HomeMy WebLinkAboutX2021-2703 - Permitswrr� City of Newport Beach - Building Division 'X2021-2703` COMB Permit: X2021-2703
100 Civic Center Drive, Newport Beach, CA 92660. Project No : 2339-2021
Permit Counter Phone (949)644-3288
4 Inspection Requests Phone (949)644-3255
a�cxvnti�'c= Combination Type - BLDG GRAD Issued Date :
Inspection Arearea :2022
3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/08/2025 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:
101 BAYVIEW PL NB
Description:
COMM ROUGH GRADING AND SHORING "CLEARWATER"
f'
Legal Desc.:
N TR 12528 LOT 1
Owner:
KODAKA INC Contractor:
O'NEIL W E CONSTRUCTION CO OF CALIFORNIA Architect:
DOUGLAS PANCAKE
Address:
400 WATER ST, STE 200 Address:
909 N SEPULVEDA BLVD #400 Address: 19000 MACARTHUR BLVD STE 500
EXCELSIOR MN55331
EL SEGUNDO CA 90245 IRVINE CA 92612.
a
Phone:
952/294-1242 Phone:
310-643-7900 Phone: 949.720-3850 State Lic:CO27254
Applicant:
THOMAS LE
Address:
19000 MACARTHUR BLVD STE 500
IRVINE CA 92612
Phone:
510.219-6202
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Valuation: $750,000.00
Building Permit Fee: $5,122.00
Plan Check Fee: $4,456.14
Overtime Plan Ck:
$0.00
Investigation Fee:
$5,122.00
Record Management:
$34.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$30.00
TOTAL FEE: $27,391.21
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
494031
Lic Expire:
06/30/2022
Bus Lic:
BT30078190
Lic Exp Date:
03/31/2023
Worker's Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy No: WC353310322
Expire: 03/31/2023
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical W
Plumbing %:
Rear: /
Front: /
Left: /
Right: I
Parking Spa
$0.00
$0.00
$455.00
$0.00
$5,761.00
$5,012.07
$0.00
$0.00
$0.00
$0.00
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
PAN Plan Check : $609.00
San Dist: $0.00
NMUSD Fee: $0.00
Plan Check Fee : $9,468.21
State Lic:
Fire Department
$208.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$9.00 '
$5�2.fIC• +�
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $17,923.00
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 L) 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:hftp://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o D'visiogq3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date ' Z G- Contractor Signature �S-
INORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,0D0), IN ADDITION TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under o�nalty of perjury one of the following declarations:
and- 0maintain 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
:a ofgttm wc,k for which this permit is issued. Policy No.
Iv&Land will maintain 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'
nce carries and policy number are:
Policy Number
17mP of Agent
Date
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 agre
:! I should become subje the
/p�rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p J
nature of Apol Date Q/012Z
;laby 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).
Ider's Name Lender's Address
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 to r the,p)Dve-identified property for inspection purposes. r
nature of Prooertv Owner or Authorized AGent C ✓ Print Prooertv Owner's or Authorized Aoent's Name
ACTION DATE BY r' DECLARATION OF COMPLIANCE WITH CODE OF IREGULATONSP RT 61 OF TITLE 40 AND AQMD RULEFEDE
FOR OFFICE USE ONLY
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
LJEPA
PERMIT EXTENDED
QM D
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
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ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
Date