HomeMy WebLinkAboutX2019-0290 - Permitsdin City of Newport Beach - Building Division
100 Civic. Center Drive, Newport Beach, CA 92660
H Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
ta41, �4 Combination Type - CIP ELEC MECH PLUM
COMB Permit: X2019-0290
X 2 0 1 9 0 2 9 0�gII
Project No : 0213-2019
Issued Date : 05103/2019
Inspection Area : 7
-
PERMITS EXPIRE 180 DAYS /AFTER ISSUANCE OR LAST VALID INSPECTION.
$2,066.00
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: 20401 BIRCH ST NB St: 1 Fl: 3
Additional Fee
$40.00
Overtime Plan Ck:
$0.00
Description: COMM -.TI 6990 SF "MCCARTHY CONSTRUCTION"
Fair Share :
Investigation Fee:
$0.00
Grading PC Consultant
Legal Dose.: TR 706 POR OF LOTS 64 65 66 97 98 & 99
Record Management:
$70.00 -
Grading Permit Fee:
-
Energy Compliance:
$175.00
Grading PC Fee:
Building Dept Adm
F k,4
Owner FERRADO BAYVIEW LLC
Contractor:
MC CARTHY BUILDING CO INC
Architect: WIRICK JAMES
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Address: 20411 SW BIRCH ST #360
Address:
20401 S W BIRCH ST, STE 300
Address: 5161 CALIFORNIA AVE #100
NEWPORT BEACH, CA 92660
Building Green Fee :
NEWPORT BEACH CA 92660
IRVINE CA 92617
Phone
Phone:
949-851-6383
Phone: 949.261-1001 State Lic:C015598
Applicant: TCHAPADARIAN KHATCHIG
- Con State Lic:
411173
Engineer:
°••••� ��
Address: 20401 BIRCH ST
Lic Expire:
08/31/2019
Address:
• ••• o•..•o
' NEWPORT BEACH CA .92660
Bus Lic:
BT00021561
$3,886.12
° • • • m o
Phone:: 949-466-9770
Lic Exp Date:
03/31/2020
Phone: State Lia
: Code Edit: -2016
Worker's Compensation Insurance
Designer:
a°'O°, • °
Type of Construction: I -B -SPR
Carrier:
ARCH INSURANCE CO
Address:
.... • • °
m.
Occupancy Group:. B
Policy No:
54WC18934915
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° O ° ° °O
Added /New sq.ft. Bldg: 6990.
Expire:
04/01/2020.
-Phone:
m •. •
Added /New sq. ft. Garage: 0
No of Stories: 3
Building Setbacks
Rear: I
Special Conditions: FRANCHISED HAULER:
• . ¢ o ° m ° m
No of Units : 0
Front: /
WASTE MANAGEMENT
•.....
p
Bldg Height: 0
Left: /
Bldg Sprinklers: Y
Right: I
o °.° ° ° ° ... °
r•i,,,.n 7�no -
Ilse 7nne: Parking Snares: 0
Fire Hazard Zone : N
....
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
Building Permit Fee:
$2,066.00
Excise Tax:.
Plan Check Fee: $1,799.16
Additional Fee
$40.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
Fair Share :
Investigation Fee:
$0.00
Grading PC Consultant
$0.00
Record Management:
$70.00 -
Grading Permit Fee:
-
Energy Compliance:
$175.00
Grading PC Fee:
Building Dept Adm
CA Seismic Safety:
$0.00
WQ Insp. Fee
Disabled Access:
-.$250:00
$0.00
Park Dedication: $0.00
Hazardous Mat
$0.00
Electrical 9A:
Building Green Fee :
$10.00
Mechanical %:
$0.00
$541.40
San Dist: $0.00
Plumbing %:
TOTAL FEE : $6,511.99
$425.39
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee:
$40.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$24.00
$0.00 - --
Public Works Department -
General Service
$197.00
$0.00
Park Dedication: $0.00
Refund Deposit
$564.00
PAN Plan Check : $0.00
Grading Bond:
$0.00
$541.40
San Dist: $0.00
-
$425.39
NMUSD Fee: $0.00
$0.00
$348.04
$0.00
Plan Check Fee :
$2,625.87 Fee Due at Permit Issuance ;
$3,886.12
PUBLIC WORKS APPROVAL:
_
PLAN CHECK BY:
-
APPROVAL TO ISSUE:
L7VW�/
c
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 items)
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
he 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
lot 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,
3usiness 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
mprovements 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
mproved 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
Ipply 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:.
3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yearpriorto completion of the improvements covered by this permit, I cannot legall)
;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://w .leginfo.ca.gov/calaw.html.
Signature of PropwWoQwner or Authorized Agent Date
-ICENSED COI -LUCTOR'S DECLARATION
otrpi X $ffinr uggpi ppalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and Profess' nse is in full force
III
I effect. License Class License No Date — — Contractor Signature
XO® K' RV CI!IKPENSATION DECLARATION
IARNINp FAILURE TECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDR O THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
:OBT OFFOMPENS4Mq, SWAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Qer1l"dffirm uncsfe} pEnalty of perjury one of the following declarations:
14•heae 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
,ILarf0rmance of the workior which this permit is issued. Policy No.
will jnaint4in 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'
ierentl peNcy number are:
• • Policy Number Expiration Date
fhe Of Agent -- • Phone#
certify that, lr the perfo ance of the work for which this pe it is issued, I shall not employ any person in any manner so as to become subject to the worke ' compensation laws of California, and agre
I, if I should become su ject t woens' c visions of Section 3700 of the. Labor Code, 1 shall forthwith comply with those provisions.
nature of Applicant ate�=3—ZO/�/
CLARATION 11 IS FIDING CO RUCTIO DING AGENCY
Ireby affirm under penalty of rjury that th a is a construction lending agency for the performance of the work for which this permit is issued (Section 1097, 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.C�fl! 7Z AV
1 agree to comply with all applicable city and count ordinances and state I relating to building construction. C� <G
I authorize representatives of this city or county to(enterjh§ a property for inspection purposes..
ACTION. DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMITFINAL ,(*.'
CERTIFICATEOF
OCCUPANCYISSUED
PART 61 OF TITLE 40 AND AQMD RULE
ED ASBESTOS NOTIFICATION TO
NOTIFICATION IS NOTAN�BLE TO
rner's or Authorized ADent's Name
FOR OFFICE USE ONLY