HomeMy WebLinkAboutX2020-2710 - Permits,Wr City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2710
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 2 7 1 0 Project No : 2160-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC MECH PLUM Issued Date :
Inspection Arearea :2021
7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411312024 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: 1375 DOVE ST NB St: 1 Ft: 3 Unit: 300
Description: COMM - TI 2070 SF "TANGRAM" Legal Desc.: I N1C V 1D(_Tr)P
Owner:
PALM SPRINGS VILLAGE & 309 LLC
Address:
2922 DAIMLER ST
SANTA ANA, CA 92705
Phone:
Applicant:
BLANK JOEL
Address:
10474 SANTA MONICA BLVD #302
LOS ANGELES, CA 90025
Phone:
310-415-1824
Code Edit :
2019
Type of Construction: II-B-SPR
Occupancy
Group: B
Added /New sq.ft. Bldg: 2070
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Flnnd Zone: X
II Construction Valuation:_
Building Permit Fee: $1,145.00
Plan Check Fee: $996.15
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$78.00
Energy Compliance:
$63.76
CA Seismic Safety:
$0.00
Disabled Access :
$91.08
Hazardous Mat
$0.00
Building Green Fee :
$4.00
Contractor:
TURELK INC
Address:
3700 SANTA FE AVE 9200
LONG BEACH CA 90810
Phone:
310-835-3736
Con State Lic:
372562
Lic Expire:
0413012023
Bus Lic:
BT30073234
Lic Exp Date:
1013112021
Worker's Compensation Insurance
Carrier:
HARTFORD INS
Policy No:
72WEAQT9653
Expire:
08114/2021
Building Setbacks
Rear: I
Front: /
Left: /
Right: /
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$299.76
$235.53
$192.70
Architect: BLANKJOEL
Address: 10474 SANTA MONICA BLVD #302 '
LOS ANGELES, CA 90025 - - -
Phone: 310-415-1824 State Lic:CO25176
Engineer: .
Address:
Phone: State Lic:
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
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Zone :N
Fire Department
$46.25
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
II TOTAL FEE : $3,152.23 Plan Check Fee : $1,535.93 Fee Due at Permit Issuance : $1,616.30 II
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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
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 I_) 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
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 owre- 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 exeTp; :rom licensure under the Contractors' State License Law for the following reason:
By my signHnJre 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 topL 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.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED ftQRTRACTOR'S DECLARATION
I hereby affirn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 5eston 700 ) of Division 3 of the Bus ass and Professions a and my license is in full force
ar,d effect. License, Class License No D e — l — Contr r Signature
4VORKERS' COMPENSATION DECLARATION
.VARNING: FAILURE 00 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS HI100,000), IN ADDITION TO THE
r`ET C' COMPENRATICF, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
Q I nxve and will mrintain 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
arf r, rice of the wo, k for which this permit is issued. Policy No.
ee 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' compensatiol
c rder and policy number are:
artier Policy Number Expiration Date
Name of Agent Phone #
❑I certify that, in the pert ante 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' cIdd
ation laws of California, and agre
that, if I shout co ubjecc/y�']q the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of pp' nt T/ Date_ 44
DECLARATI R ARDI CONSTRUCTION LENDING AGENCY
I 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, Civil
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 Dr nounty to erdsFWabove-identified property for inspection purposes.
of Prooertv Owner or AL
ACTION DATE BY] DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED Epp,
PERMITEXTENDED I n LJAamu
PERMITFINALCERTIFICATE OF !C 7Y'GGLi p— SED DIEMOLITI�N ION IS NOT APPLICABLE TO
OCCUPANCYISSUED SI g(