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Home My WebLink AboutX2019-2732 - Permits (2)�vrn City of Newport Beach - Building Division COMB Permit :X2019-2732 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III II 100 Civic Center Drive, Newport Beach CA 92660 �' X 2 9 1 9 2 7 3 21 Project No: 1947-2019 �.. 3 Permit Counter Phone (949)644-3288 0 u. Inspection Requests Phone (949)644-3255 ewsyvab Combination Type - CIP ELEC MECH PLUM Issued Date: 10/22/2019 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: 100 BAYVIEW CIR NB St: :1..FI: 4.Unit: '400 - Description: COMM TI -NEW KITCHEN/BREAKROOM "GREEN STREET ADVISORS" 26,450 SF Legal Desc.: NTR 12528 LOT 2 Owner. GPI BAYVIEW LLC Contractor CASCO CONTRACTORS INC Architect: WALTON JENNIFER Address:. 5601 GRANITE PKWY #1200 Address: `PLANO 9850 iRVINECENTER DR '. Address: 4770 CAMPUS DR#100 TX 75024 - IRVINE, CA 92618 NEWPORT BEACH CA 92660 Phone: Phone: 949-679-6880 Phone: 949.851-3080 State Lic:C033627 Applicant WALTON JENNIFER - Con State Lie: 790706 : Engineer:. Address 4770 CAMPUS DR Lie Expire: 01131/2021 Address: ' NEWPORT BEACH CA 92660 Bus Lie '.. BT30041027 Phone: 949.861-3080.. Lie Exp Date: p '10/3112019 : ,.. Phone. State Lie: Code Edit 2016 Worker's Compensation Insurance" Designer: e of Construction: I-A-SPR Cerner TYP. -CYPRESS INS Address: Occupancy Group: B Policy No: CAWC922797 Added/New sq.ft. Bldg: ''26450 "Expire 01/01/2020 Phone: -. Added /New sq. ft. Garage: - 0 No of Stories: z 6 Building Setbacks. Rear / Special Conditions: IRSD Bl of 0 Bldg Height: 0 Front I Left: I - Waste Mgmt ' ��. to haul debris Bldg Sprinklers: N Right: / - ,Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone-: N " . Construction Valuation: $1.500.000.00 -- Building Permit Fee: $7,778.00 Excise Tax: $0.00 Planning Department - Fire Department. Plan Check Fee; $6,766.86 Additional Fee':. $0.00 Plan check Fee : - $40.00. Fire Inspection: $594.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share $0.00 Fire Plan Rev. $901.00 Investigation Fee: $0.00 Grading PC Consultant: ' $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $86.00 ' Grading Permit Fee: .'$0.00 ,In-lieu Housing Fee : $0.00 Building Dept Adm $24.00 Energy Compliance: - : $484.00 Grading PC Fee:.. : ` . $0.00 Public Works Department - General Service $197.00 CA Seismic Safety: $0.00 WO Insp.. Fee'. $0.00 Park Dedication ; $0.00 Refund Deposit $564.00 Disabled Access: `-$885.00 P/W Plan Check: -$82.50 Grading. Bond: $0.00 Hazardous Mat $0.00 Electrical %: $2,036.28 San Dist: $0.00. - Building Green Fee $60.00 Mechanical %:. $1,599.93 NMUSD Fee: $0.00 $0.00 Plumbing %: $1,309.04 - $0.00 TOTAL FEE : $23,409.61 Plan Check Fee: $11,377.59 Fee Due at Permit Issuance : $12,032.02 PROCESSED BYi. o emo- 000 ooc a oco PUBLIC WORKS APPROVAL: ao m m e^ c e ZONING APPROVAL: PLAN CHECK BY:/�C.e' D'rNG APPROVAL: APPROVAL TO ISSUE; nc uoc o 'cc co cco 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 3o 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 U all of or U 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). ❑ I 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 Iegall 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:http://www.leginfo.ca.gov/calaw.htmi. 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, Secti D00 f Divis'o 3 of the Business and Profession od n my license is in full force and effect. License Class License No D e Contractor Signature04 WORKERS' COMPENSATION DECLARATION I_/ WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES I hereby affirm under penalty of perjury one of the following declarations: 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 pe ance of the work for which this permit is issued. Policy No. I h e 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' compensatio n r ce carrier and policy number are: er Policy Number Expiration Date Name 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 agre that, if I should become subject to the crkers compen atlon provisions of Section 3700 of the Labor Code, I shall forthwith. comply with those provisions. Signature of Applicant D�_`' DECLARATION REGARDINMCQASTRUCTION LENDING AGENCY I hereby 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, CIVI Code). Lender's Name Lenders Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. - I have read this application and the information I have provided is correct. 1 agree to comply with all applicable city and cou ty ordl ces and state I s relating to building construction. I authorize representatives of this city or coun o enter b en' ed property for inspection. purposes. �•,�d f U(22j�� Signature of Property Owner or Authorized A ent Print PropertOwner's or Authorized Agent's Nam C v Date 1 ll ACTION DATE BY LARATION OF COMPLIANCE. WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE .1403 PERMIT EXPIRED • • • • • - • • • • SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED • • • • EPA PERMIT EXTENDED . • • • • • • ?PRPOSED QMD PERMITFINAL j-�-j,6 ui ESTOS NOT% CATION IS NO LICABLE TO .CERTIFICATE OF EMO %ON OCCUPANCYISSUED • • • • • • • GIGNAT,