HomeMy WebLinkAboutX2019-3920 - Permitsnn
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City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Address:
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
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Combination Type - CIP MECH ELEC PLUM
IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3920
Project No : 2703-2019
Issued Date : 1 211112 01 9
Inspection Area : 7
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: 888 SAN CLEMENTE DR NB St: 1 FI: 2 Unit: 200
Description: COMM TI *SPEC. SUITE 200* 1,000 SF
Legal Desc.: IRVINE SUB. FOR OF BLOCK 55.
Owner:
THE IRVINE COMPANY LLC
Address:
PO BOX 2450
Address:
NEWPORT BEACH, CA 92658
Phone:
5161 CALIFORNIA AVE #100
Applicant:
YAM MARK
Address:
392 N LEMAY CT
Phone:
ORANGE CA 92867
Phone:
626-675-9882
Contractor:
CASCO CONTRACTORS INC
Architect:
KELLY JAMES
Address:
9850 IRVINECENTER DR
Address:
5161 CALIFORNIA AVE #100
IRVINE, CA 92618
IRVINE CA 92617
Phone:
949.679.6880
Phone:
949-701.4139 State Lic:C012336
Con State Lie:
790706
Engineer:
Additional Fee :
Lie Expire:
01/31/2021
Address:
00
Bus Lie:
BT30041027
Grading Bonds Fee:
$0.00
Lie Exp Date:
10/31/2020
Phone:
State Lie:
Code Edit: 2016
Type of Construction: V-A- SPR
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 4
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Flood Zone: X
Worker's Compensation Insurance
Carrier: CYPRESS INS
Policy No: CAWC922797
Expire: 01/01/2020
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Use Zone: Parking Spaces:
Designer:
Address:
Phone:
Special Conditions:
0 Fire Hazard Zone : N
Construction Valuation: $75,000.00
Building Permit Fee:
$938.00
Excise Tax:
$0.00
Planning Department-
Fire Departm ��o-�-p, p;}'�-��
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Plan Check Fee: $896.06
Additional Fee :
$0.00
Plan check Fee : $40.00
Fire Inspect 0.d • -a
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:
$42.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Energy Compliance:
$56.00
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:
$87.00
PAN Plan Check : $0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$245.57
San Dist: $0.00
Building Green Fee :
$3.00
Mechanical %:
$192.95
NMUSD Fee: $0.00
$0.00
Plumbing %:
$157.87
$0.00
TOTAL FEE ,578.45
Plan Check Fee:
$1,276.53 Fee Due at Permit Issuance : $1,301.92
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PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
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APPROVAL TO ISSUE: -
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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, priorto its issuance, also requires the applicant for
1e 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).
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,
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).
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 7000) o Div'sion 3 of the Business and d e is in full force
nd effect. License Class License No t Z Ir [ Contractor Sign
IIORKERS' COMPENSATION DECLARATION
'ARNING: 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 (8100,000), IN ADDITION TO THE
OST 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
ertDVance of the work for which this permit is issued. Policy No.
I he a and 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' compensatior
ura ce carrier and policy number are:
r r Policy Number Expiration Date
me of Agent Phone #
I 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 agree
I, if I should become s4ject to the workers' compe A provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant a 6- 6t
CLARATION REGARDIN STRUCTION IN AGENCY
:reby 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).
lder'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 N,�(�-S� (�'"hd�i %EZ
I authorize representatives of this city or coDo to enter the above-identifie party for inspection purposes. ��
nature of Pronertv Owner or Authorized Aa \
eat _! /t'—'� Print Prooertv Owner's or Authorized ADent's Name 11'_—Z _- _ Date
DATE
EXPIRED
PERMIT EXTENDED
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PERMITFINAL
CERTIFICATEOF
OCCUPANCY ISSUED
bECLARATION OF COIIAUIAANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY i
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