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Home My WebLink AboutX2022-0847 - Permitsy'"wxo'yr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0847 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 8 4 7 Project No : 0774-2022 a s Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP MECH ELEC PLUM Issued Date : Area : 2022 <>raix 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: 1400 NEWPORT CENTER DR NB St: 1 FI: 2 Unit: 250 Description: COMM TI "TRIGUARD" 2,909 SF Legal Desc.: IRVINE SUB BLK 93 POR OF BLK Owner: IRVINE CO Address: PO BOX 2450 NEWPORT BEACH CA 92658 Phone: Applicant: HOLLY/ALGAZE NELSON Address: 6083 BRISTOL PKWY CULVER CITY CA 90230 Phone: 213-929.1400 Code Edit: 2019 Type of Construction: III-A-SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X 11 Construction Valuation: $12 Building Permit Fee: $1,432.00 Plan Check Fee: $1,245.84 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $62.00 Energy Compliance: $89.60 CA Seismic Safety: $0.00 Disabled Access: $128.00 Hazardous Mat $0.00 Building Green Fee': . $6.00 TOTAL FEE: $3,925.91 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SIMPSON DAVID CONST CO INC Architect: ALGAZE NELSON Address: 17177 GILLETTE AVE #A Address: 6083 BRISTOL PKWY IRVINE CA 92614 CULVER CITY CA 90230 Phone: 949-250-1348 Phone: 213-929-1400 State Lic:CO21090 Con State Lic: 381149 Engineer: Lic Expire: 03/31/2023 Address: ' Bus Lic: BT00006013 ' Lic Exp Date: 06/30/2022 Phone: State Lic: >»> Worker's Compensation Insurance Carrier: CYPRESS INSURANCE CO Policy No: DAWC324566 Expire: 05/01/2023 Building Setbacks Use 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: / 'arking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $374.90 $294.56 $241.01 0 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 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $1,939.30 Fee Due at Permit Issuance : $1,986.61 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 for 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). 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 a,,ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Prope,,y Owner or Authorized Agent Date L 'CENSED C--NTF;ACTOR'S DECLARATION 1 hereby affirm I nde- penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Divi ion of the Business and Prof sit � d my license is in full force and efract. License Class License No Date ntractor Signatur WORKERS' CONVENSATION DECLARATION f'APNING FAILURE -C rE-URE 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 AUDITION TO THE COST D. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I F.e-Ety affirm Lnde penalty of perjury one of the following declarations: I nave 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 pa j,n.ence of the work for which this permit is issued. Policy No. 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' carrier and Folicy number are: Policy Number of Agent Date I certify that, in the performance of the work forwhich 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 becomees/1�b)ect t rkerrs' coompens ' n pro Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ry� [nature of Applicant) 7 2mr., . �(. i DatE&17 /mil /zZ CLARATION REGKRDIN(YNSTRUCTF0N LENDING AELLSSS"ENCY areby 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, Civi Code). ider's Name Lender's Address 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)(rilw py4odentified property for inspection purposes. Signature of Property Owner or Authorized Agent fill Print Property Owner's or Authorized Agent's Name J /"/lt-e7R'C" J !! ate ACTION DATE BY I DECLARATION OF &WPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQMD PERMITFINAL SBESTOS NOTIFICATION IS NOT A LICABLE TO OCCUPANCYISCERTIFICATE F ROP Dt�NJDLITIO OLCUPANCYISSUED Ir,NATURe