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HomeMy WebLinkAboutX2019-3920 - Permitsnn i City of Newport Beach - Building Division ` 100 Civic Center Drive, Newport Beach, CA 92660 Address: Permit Counter Phone (949)644-3288 G AT Inspection Requests Phone (949)644-3255 a ix s Combination Type - CIP MECH ELEC PLUM IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3920 Project No : 2703-2019 Issued Date : 1 211112 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: 888 SAN CLEMENTE DR NB St: 1 FI: 2 Unit: 200 Description: COMM TI *SPEC. SUITE 200* 1,000 SF Legal Desc.: IRVINE SUB. FOR OF BLOCK 55. Owner: THE IRVINE COMPANY LLC Address: PO BOX 2450 Address: NEWPORT BEACH, CA 92658 Phone: 5161 CALIFORNIA AVE #100 Applicant: YAM MARK Address: 392 N LEMAY CT Phone: ORANGE CA 92867 Phone: 626-675-9882 Contractor: CASCO CONTRACTORS INC Architect: KELLY JAMES Address: 9850 IRVINECENTER DR Address: 5161 CALIFORNIA AVE #100 IRVINE, CA 92618 IRVINE CA 92617 Phone: 949.679.6880 Phone: 949-701.4139 State Lic:C012336 Con State Lie: 790706 Engineer: Additional Fee : Lie Expire: 01/31/2021 Address: 00 Bus Lie: BT30041027 Grading Bonds Fee: $0.00 Lie Exp Date: 10/31/2020 Phone: State Lie: Code Edit: 2016 Type of Construction: V-A- SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 4 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Worker's Compensation Insurance Carrier: CYPRESS INS Policy No: CAWC922797 Expire: 01/01/2020 Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: Parking Spaces: Designer: Address: Phone: Special Conditions: 0 Fire Hazard Zone : N Construction Valuation: $75,000.00 Building Permit Fee: $938.00 Excise Tax: $0.00 Planning Department- Fire Departm ��o-�-p, p;}'�-�� C Plan Check Fee: $896.06 Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspect 0.d • -a 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: $42.00 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 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $245.57 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $192.95 NMUSD Fee: $0.00 $0.00 Plumbing %: $157.87 $0.00 TOTAL FEE ,578.45 Plan Check Fee: $1,276.53 Fee Due at Permit Issuance : $1,301.92 -5 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: o ° `c ° ° �`, o ° c o c o c °co coo 0 0 00 ° 0 ° o ° e ° c o oc° ooa 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, priorto its issuance, also requires the applicant for 1e 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 'rofessions 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nproved 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 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature 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 7000) o Div'sion 3 of the Business and d e is in full force nd effect. License Class License No t Z Ir [ Contractor Sign IIORKERS' 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 (8100,000), IN ADDITION TO THE OST 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 the ertDVance of the work for which this permit is issued. Policy No. I he a 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' compensatior ura ce carrier and policy number are: r r Policy Number Expiration Date me of Agent Phone # I certify that, in the performance 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' compensation laws of California, and agree I, if I should become s4ject to the workers' compe A provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant a 6- 6t CLARATION REGARDIN STRUCTION IN AGENCY :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). lder'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 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 N,�(�-S� (�'"hd�i %EZ I authorize representatives of this city or coDo to enter the above-identifie party for inspection purposes. �� nature of Pronertv Owner or Authorized Aa \ eat _! /t'—'� Print Prooertv Owner's or Authorized ADent's Name 11'_—Z _- _ Date DATE EXPIRED PERMIT EXTENDED '- PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED bECLARATION OF COIIAUIAANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO ASBESTOS NOTIFICATION IS NOT APPLICABLE TO FOR OFFICE USE ONLY i •u ••• ••• ••• u• •• • • • • • • • • • •