HomeMy WebLinkAboutX2020-0313 - PermitshOF City of Newport Beach - Building Division IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0313
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 0 3 1 3
- Project No: 0247-2020
E» : �, � Permit Counter Phone (949)644-3288
ci - Inspection Requests Phone (949)644-3255
ria�vw,w&.+` Combination Type - CIP ELEC MECH PLUM Issued Date : 06/0912020
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611012023 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: 520 NEWPORT CENTER DR NB St: 1 FI: 14 Unit: 1450
Description: COMM TI "WELLS FARGO ADVISORS" 268 SF
Legal Desc.:
Owner: 520 NEWPORT CENTER DR
Contractor:
COASTLINE DEVELOPMENT
INC Architect: MORFORD PAUL
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Address: 550 NEWPORT CENTER DR
Address:
13911 ENTERPRISE DRIVE Address: 4675 MACARTHUR CT #100
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NEWPORT BEACH CA 92660
GARDEN GROVE CA 92843 NEWPORT BEACH CA 92660
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Phone:
Phone:
714-265-0250
Phone: 949-863.9434 State Lia:C019058
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Applicant: YAM MARK
Con State Lic: 485187
Engineer:
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Address: 392 N LEMAY CT
Lic Expire:
01/3112022
Address:
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ORANGE CA 92867
Bus Lie:
BT30053651
Phone: 626-757-2320
Lic Exp Date:
01/3112021
Phone: State Lic:
Code Edit: 2019
Worker's Compensation
Insurance
Designer:
•
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Type of Construction: I -A -SPR
Carrier:
BENCHMERK
INSURANCE Address:
Occupancy Group: B
Policy No:
CST5018184
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Added /New sq.ft. Bldg: 0
Expire:
01/0112021
Phone:
....
...
Added /New sq. ft. Garage: 0
No of Stories: 21
Building Setbacks
Rear: I
Special Conditions:
No of Units : 0
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers: Y
Right: I
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $65.000.00
Building Permit Fee: $868.00
Excise Tax:
$0.00
Planning Department- Fire Department
Plan Check Fee: $755.16
Additional Fee :
$0.00
Plan check Fee : $0.00 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: $62.00
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
WO 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 %,
$227.24
San Dist: $0.00
Building Green Fee : $3.00
Mechanical %:
$178.55
NMUSD Fee: $0.00.
$0.00
Plumbing %:
$146.08
$0.00
TOTAL FEE : $2,383.03
Plan Check Fee:
$1,154.91 Fee Due at Permit Issuance :
$1,228.12
PROCESSED BY:t,
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
I"
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PLAN CHECK BY:� V
GRADING APPROVAL:
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)
ction 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
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
fessions 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
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,
;iness 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
rovements 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
roved for the purpose of sale).
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
ply 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 exp pi{rom licensure under the Contractors' State License Law for the following reason:
my signaterMlow 1 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
structumtWA 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
fCssionsro-dopis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
mature of Prgperty Owner or Authorized Agent J Date
69NSED ¢QAyTRACTOR'S DECLARATION
zeby affirrn�LUVipPpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 + ' ' i n 3 of the Business and Prof s' s C p„ I, y -ho se is in full force
.Affect. LI
censelass License No Da Contractor Signature
)RKERS►9PNPENSATION DECLARATION
;WAG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNG ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
retV affiraLendg} penalty of perjury one of the following declarations:
j j ave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
'ornlance of a work for which this permit is issued. Policy No.
40
•••
have and will.maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
Kance carrier and policy number are:
Policy Number
Date
ne of Agent rnone a
certify that, in the perform ce of
the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and agre
I, if I should become subj t to th rk rs' compen rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.��
nature of Applicant b&IIIqA4 Da
CLARATION REGA IN ONST ION LENDING AGENCY
areby affirm under p alty of perjury at there is a construction lending agency for the performance of the work for which this permit is issued (Section 300, Civil Code).
ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the pproperty owner's behalf. '�p�rr�)
I have read this application and the information I h7ve provided is correct. ✓IS�7
I agree to comply with all applicable city and cou (y ordinances and state laws relating to building construction.
I authorize representatives of this city or county erth ve ' e tifi$d roperty for inspection purposes.
-f- ..r o..,..on„ n ... n., nr A„rhnrl,o,t Anel Print Prooertv Owner's or Authorized ADent's Name Dat
EXPIRED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY I RCATIONS OF CO 1 LIANCE TITLE ITH AND DE OFAQMD RULE AL FOR OFFICE USE ONLY
I SUBMITTED ASBESTOS
NOT