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HomeMy WebLinkAboutX2019-2634 - Permits5511rry City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2634 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 6 3 4 Project No: 1879-2019 s,- Permit Counter Phone (949)644-3288 'c Inspection Requests Phone (949)644-3255 ` + Issued Date: 1 013 012 01 9 Combination Type - CIP ELEC.MECH PLUM 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:': 620 NEWPORT CENTER DR NB St: 1 FI: 4 Description COMM TI ADA UPGRADES @ 4TH FLR Legal Desc: PBK295PG33PAR1 � OR Owner. IRVINE COMPANY Contractor PACIFIC TUSK BUILDERS CORP Architect: ` MORFORD PAUL Address: PO BOX 2450 - Address 1100 QUAIL ST #213 :. Address:: 4675 MACARTHUR CT #100 O NEWPORT BEACH, CA 92656 NEWPORT BEACH CA 92660 NEWPORT BEACH GA 92660 ° .... Phone: Phone 213-999-5696 Phone: 949-863-9434 State Lic:C019058 ° a ' ° Applicant. MARK YAM Con State Lie: 946368 Engineer. •o 0 0 : Address: 392N LEMAY. CT #100 Lic Expire. 0413012020: Address: ORANGE CA 92867 : Bus Lic: BT30038640 o... ® •• � Phone: 626.757.2320 Lic Exp Date 0313112020 Phone:. -'State Lic °°C•o Code'Edit. - 2016 Workers Compensation Insurance Designer:°°°°• o P P• ° O Type. of Construction: I -A -SPR Carrier: '.INS OF THE WEST Address: o .... Occupancy Group: B "Policy No. WSD504197100 Added /New sq.ft.CBld 374 Expire: 07/01/2020 Phone: Added /New sq ft. Garage: - 0 No of Stories: 16 Building Setbacks Rear. / Special Conditions ... oi° O No of Units: 0: -Front I o... ° O Bldg Height: 0 '- Left I C O O Bldg Sprinklers: Y Right Flood Zone: X ` Use Zone: Parking Spaces: 0Fire Hazard Zone N , . - Construction Valuation: $150.000.00 Building Permit Fee: $1,468.00 Excise Tax $0.00 Planning Department- Fire Department Plan Check Fee: $1,277.16.. 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 Fee: $0.00 Grading PC Consultant: - $0.00 - SJH Trans . $0.00 Demolition Fee Record Management: $28.00 Grading Permit Fee: $0.00 In -lieu Housing Fee . $0.00 - Building Dept Adm $24.00 Energy. Compliance: $105.00 Grading PC Fee: ` $0.00 Public Works Department- General Service $197.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : -:' $0.00 - Refund. Deposit $564.00 Disabled Access $150.00 P/W Plan Check: $0.00 Grading Bond $0.00 Hazardous Mat: : $0.00 Electrical %: $384.32 San Dist: $0.00 Building Green Fee : $6.00 Mechanical %: - .$301.97 - NMUSD Fee: $0.00 ; $0.00 Plumbing %: : $247.06 $0.00 TOTAL FEE : $4,792.51 Plan Check Fee: $2,006.39 Fee Due at Permit Issuance : $2,786.12 PROCESSED BY: PUBLIC WORKS APPROVAL:. ' ZONING APPROVAL: JY - 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) fiction 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 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 of the Business and ,fessions 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, Oness 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 Proved 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 Ply 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 legal) 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 fessions Cdde, is available upon request when this application is submitted or at the following Web Site:http://www.leginfo.ca.gov/calaw.html. nature of Propggy,Owner or Authorized Agent Date INSED OQUIL ,CTOR'S DECLARATION weby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of iv�o 3 ff the Business and Prof sio s de, a E y apse is in full force I ef79ct. License Class License No Date f(7 / Contractor Signatur - )RKERS`iORAPLNSATION DECLARATION )WNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IT OF COMPEN�AVIV QAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.. ret%paffirm uttdet penalty of perjury one of the following declarations: re J JVWe and wilt 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 brmynce of JI%,WGrtf. for which this permit is issued. Policy No. .F,wo and will ainiain 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 ygrybe carries and policy number are: rier .... Policy Number Expiration Date ne of Agent Phone # certify that, in the p=perjury or 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 agre if I should becomc pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions // Tature of Applicant Data,/ i o OLARATION REGAN LENDING AGENCY �— reby affirm under pre is a construction lending agency for the performance of the work for which this permit Is issued (Section 3 Civil Code). der's Name''. Lender's Address Ty 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 dinances and state laws relating to building construction. I authorize representatives of this city or county to ter the abov -idem' ied roperty for inspection purposes. Tature of Property Owner or Authorized Agent 'W - ci Print Pro art Owner's or Authorized Agent's Na Date/9` rION '.. DATE. BY DECLARATIOfI OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU�L3.T NS PART 61 OF TITLE 40 AND AOMD RULE 140X 'PERMITEXPIRED LXJ I SUBMITTED ASBESTOS NOTIFICATION TO. PERMITCANCELLED pA PERMITEXTENDED PERMITFINAL 2'G—&Z0 ASBESTOS NO IC N LICABLE TO CERTIFICATEOFi PROPOSED DE L OCCUPANCYISSUED Af1JRE: