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HomeMy WebLinkAboutX2019-1649 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1649 ` 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 6 4 99 Project No: 1175-2019' s * €7 Permit Counter Phone (949)644-3288 - #1 Inspection Requests Phone (949)644-3255 - xae. Combination Type - CIP ELEC MECH PLUM Issued Date 1 013 012 01 9 Inspection Area : 7 i 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:... m Job Address: 610 NEWPORT CENTER DR NB St: 1 FI: 6 •.. ^ Description COMM TI - UPGRADE (E) RESTROOM & ADDED 1 NEW UNISEX ACCESSIBILITY RESTROOM 323 SF _; ,l• a a -� ° • ° ° o Legal Desc.: P BK 295 PG 33 PAR 4 �3r/J ^ Owner IRVINE CO Contractor: PACIFIC TUSK BUILDERS CORP Architect MORFORD PAUL • ^ ^ `�� •� c Address: 111 INNOVATION Address: - 1100 QUAIL ST #213 Address: 4675 MACARTHUR CT #100 IRVINE CA 92617 Phone. Phone' NEWPORT. BEACH CA 92660 NEWPORT BEACH CA 92660 213-999-5696 Phone: 949-863-9434 State Lic:C019058 °• a •• c" m•••• • •b� ^^^d'�P Applicant: YAM MARK Con State Lic 946368 Engineer. Address: 392 N LEMAY CT Lic Expire: 04/30/2020 Address: • •a b. ^ �. a �: ORANGE CA 92867 Bus Lic: BT30038640 • • • • • m m • ` Phone. 626.757-2320 Lic Exp Date: 03/31/2020 Phone: State Lia ° i • •i° ^ O � Code Edit : 2016 Worker's Compensation Insurance Designer:. m. mm• °coo °moo s Type. of Construction: I -A -SPR Carrier. INS OF THE WEST Address: Occupancy Group; 'B Policy No ': WSD504197100 Added lNew sq.ft Bldg. 323 Expire: `:. 0710112020 Phone:. 'Added /New sq. ft. Garage::. 0 No of Stories: " 18 Building Setbacks. Rear: I 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. - $185,000.00 Building Permit Fee: $1,678.00 Excise Tax: - $0.00 Planning Department- Fire Department Plan Check Fee: $1,459.86. ' 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 Consultants ' $0.00 SJH Trans : .: $0.00 Demolition Fee Record Management: ":$34.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 :Building Dept Adm $24.00 Energy Compliance. - $129.50 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 : $185.00 PM Plan Check : $0.00 Grading. Bond $0.00 Hazardous Mat - .:'$0.00 Electrical %: $439.30 San Dist: $0.00 - -Building Green Fee : $8.00 Mechanical %: $345.16 NMUSD Fee: $0.00 - $0.00 -Plumbing %: $262.41 $0.00 TOTAL FEE : $5,386.23 Plan Check Fee : $1,996.21 Fee Due at Permit Issuance : $3,390.02 PROCESSED BY; PUBLIC WORKS APPROVAL; ZONING APRROVAL: 1" ': PLAN CHECK BY:� GRADING APPROVAL: APPROVAL TO ISSUEh. 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: An 'cit or count that requiresuiresa permit to construct, alter, improve, demolishor repair. any structure, prior to its issuance, .a.lso requires the applicant for the permit to file a signed statement that he or sheds licensed pursuant to the.. provisions of the Contractors -State License Law (Chapter ,9 (commencing with Section 7000) of Division 3of 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 applicantto a civil penalty of not more than five hundred dollars ($500). 11 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044; Business and ProfessionsCode: The Contractors' State License. Law does not apply to an owner of property who, through employees or personal effort, builds or Improves the property,. provided that the improvements pI$a•Mpt 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 'm rovsd for the purpose of sale) - - ' 1,0A ownei; Wthe 1lroperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not applyto an owneno6.property who buildsor. improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law): 133.1am exempt from licensure under the Contractors' State License Law for the following reason: $yi rqy signature below I acknowledge that, except for my personalresidence in which I must have resided for at least one year priorto completion of the Improvements Covered by this permit, I cannot Iegall sella structureilra(j 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 Busines and Professlons Code, is. available upon request when this. application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. t'ifture of ProppeA)bOwner or Authorized Agent Date "INCENSED C!OAYRACTOR'S DECLARATION - a toy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 , Iv ion) of a Business and Pr essio ode, a d my se's in full force • and affect !v'�,gs�e-Class License No Date ontractor Signet 11 VNDRKERS' COMPENSATION DECLARATION M RING: FA14UR JO ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TOG PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPBNG&JIN, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - - I hereby affirm under penalty of perjury one of the following declarations: 1; 1 have andwill 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 performance of the work for which this permit is issued. Policy No. - have 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 su ce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone# I certify that, in the perform k. for which this permit is issued,. I shall not employ any person in any manner so as to become subject to the workers' ompensation aws of Calif rnia, and agre that If I should become sub' to the wor IS ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. s signature of Applicant - -D e_ DECLARATION REGA IN ON LEND[ AG Y ' I hereby affirm under p alty of pe0u7at there is a construction lending agency forthe performance of the work forwhlch this permit 1s issued (Section 304, Civil Code):. Lenders Name. r lender's Address Byllmy signature below, I certify to each of the following: - am the property owner or authorized to act on the property own s behalf. have read this application and the information I ave ided is co ect. I agree to comply with all applicable city and co ordinances an tate laws relating to building construction I authorize representatives of this cit or cour�4�yo ent r the abo -,den' ed property for inspectionpurposes. P} ..�_-._Y. �.i n P P Y o p.,r o.,..,n,.,,,e.��r n,nh����od n„aora nle�./P / %(�'P;i^ /� �✓(A Cate �/�/�/ �:: ACTION DATE PEI RMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL �-1'1020 CERTIFICATE OF OgCUPANCYISSUED BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / I REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO EPA RQVID AS STOS NO [CATION IS NOTAPP ( [CABLE TO u10POSED DE SIGNATURE: