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HomeMy WebLinkAboutX2021-1995 - PermitsaNewport City of Beach - Building Division IIIIIII�IIIIII��IIIIIIIIIIIIIIIII�II COMB Permit: X2021-1995 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 9 9 5 Project No : 1744-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP MECH ELEC PLUM Issued Date: 08/2612021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/26/2024 OR PERMIT WILL BE INVALID 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: 453 NEWPORT CENTER DR NB Description: COMM TI 8,496 SF & EXT., DEMO PRIOR TO TI r. Legal Desc.: N TR 6015 LOT W Owner: IRVINE COMPANY Contractor: ALTA CONTRACTING Architect: BAGLEY AMY STEINER �d Address: PO BOX 2450 Address: 369 E. BLAINE STREET Address: 17800 MITCHELL NORTH NEWPORT BEACH CA 92658 CORONA CA IRVINE CA 92614 Phone: Phone: 7141836-5060 Phone: 714-299-5957 State Lic:C030804 Applicant: WRIGHT CARRIE Can State Lic: 742360 Engineer: Address: 17800 MITCHELL N Lic Expire: 11/30/2021 Address: ° IRVINE, CA 92614 Bus Lic: BT01020983 ° Phone: 949-683-3984 Lic Exp Date: 01/31/2022 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: EMPLOYEE SERV GROUP Address: Occupancy Group: A3 Policy No: WC169082801 Added /New sq.ft. Bldg: 8496 Expire: 1213112021 Phone: Added/New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: / ' Bldg Height: 0 Left: I Bldg Sprinklers: Y Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N • + ' °' ° ` Construction Valuation: $50,000.00 ° Building Permit Fee: $810.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $704.70 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $97.00 Investigation Fee: $0.00 Grading PC Consultant : $275.52 SJH Trans : $0.00 Demolition Fee Record Management: $32.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $60.48 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 : $91.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $212.06 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $166.62 NMUSD Fee: $0.00 $0.00 Plumbing %: $136.32 $0.00 TOTAL FEE : $2,364.70 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $1,605.22 Fee Due at Permit Issuance : $759.48 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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, 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). ❑ 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, 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED C+.11RACTOR'S DECLARATION I hereby affirm under -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 -of ivis'on 3 of the Business and Pnofees� Code, and my license is in full force and effect. License Class License No Date "L Contractor Signature WdAr(ERS'A;OMPENSATION DECLARATION 4IARNING: 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 ($100,13DOI, IN ADDITION TO THE COST Of COMPENSAnON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm+ltndgtaenalty of perjury one of the following declarations: 1�`¢ Ve 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 th p� finance of I!4V Ork for which this permit is issued. Policy No. !lave and,+vr"*aintain workers'_(;oQlpensation 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 �alrrier� N. ) P lic b Expiration Date Uiinae-f Agent ,�_� L L / Phone # 4• �`(Vhify that,•In• the•performance of th ork 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 agre hat, if I should beco a bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ s- g�7a1IL3 Signature of Applican - Dat )ECLARATION RE ARDING CONSTRUCTION LENDING AGENCY hereby affirm unde 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 3y my signature below, 1 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 cou enter he above -identified property for inspection purposes. ff��� I Signature of Property Owner or Authorized Ag t Print Property Owner's or Authorized Agents Nam4\2 �� a �13 B�t ACTION ^ / wDATE ^ �w r , / I REGULATI IN$PART 061 OFTITLE 40 AND MPLIANCE WITH OAOMD RULE DE OF AL FOR OFFICE USE ONLY PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED ASBESTOS NOTIFICATION TO IS NOTAPPLICABLE TO