HomeMy WebLinkAboutX2019-2958 - 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
Combination Type - CIP ELEC MECH PLUM
III IIIIIIIIIIIIIIIIIIIAIIIIIIIIIIIIIIVII 5 IIIII
COMB Permit: X2019-2958
Project No: 2070-2019
Issued Date : 11/20/2019
Inspection Area : 7
TOTAL FEE : $2,966.95
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee :
$1,407.53 Fee Due at Permit Issuance : $1,559.42
PUBLIC WORKS APPROVAL: 0,
1 ' �
PLAN CHECK BY: � -
APPROVAL TO ISSUE: SN \/ \
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 100 BAYVIEW CIR NB St: 1 FI: 2 Unit:
2200
Description: COMM TI *SPEC SUITE* 3350 SF
Legal Desc.: N TR 12528 LOT 2
Owner: 100 BAYVIEW LLC
Contractor:
COASTLINE DEVELOPMENT INC
Architect: OI DICKSON
Address: 100 BAYVIEW CIR
Address:
13911 ENTERPRISE DRIVE
Address: PO BOX 16516
NEWPORT BEACH, CA 90266
GARDEN GROVE CA 92843
IRVINE CA 92623
Phone:
Phone:
714-265-0250
Phone: 949-608-3726 State Lic:C032277 0
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Applicant: CARPIO MAHIE
Con State Lic:
485187
Engineer:
Address: 18600 MACARTHUR BLVD STE 100
Lic Expire:
01/3112020
Address:
IRVINE CA 92612
Bus Lic:
BT30063661
Phone: 949.608-3710
Lic Exp Date:
01/31/2020
Phone: State Lic:
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Code Edit: 2016
Worker's Compensation Insurance
Designer:
om
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Type of Construction: I -A -SPR
Carrier:
BENCHMERK INSURANCE
Address:
Occupancy Group: B
Policy No:
CST5014784
Added /New sq.ft. Bldg: 0
Expire:
0110112020
Phone:
....
Added /New sq. ft. Garage: 0
'
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No of Stories: 6
Building Setbacks
Rear: I
's
Special Conditions: N�`3W �
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m
No of Units: 0
Front: I
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Bldg Height: 0
Left: /
mm
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Bldg Sprinklers: Y
Right: /
Flood Zone:
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $100.000.00
Building Permit Fee: $1,113.00
Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $968.31
Additional Fee :
$0.00 Plan check Fee :
$40.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00 Fair Share:
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00 SJH Trans :
$0.00 Demolition Fee
Record Management : $64.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $70.00
Grading PC Fee:
$0.00 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 : $0.00
PAN Plan Check :
$0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$291.38 San Dist:
$0.00
Building Green Fee : $4.00
Mechanical %:
$228.94 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$187.32
$0.00
TOTAL FEE : $2,966.95
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee :
$1,407.53 Fee Due at Permit Issuance : $1,559.42
PUBLIC WORKS APPROVAL: 0,
1 ' �
PLAN CHECK BY: � -
APPROVAL TO ISSUE: SN \/ \
OWNER -BUILDER
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
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
Irofessions 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 L) all of or L) 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).
7 1, 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 year prior to completion of the improvements covered by this permit, I cannot legallh
;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 Propody.Owner or Authorized Agent I Date
JCENSED CONTRACTOR'S DECLARATION
j §feby Dffirm upper ppjialty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and Pro ssi ode, and my license is in full force
Inv eff2ct. License Class License No Date /� 2v y`i Contractor Signatur
JOWRS' COMPENSATION DECLARATION
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
,GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
teret; affirm undsr{)enalty of perjury one of the following declarations:
I*4ELv@ and wif "Tintain 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
erf_ormance of the work for which this permit is issued. Policy No.
and wijlhaii4in 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'
carrier and policy number are:
Policy Number
of Agent ".
Date
31 certify that, in the per ormance 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' ompensation laws of California, and
iat, if I should become ubje t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G/
Iignature of Applicant
1ECLARATION REG RIDING aNSTRUCTION LENDING AGENCY
hereby affirm under Tenalty 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
Iy 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 coup ordinances and state laws relating to building construction. I 7
I authorize representatives of this city or county eyjprdra above -identified property for inspection purposes. 1 ��� /'�r,GS—�2C /ate
;innahrre of Prnnerfv Owner or Authorized Aoent //�� �� Print Prooertv Owner's or Authorized Aaent's Nam LLffii (tri
EXPIRED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
BY /DEMRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AN D AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
ASBESTOS 90TIFICATION IS NOT APPLICABLE TO