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HomeMy WebLinkAboutX2021-2853 - PermitsCity of Newport Beach - Building TSNnrykr 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u C Inspection Requests Phone (949)644-3255 Combination Type - CIP MECH ELEC PLUM Division _ 111111111111111111111111111111111111111111111111111111 kad -� - 0�3� (4� 060"OL> COMB Permit: X2021-2853 Project No : 0580-2021 Issued Date : 10/21/2021 Inspection Area :7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012112024 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: 900 NEWPORT CENTER DR NB Description: COMM - TI *CHANGE OF CONTRACTOR* ADD 777 SF/REMODEL 26988 SF "MARRIOTT" (PACIFIC LANDING BUILDING) 48 GUESTROOMS Legal Desc.: P BK 75 PG 33 PAR 1 Z Owner: NEWPORT CENTER HOTEL LLC Address: 1400 NEWPORT CENTER DR #230 NEWPORT BEACH CA 92660 Phone Applicant: WICKETT BJ Address: 2630 SEPULVEDA BLVD TORRANCE CA 90505 Phone: 310/750-8223 Code Edit : 2019 Type of Construction: I-A-SPR Occupancy Group: R1 Added /New sq.ft. Bldg: 777 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Contractor: DIGNEY YORK ASSOCIATES LLC Architect: TYNER RUSSEL EDWARD Address: 1919 GALLOWS ROAD # 950 Address: 2630 SEPULVEDA BLVD VIENNA VA 22182 TORRANCE CA 90505 Phone: 703-790-5281 Phone: 310-326-3050 State Lic:C014979 Con State Lic: 1080482 Engineer: STEWART JOSEPH E Lic Expire: 0813112023 Address: 2401 COLORADO AVE, #315 Bus Lic: BT30076453 SANTA MONICA CA 90404 Lic Exp Date: 06/3012022 Phone: 310/828-1536 State Lic:5-003065 Workers Compensation Insurance Designer: Carrier: TRANSPORTATION INS Address: Policy No: 7011432027 Expire: 10/01/2022 Phone: Building Setbacks Rear: / Special Conditions: Front: / Left: / Right: / Use Zone: Parkinq Spaces: 0 Fire Hazard Zone Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $0.00 Additional Fee : $38.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans Record Management : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access: $0.00 P/W Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $38.00 PROCESSED BY: ZONING APPROVAL: Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $38.00 PI IB1.IC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APn ROVAL 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 theappJa-,ble 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 nprovements 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 nproved 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). 7 I 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 am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and Prof ss' s Cyd�,%and my license is in full force nd effect. License Class License No Date D Zf Z Contractor Signatur �� IIORKERS' COMPENSATION DECLARATION DARNING: 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 ($100,000), 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: 7 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 th erfprmance of the work for which this permit is issued. Policy No. have and wil mtain worker ' ompensation 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 uance carrier nd olicy num5qr a : Tier 1 li y mber Expiration Date ne of Agent Phone # certify that, in the performance of t w rk 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 t, if I should becoXsubje o the ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.nature of ApplicaCLARATION RE STRUCTION LENDING AGENCY :reby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), Ider's Name Lender's Address 3y 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 county Fite above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION I DATE I BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY IONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I U I SUBMITTED ASBESTOS NOT IF'CAT:ON TO PERMITCANCELLED EP PERMITEXTENDED Q D PERMIT FINAL ASBES OS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSE �yp,�''OLIT OCCUPANCY ISSUED SIGNAT Eft �-