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HomeMy WebLinkAboutX2021-0533 - Permitsw City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 k� t� Permit Counter Phone (949)644-3288 < Inspection Requests Phone (949)644-3255 rirfi,� pet* Combination Type - CIP MECH IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-0533 Project No: 0488-2021 Issued Date :0411512021 Inspection Area : 7 Address: 53010 CALIFORNIA AVE #100 IRVINE, CA 92617 Phone: 949-701-4050 Code Edit: 2019 Type of Construction: I -A -SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 18 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: Building Permit Fee: $110.00 Plan Check Fee: $95.70 Overtime Plan Ck: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411512024 OR PERMIT WILL BE INVALID Investigation Fee: $0.00 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 $50.00 Job Address: 610 NEWPORT CENTER DR NB St: 20 CA Seismic Safety: Description: COMM HVAC WORK AT EXIT STAIR VESTIBULES @ BASEMENT, GROUND FLOORS @ FLOORS 2-20 $0.00 Legal Desc.: P BK 295 PG 33 PAR 4 Owner: IRVINE CO Contractor: OWNERIBLDR Architect: KELLYJAMES $0.00 Address: 111 INNOVATION Address: FURNARI TONY Address: 5161 CALIFORNIA AVE #100 Om ef. (t q0 OF m IRVINE, CA 92617 AUTH ATT TO PERMIT IRVINE CA 92617 Phone: 949-720-2400 Phone: Phone: 949-701-4139 State Lic:C012336 ommmco Applicant: RABIC NIKO Con State Lie: O/B Engineer: m®m`m s Address: 53010 CALIFORNIA AVE #100 IRVINE, CA 92617 Phone: 949-701-4050 Code Edit: 2019 Type of Construction: I -A -SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 18 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: Building Permit Fee: $110.00 Plan Check Fee: $95.70 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $50.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $373.08 PROCESSED BY: ZONING APPROVAL: Lie Expire: Bus Lie: Lie Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $22.63 $0.00 Address: Phone: Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share: Fire Plan Rev SJH Trans : Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lie: Ecom Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service o Refund Deposit oomomm Grading Bond: Ecom m 0000 9000 E� m uoo 0 ® ym O L o oomomm om m°� Om ef. (t q0 OF m O emmno ' ommmco 00 f G L s o ° c oom 000mun $0.00 $47.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $199.98 Fee Due at Permit Issuance : $173.10 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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) action 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 3 of the Business and If Bions 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 re than five hundred dollars ($500). , as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ainess 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 Ir ements 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 Iro ed 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 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 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 70 the Business and ifessions Code, is available upon request when thi cationiiiLsubmitted or,at the following Web site:http:/fwww.leginfo.ca.gov/calaw.htmi. of Property Owner or Authorized Agent ,i DDDdddEEEe /S�� I LENSED C®NI•R4CTOR'S DECLARAT 3rebtyaifirm urtdEf penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Q0) of Division 3 of the Business and Professions Code, and my license is in full force 18MIct. LicenssoClass License No Datpl Contractor Signature )RKJERS' COARPENSATION DECLARATION 441�S FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00D(, IN ADDITION TO THE IT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Heby affirm LAdd'r')j:nalty of perjury one of the following declarations: 64ave and•w'Ifl 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 IN fgrIMnce of thearoik for which this permit is issued. Policy No. hove and wilrmaintain 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 Ira*e carrot agd policy number are: tier. • • • Policy Number Expiration Date me of Agend Phone # 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date_ 1ECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). .ender's Name Lender's Address ly 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 authorize representatives of this city or coun enter above -identified property for inspection purposes. �' 0onature of ProDertv Owner or Authorized ADe= W Print Property Owner's or Authorized Agent's Name Ont b 1� ✓ 4 ACTION DATE BY VCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE 1403 PERMIT EXPIRED U I SU BM ITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED OMD PERMITF/NAL 7,�r UV lI ASB STOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPO D DE (TION OCCUPANCYISSUED SIGNATOR