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HomeMy WebLinkAboutX2019-0561 - Permits5v1y} :, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-0561 100 Civic Center Drive, Newport Beach CA 92660 X 2 0 1 9 0 5 6 1 Project No : 0401-2019 �, Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 - e ary.a , Combination Type - CIP ELEC PLUM Issued Date: 0410312019 0 Inspection Area ' 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 1301 DOVE ST NB St: 1 FI: 5 - Description: COMM 5TH FLOOR LOBBY. AND RESTROOM UPGRADES 722 SF Legal Desc.: P BK 120 PG 27 PAR 7 - IITOTAL FEE: $1,481.46 Plan Check Fee: PROCESSED BY: l_ t - ZONING APPROVAL: V GRADING APPROVAL: $769.42 Fee Due at Permit Issuance $712.04 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE:iL�:/ �. Owner: USPF 1301 DOVE LP Contractor: CREW BUILDERS INC - .Architect: DWYER SUSAN M " 57`r p Address: 1301 DOVE ST Address: 6191 CORNERSTONE STE 101 Address: 25 OVERTURE LN aLon W Building Permit Fee: $548.00 NEWPORT BEACH, CA 92660 $0.00. SAN DIEGO CA 92121 ALISO VIEJO CA 0656t Fire Department Phone: 949-252-8844 Phone: 619-587.2033 - Phone: 949-851-3050 State Lic:C033724 $40.00 Applicant: NAKANISH TODD Con State Lie: 753428 Engineer. Grading Bonds Fee: $0.00. Fair Share : Address:.. 4770 CAMPUS DR STE 100 Lie Expire: 04/3012021 Address: .... Grading PC Consultant: NEWPORT BEACH, CA 92660 Bus Lie: BT30049124 $0.00 Demolition Fee e ... ° Pnone:. ..949-851-3080 Lie Exp Dater '11/30/2019 Phone: State Lie: o •••e m0000` $0.00 Energy Compliance:. $56.00 Grading PC Fee: $0.00 Public Works Department - Code Edit: 2016 Worker's Compensation Insurance Designer: CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Type of Construction: I -A -SPR Carrier: AMERICAN ZURICH Address: $0.00 Disabled Access : $87.00 Occupancy Group: B Policy No: WICS51373105 $0.00 Grading Bond: $0.00 Added /New sq.ft. Bldg: 0 Expire: 1 010112 01 9 Phone: San Dist: $0.00 Added /New sq. ft. Garage: 0 Building Green Fee b $2.00 Mechanical %:. oo°°d , oe 000 No of Stories: 10 Building Setbacks Rear: l Special Conditions: Plumbing %: No of Units: 0 Front: l o ° ooa000 Bldg Height: 0 Left: ? - °000000 Bldg Sprinklers: Y Right: / o 00 000°.°o Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N IITOTAL FEE: $1,481.46 Plan Check Fee: PROCESSED BY: l_ t - ZONING APPROVAL: V GRADING APPROVAL: $769.42 Fee Due at Permit Issuance $712.04 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE:iL�:/ �. Construction Valuation: $31.768.00 Building Permit Fee: $548.00 Excise Tax: $0.00. Planning Department - Fire Department Plan Check Fee: $476.76 Additional Fee: $0.00 Plan check Fee: $40.00 Fire Inspection: $0.00. Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00. Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Feer $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $36.00. Grading Permit Fee:. $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance:. $56.00 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 : $87.00 - P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 - Electrical %: $143.47 San Dist: $0.00 Building Green Fee b $2.00 Mechanical %:. $0.00. NMUSD Fee: $0.00 $0.00 Plumbing %: $92.23 $0.00 IITOTAL FEE: $1,481.46 Plan Check Fee: PROCESSED BY: l_ t - ZONING APPROVAL: V GRADING APPROVAL: $769.42 Fee Due at Permit Issuance $712.04 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE:iL�:/ �. 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) Iction 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 appllcgnt for 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 Ifessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )rovements 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 )roved 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 )ly 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: 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 I 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 Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date TENSED £OW.RACTOR'S DECLARATION �reby affir%wroder penalty of per' ry that I am licensed under provisions of Cha ter 9 co mencing with Section /PENALTIES ) o ivisio 3 f the Business an salons C d my lic ise is in full force I effect. LipQgse Class License No `1S W � Date Contractor Sign r )RKERS' CC;MPENSATION DECLARATION RIVING: FAILURE.TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA AND CIVIL FINES UP TO ONE HUN USAND ($700,000), IN ADDITION TO THE 1T.& COMPENoSAA IIQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Irgby affirm urde j penalty of perjury one of the following declarations: t diave anrj 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 fpunance oJU11IR ork for which this permit is issued. Policy No. til,e 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 Hence carriegand policy number are: —y { ` / / j q !rier • _7A I �MP,�t,IC CL) ) Policy Number L. 3C �� 13 tJ / () Expiration Date [ ! / neojAgent a--� J An Y -N MAA Phone# 1101 - ncla 'cerRify tha410perfmance of the work for which this permit is issued, I all not employ any person in any manner sD as to become subject to the workers' ompensation laws of California, and agre t, if I shoutect to t rkers cc sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of ADaCLARATIGC NSTRUC N LENDING AGENCY Ireby affirm of perjury that ere is a construction lending agency forthe performance of the work for which this permit is issued (Section 30 , Civil Cade). Ider's NamLender's Address my signatch 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 count ordinances and state laws relating to building construction. I authorize representatives of this city or county t ter the above -identified property for inspection purposes. 1-21- K nature of Property Owner or Authorized Agent 5 Print Property Owner's or Authorized Agent' ame ate 1 TION DATE BY DECLARATION UF COMPLIANCE CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE%D AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED PERMIT FINAL 7- n ASBESTOS NO IFICATION IS APP BLE TO OCCUPANCY ISSUED l–STO,NATURE LITTON : E § [ }a)\ kMca t>0W m2b$rn - >m 't-- §/ \\(�)§[]ƒ�\� 9&047$@2§E§g =oma<=wuR�znn \ . !u \/{ / ®§] / �)\ e ,4uu \�- /\, tU /t U f/ /0 \01 : � 2a LM § m §. U 2 % \/ \\ © ° \ IRL\ 5 / . .$ \ k R �\ � \ & / 7 E § [ }a)\ kMca t>0W m2b$rn - >m 't-- §/ \\(�)§[]ƒ�\� 9&047$@2§E§g =oma<=wuR�znn \ . !u \/{ / ®§] / �)\ e ,4uu