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Home My WebLink AboutX2019-1821 - Permits (2)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII� COMB Permit: X2019-1821 off. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 8 2 1 Project No: 1320-2019 t; s Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 •Karr * Combination Type - CIP ELEC MECH PLUM Issued Date i 0710212019 - 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: 363 NEWPORT CENTER DR NB Description:.. COMM TI "SPEC SUITE" 4475 SF Legal Desc.: P BK 221 PG 30 PAR - Owner IRVINE CO Contractor J R M CONSTRUCTION MANG WEST LLC Architect' BAGLEY AMYSTEINER - ' ECT(J Address: 660 NEWPORT CENTER DR Address. 959 SOUTH COAST DR #325 Address: 17800 MITCHELL NORTH NEWPORT BEACH, CA 62660 COSTA MESA CA 92626 IRVINE CA 92614 Phone. Phone: 949-629-4297 - Phone: 714-299-5957 State Lic:C030804 Applicant: WRIGHT CARRIE Con State Lic:. 1013928 Engineer: BISHOFF RYAN WILLIAM Address:'. 17800 MITCHELL NORTH Lic Expire: 0513112020 Address: 9252 DALTON CIR IRVINE, CA 92614 Bus Lic:. BT30064912 ' WESTMINSTER CA 92683 Phone:. -. 949-386-3984 Lic Exp Date: 1013112019 Phone: 949-862-8510 State Lic:S-006250 Code Edit: 2016 . Worker's Compensation Insurance Designer: .... Type of Construction: III-B-SPR Carrier: TRAVELERS INS Address: • ° • ° ° Occupancy Group: M Policy No: UB3K3628431926G ° a e - m • • • ec Added/New sq.ft. Bldg: 4475 Expire: 0412012020 C Phone: Added /New sq. ft. Garage: 0 e No of Stories i 1 Building Setbacks Rear. 1. Special Conditions:. ° • • No of Units : 0 Front: / Bldg Height: 0 Left: f ` `° , `••• Bldg Sprinklers: - .Right: I Flood Zone: - Use Zone: Parkins Spaces: 0 GOOD°L O9IQL Fire Hazard Zone : N • • Building Permit Fee: $1,043.00 .Excise Tax:. $0.00 Planning Department-. Fire Department ;°°"` e ° Plan Check Fee: $907.41 Additional Fee : $0.00 Plan check Fee : $40.00. Fire Inspection: • $Q.(10 e 6 °t ° Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev m - Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee •O.OG' Record Management: $46.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $63.00 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: $90.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $273.06 San Dist: $0.00. Building Green Fee : $4.00 Mechanical %: $214.55 NMUSD Fee:. $0.00 $0.00 Plumbing %: $175.54 $0.00. TOTAL FEE $2,856.56 Plan Check Fee : $2,856.56 ' Fee Due at Permit Issuance : $0.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSU 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 the 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 not more than five hundred dollars ($500).. ❑ 1, 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, Business 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 improvements 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 improved 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 apply 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: By 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 sell 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://vmw.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION p I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of. visi d of the Business and Pro de li ense iJwfull force and effect. License Class License No Dat Contractor Signaturrr WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR4NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm upC&"Valty of perjury one of the following declarations: -.. 12 1 have and will 'maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl p • a$ce of the yvSPkfor which this permit is issued. Policy No. 4r pa •and will rraaintain 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 Ineuran a carrier and policy number are: Carr' • • • • • Policy Number Expiration Date • i cefy that, in iFie performance of the work fo is pe it is issued, I shall not employ any person in any manner so as to become subject to the workers' compens lion laws of California, and ogre dtatM?I%hould become subject to the�orker ' tior;rovlslons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Stgn9turP�of App1l�Srt• - DECLARATION MffGAy4DNG CONSTRUCTION LENDING AGENCY I MIA; y •. affirm under eaalty 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). Le11Qef'S Name • • • Lender's Address By 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 corre I agree to comply with all applicable city and county ordinances and ate to building construction. I authorize representatives of this city or coun ante ,,abov -I 11 t��X r inspection purposes.Si nature of Pro ertOwner or Authorized A ent -�� Print Property Owner's or Authorized Agent's Nam f ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE EXPIRED 1 1 I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LIAQMD PERMITFINAL - 0• lots III U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: