HomeMy WebLinkAboutX2019-1986 - Permits,r� City of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1986
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 1 9 8 6
of p Project No: 1444-2019
E `� r�r Permit Counter Phone (949)644-3288
c°"I. qt Inspection Requests Phone (949)644-3255
'rrv� %c> Combination Type - CIP ELEC MECH PLUM _ Issued Date: 0 711 712 01 9
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: 520 NEWPORT CENTER DR NS St:1 FI: 14 Unit: 1400
Description: COMM TI " SHERRY MEYERHOFF" 6745 SF -
Legal Desc.:
Owner: IRVINE COMPANY
Address: 550NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone:
Applicant:
YAM MARK
Address:
392N LEMAY CT
Occupancy Group:
ORANGE, CA 92867
Phone:
626-757-2320
Code Edit : -
2016
Type of Construction:
I -A -SPR
Occupancy Group:
B
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage: 0
No of Stories:
20
No of Units :
0
Bldg Height:
0
Bldg Sprinklers:
` Y
Flood Zone:
X
Building Permit Fee:
$1,774.00
Plan Check Fee: $1,543.38
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$56.00
Energy Compliance:
$140.39
CA Seismic Safety:
$0.00
Disabled Access :
$200.55
Hazardous Mat
$0.00
Building Green Fee :
- .$0.00
PROCESSED BY:
Contractor: SIMPSON DAVID CONST CO INC
Address: 17177 GILLETTE AVE #A
IRVINE CA 92614
Phone: 949-250-1348
Con State Lic:
381149.
Lic Expire:
03/31/2021
Bus Lia
BT00006013
Lic Exp Date:
06130/2020
Worker's Compensation insurance
Carrier: OAK RIVER
Policy No: DAWC015550
Expire: 05101/2020
Building Setbacks Rear: / Special Conditions:
Front: /
Left:. /
Right:
Excise Tax:
$0.00
Planning Department -
Architect:
MORFORD PAULT-.z`
Additional Fee:
Address:
4675 MACARTHUR
CT #100
$40.00
Fire Inspection: -
NEWPORT BEACH
CA 92660
.
Phone:
949-663-9434
State Lic:C019058
Fv
Engineer:
Grading PC Consultant:
$0.00
SJH Trans :
Address:
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
`C
Phone:
Building Dept Adm
State Lia"
Grading PC Fee:
$0.00
Public Works Department-
General Service
Designer:.
WO Insp. Fee:
$0.00
c? -
Address:
Refund Deposit
$564.00.
PAN Plan Check:
$0.00
Phone:
Grading Bond:
$0.00
Electrical %:
Building Setbacks Rear: / Special Conditions:
Front: /
Left:. /
Right:
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee:
$0.00
Plan check Fee :
$40.00
Fire Inspection: -
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$24.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$197.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$564.00.
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$464.43
San Dist:
$0.00
Mechanical %:
$364.91
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$298.56
$0.00
TOTAL FEE: $5,676.22
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee: $2,449.06 Fee Due at Permit Issuance : $3,227.16
O 00
o PUGLI•C 1tI6�R0 APAR04�rAL•n`
0 o39 o oa o o
PLAN CHECK BY:
occ c oo• oo. -
APPfdOVAk TO IGS4J& o
-
occ �w co c o 000 oo
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
IS 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
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 L) 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
n roved for the purpose of sale).
1, as owner of the property, amexclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: 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:
y 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)
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
professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent 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) ofD' 's' of the Business and Pr a Io nd , icense is in full force
nd effect. License Class License No Date Contractor Signature T//_�
✓ORKERS' 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 THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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
erformance of the work for which this permit is issued. Policy No.
aI
have a 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
I ranca C n r and policy number are:
:arria )icy Number Expiration Date
lame of A Phone #
�r t
�I certify that, in the perforrtlance of the work fo. 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
tat, if I should becomes bjact to/}/�/ ww�orkers' mpe n p Islons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
;ignatu^e of Applicantn^7C'i �,1..�,,,., al 171k,?
)reby 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 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 owners 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 epioye-iLjpgtifiedjEoSerty for inspection purposes.
of Prooertv Owner or Authorized
Print Prooertv Owners or Authorized
ACTION DATE By O DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY `
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 .. .•. • •••
PERMIT EMENDED
PERMIT FINAL (v-'7—(�Gj
CERTIFICATE OF
OCCUPANCVISSUED
NOTIFICATION IS NOT APPLICABLE TO
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