: MORFORD PAUL Address: 4675 MACARTHUR CT #100 NEWPORT BEACH CA 92660 Phone: 949-863-9434 State Lic:C019058 0 Engineer: ��� Address: Phone: State Lic Designer: Address: Phone: Special Conditions: Zone :N $0.00 Planning Department - Fire Department $0.00 Plan check Fee: $46.25 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $47.50 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 $0.00 Public Works Department - General Service $219.00 $0.00 Park Dedication : $0.00 Refund Deposit $564.00 PM Plan Check : $0.00 Grading Bond: $0.00 $473.07 San Dist: $0.00 $371.70 NMUSO Fee: $0.00 $0.00 $304.12 $0.00 Plan Check Fee : $2,484.35 Fee Due at Permit Issuance : $3,335.88 IPUBLIC WORKS APPROVAL: PLANZHECK 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 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 Irofessions Code) or that he or she is exempt from lcensure 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, Usiness 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 Cade: 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). 1 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 legal 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:/A ro .leginfo.ce.gov/calaw.html. signature of Property Owner or Authorized Agent A Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 O) of Divi ion 3 of the Business and Profe ns ode, an y n e i full fort nd effect. License Class License No Dat� Contractor Signatur VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T�IOIYSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. of hereby affirm under 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 th ,?a Trance of the work for which this permit is issued. Policy No. have and will m\V1IIin workers' compensation insurance, as required by Section 3700 of the Labor Code, far the performance of the work for which this permit is issued. My workers' compensatiol surance carrier annumbe re: arrier blic bar Expiration Date ame of Agent 4=4u Phone # ]I certify that, in the perfor nce of the ork for Ic 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 at, if I should become s ct to the wcr rs' c m ation pr sions of Section3700of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant T b��� Frl ur ennnl wcrel uA u TRI IrnnM I ur_ r_cMry :reby affirm under penalty dF 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 �V Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the pro erty owner's behalf. I have read this application and the information I he rovided is correct. I agree to comply with all applicable city and county dinances and at ws relating to building construction. I authorize representatives of this city or county to er the above=ide ti' ropp'1ty�for inspection purposes. s I nature of Property Owner or Authorized Agent X1 I AAA Il I Y rl)Prrli Arooertv Owner's or Authorized Acent's NamCV1 \� a hn\ f \ 1 ACTION DATE BY ULARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY E ULATIONS PART 61 OFTITLE 40 AND AQMD RULE 1403 PERMITEXPIRED ".SUBMITTED ASBESTOS NOTIFICPTION"C PERMITCANCELLED EPA - PERMIT EXTENDED p PERMITFINAL _Ij_12 -el AS EST N 11 CAVONI TAPPLI ABLE TO CERTIFICATE OF 441 OCCUPANCYISSUED cr0 eTn ,OJI ,N w /\� 1^. �� ,M .