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Home My WebLink AboutX2021-2023 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 rs y n* Combination Type - CIP ELEC MECH PLUM GRAD 111111111111111111111111111111111111111111111p11111111COMB Permit: X2021-2023 Project No: 1764-2021 Issued Date : 12123/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1212312024 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: 11 HOAG DR NB Description: COMM TI & ADDITION "JAMES IRVINE BUILDING" 6218 SF ADD, 6665 SF TI Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone: HOAG MEMORIAL HOSPITAL Contractor: SLATER BUILDERS INC Architect: NOUIZILI ILYES M 510 SUPERIOR AV STE 290 Address: 3100 - B PULLMAN STREET Address: 10 EDELMAN NEWPORT BEACH CA 92663 COSTA MESA CA 92626 IRVINE CA 92618 949-355-9268 Phone: 714-615-6108 Phone: 949-788-4054 State Lic:C032135 DIONNE CHRISTOPHER 10EDELMAN IRVINE CA 92603 949-660-9178 X 1157 Code Edit : 2019 T-ype-of-C-o nstru ctio n.---V-B-SPR- Occupancy Group: A-3/B Added /New sq.ft. Bldg: 6218 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Con State Lic: 675832 Engineer: BISHOFF RYAN WILLIAM Lic Expire: 08131/2023 Address: 3300 IRVINE AVE #245 Bus Lic: BT30025319 NEWPORT BEACH CA 92660 Lic Exp Date: 02/28/2022 Phone: 949-862-8510 State Lic:S-006250 Worker's Compensation Insurance Designer: Carrier: C-Y-PRESS-INS-GOMPANY Address - Policy No: SLWC245302 Expire: 0211612022 Phone: p! In Building Setbacks Rear: 0 Special Conditions: ROBERT'S WASTE dr' Front: 0 TO HAUL DEBRIS "�> j Left: 0 Right: 0+ Use Zone: PC38 Parkinq Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1,500,000.00 Building Permit Fee: $8,671.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $7,543.77 Additional Fee: $0.00 Plan check Fee : $416.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $619.00 Investigation Fee: $0.00 Grading PC Consultant : $1,790.88 SJH Trans : $0.00 Demolition Fee Record Management: $306.00 Grading Permit Fee: $1,020.00 In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 Energy Compliance: $550.00 Grading PC Fee: $393.12 Public Works Department - General Service $219.00 CA Seismic Safety : $0.00 WQ Insp. Fee: $152.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $944.00 PAN Plan Check: $812.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $2,270.07 San Dist: $12,983.18 Building Green Fee : $60.00 Mechanical %: $1,783.62 NMUSD Fee: $1,865.40 $0.00 Plumbing %: $1,459.33 $0.00 TOTAL FEE : $443448.37 Plan Check Fee : $13,235.65 Fee Due at Permit Issuance : $31,212.72 PROCESSED BY: - - PUBLIC WORKS APPROVAL: /�\ yy�� ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: U`f-IX 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 ie 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). 1, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or U 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 Tiprovements 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 Tiproved 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). 1 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 m licensed under provisions t 7, r 9�(c77ncing with Section 7000) of visio 3 of the Business and Pr�f�ssions de, and,�a license is in full force nd effect. License Class License No (D/ SS Date Cont Signaturd��e/� VORKERS' COMPENSATION DECL ATION 7 7�1 IARNING: 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 l$100,0001, IN ADDITION TO THE DST 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 Kormance of the work for which this permit is issued. Policy No. JI Oave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this ermit is issued. My workers' compen n rance carrier a polic/a/7 number arre: b!� G �u �L L �6 1� 3arrier�� r/ Policy Number__ JL `l Expiration Date Name of Agent Phone # :1I certify that, in the performance of the ork for which is permit is' Led, I shall not employ any person in any manner so as to become subject to the worke compensatio laws of California, and .hat, if I should become subject to the rkers' com anon pro ' ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3ignatureof Applicant Dal;_1�1 f71 )ECLARATION REGA G GNONSTRUCTION LENOI AGENCY hereby affirm under penalty of perjury that there is ay struction 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, I certify to each of the follo 1ng: 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 Ad state la relating to building construction. I authorize representatives of this city or county ter th ove-ident "pro for inspection purposes. / �2, signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ,v = Date/ -� ACTION DATE BY DE RATION OF COMPLIA E WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610E ITLE 40 AND AQMD RULE 1403 PERMIT EXPIREDLJ I SUBMITTED ASS TOS NOTIFICATION TO - PERMITC4NCELLED 0EPA PERMIT EXTENDED OMD PERMITFINAL / SBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF -G-L, PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: - � u c rn ��i .�� oga to �,gt cm r m At $ 8 m u >S vH��fi6 �c o «L" g " Z � c P p u �v m � A r w � 3 5° 9 e �` ash;° — °� ° y! d c vc� £m�zw `c=o p� afi 0c�1 oA° vt �c a V ¢ Z �>� a�oaaO7 u�je"�° Cr °" off° Q� Uo W F! yLL � �y "�� a CL IM t� 3 98u' W L N W E s - 0 Q fi 3 c y m 6 12 E 0 c> A o a W g 'a t ccLLa E � � E.S =0 0 5$ > c `o [Azr� ,a, °b" � �vi oaf of A> 'O c W Z O Q A E 3 a p A c c c 10y 9 a lea a°o Z G g�y�mEg ePSNyq3e" €LU a c8 c E Lc 9 3 $ OA aC K rCyc u o c a gcq g9E c omOm r =N�u rnyc c c t`N o o cT^ L;g C Cp� C •O "mr g a wcEjig 0 IMS .0 "cC R�� J2 >B° e°� FJe Mm E m� P� CtlC Q9ga V O d �oeV a`a�_ EC.rn •�omAY� c� 29 > « y Z R° 7p` O u O V L° L u mafi.n a O� „2, •C.Rcy cv�c'��E $ai' �� 3Uo= $ e8 LL m1I t i , °!9 " o am m �i c c ; 3 °.p ° `- Ua a °p ag � ACry e2 c ac Q.�0�° Ous$ c o�� q Ea�o. ° C� 9mr u E0 O��g E 0 I'aot Ew °yz��ao� �y'� uo ` ap�p IL 9 0 IL W C d 7 C V V 9 W C C40 g° y��3 i"��m t�5��aP aEn adz 0 � tV M .! ui 1G Ih ao ai o Z O O1 0 x E 10 x z m W N 14 V V CL o z o 'm, o n O 77 5 O 6 o m z O �0 O z 3m m a N Oz Z n W V f a OI N A W N ggEl c a � o• p a� c CL 13 JsAl Po Pm M. g0 o- cotg- � z �� m 0 7 0 cm) u g� 3� �4 pia Yn3} �� l— �•z �O er 0 CY L �u n mIm a3 "3ap �� 1� az g q 30 3C O '•42 G g tgo01 �i 0 ac �y ow C2 pY ao wa 9a N� z°z E Of a o A It a Y —a as as a 0 w Fugof 3 ng c �� • � ° o �� o d 42 Q CL Ww �o CL a 2 'c 93 121 'v S oa ass �9 �� p a y V "On qJO •� n LL co Er n :r