HomeMy WebLinkAboutX2021-3398 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
> Permit Counter Phone(949)644-3288
v r"- Inspection Requests Phone (949)644-3255
Combination Type - CIP MECH ELEC
`X2021--3398* COMB Permit: X2021-3398
Project No : 2968-2021
Issued Date : 0212512022
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0212512025 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 Sunday; or Holidays
Job Address: 4695 MACARTHUR CT NB St: 1 FI: 14 Unit: 1400
Description: COMM TI "WINGS CAPITAL PARTNERS" 950 SF f 4'11
Legal Desc.: P BK 196 PG 40 PAR 2;'-�'.�
1REDHAWK BUILDERS
Address: 50NEWPORT CENTER DR Address: 200 TECHNOLOGY STE LC Address: 4770 CAMPUS DR �s � •O O
NEWPORT BEACH, CA 92660 IRVINE CA 92618 NEWPORT BEACH CA 92660�:
Phone: Phone: 949-754-9050 Phone: 949-851-3080 State Lic:C033724
Applicant: DWYER SUSAN M Con State Lic: 692901 Engineer:
Address: 4770 CAMPUS DR Lic Expire: 10/3112023 Address:
NEWPORT BEACH CA 92660 Bus Lic: BT30027314
Phone: 949-851-3080 Lic Exp Date: 03/31/2022 Phone: State Lic: ,
Code Edit : 2019 Worker's Compensation Insurance Designer: J ,
Type of Construction: I-A-SPR Carrier: INS OF THE WEST Address:
Occupancy Group: B Policy No: WSD503114305
Added /New sq.ft. Bldg: 0 Expire: 0910112022 Phone:
Added /New sq. ft. Garage: 0
No of Stories: 15 Building Setbacks Rear: / Special Conditions:
No of Units : 0 Front: /
Bldg Height: 0 Left: / -
Bldg Sprinklers: Y Right: /
Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $41,800.00 rrr
Building Permit Fee: $714.00 Excise Tax: $0.00 Planning Department - Fire Department
Plan Check Fee: $621.18 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 $0.00
Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee
Record Management: $64.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00
Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00
CA Seismic Safety : $0.00 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access : $91.00 PAN Plan Check: $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $186.93 San Dist : $0.00
Building Green Fee : $2.00 Mechanical %: $146.87 NMUSD Fee: $0.00 $0.00
Plumbing %: $0.00 $0.00
TOTAL FEE : $1,938.98 Plan Check Fee : $773.18 Fee Due at Permit Issuance : $1,165.80
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY: % r`
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 forth a reason(s) indicated below by the checkmark(s) I have placed next to the applicable item (a)
(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 -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 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 legally
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.htm].
Data
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Professio s Co, e, a (dense is in full force
Pnd effe^.t. License (,lass License No Dat %LS /ZZ Contractor Signature
WORKERS' COMPENSATION DECLARATION
W6 RNIN9: 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
COB i OF-OMPENSAT.DN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1 hereby affirm under t.cnalty of perjury one of the following declarations:
Ih.ive 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
p rmance of;.he work for which this permit is issued. Policy No.
t .aie 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
^rrnrce carrier and policy number are:
Policy Number
is YAgent
Certify that,'In the performance of the work
, if I should become subject the orkers
Date
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
ACTION DATE ty 6ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EXTENDED
QMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
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SBESTOS NOTIFICATIO IS NOT P LICABLE TO
OPOSE DEMOLITION �_�.__._.
SIGNATUR . '
2/ZS/Z Z
'Oe e Date