HomeMy WebLinkAboutX2021-0533 - Permitsw City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
k� t� Permit Counter Phone (949)644-3288
< Inspection Requests Phone (949)644-3255
rirfi,� pet* Combination Type - CIP MECH
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-0533
Project No: 0488-2021
Issued Date :0411512021
Inspection Area : 7
Address: 53010 CALIFORNIA AVE #100
IRVINE, CA 92617
Phone: 949-701-4050
Code Edit: 2019
Type of Construction: I -A -SPR
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 18
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Flood Zone:
Building Permit Fee: $110.00
Plan Check Fee: $95.70
Overtime Plan Ck:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411512024 OR PERMIT WILL BE INVALID
Investigation Fee:
$0.00
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
$50.00
Job Address:
610 NEWPORT CENTER DR NB St: 20
CA Seismic Safety:
Description:
COMM HVAC WORK AT EXIT STAIR VESTIBULES @ BASEMENT, GROUND FLOORS @ FLOORS 2-20
$0.00
Legal Desc.:
P BK 295 PG 33 PAR 4
Owner:
IRVINE CO Contractor: OWNERIBLDR Architect: KELLYJAMES
$0.00
Address:
111 INNOVATION Address: FURNARI TONY Address: 5161 CALIFORNIA AVE #100
Om ef. (t
q0
OF m
IRVINE, CA 92617 AUTH ATT TO PERMIT IRVINE CA 92617
Phone:
949-720-2400 Phone: Phone: 949-701-4139 State Lic:C012336
ommmco
Applicant:
RABIC NIKO Con State Lie: O/B Engineer: m®m`m
s
Address: 53010 CALIFORNIA AVE #100
IRVINE, CA 92617
Phone: 949-701-4050
Code Edit: 2019
Type of Construction: I -A -SPR
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 18
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Flood Zone:
Building Permit Fee: $110.00
Plan Check Fee: $95.70
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$50.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $373.08
PROCESSED BY:
ZONING APPROVAL:
Lie Expire:
Bus Lie:
Lie Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$22.63
$0.00
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share:
Fire Plan Rev
SJH Trans :
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lie:
Ecom
Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
o
Refund Deposit
oomomm
Grading Bond:
Ecom
m
0000
9000 E�
m
uoo
0
®
ym O L
o
oomomm
om m°�
Om ef. (t
q0
OF m
O
emmno
'
ommmco
00 f
G L
s
o °
c oom
000mun
$0.00
$47.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $199.98 Fee Due at Permit Issuance : $173.10
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat 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)
action 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
If Bions 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
re than five hundred dollars ($500).
, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
ainess 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
Ir ements 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
Iro ed 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
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:
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
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 70 the Business and
ifessions Code, is available upon request when thi cationiiiLsubmitted or,at the following Web site:http:/fwww.leginfo.ca.gov/calaw.htmi.
of Property Owner or Authorized Agent ,i DDDdddEEEe /S�� I
LENSED C®NI•R4CTOR'S DECLARAT
3rebtyaifirm urtdEf penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Q0) of Division 3 of the Business and Professions Code, and my license is in full force
18MIct. LicenssoClass License No Datpl Contractor Signature
)RKJERS' COARPENSATION DECLARATION
441�S FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00D(, IN ADDITION TO THE
IT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Heby affirm LAdd'r')j:nalty of perjury one of the following declarations:
64ave and•w'Ifl 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 IN
fgrIMnce of thearoik for which this permit is issued. Policy No.
hove and wilrmaintain 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
Ira*e carrot agd policy number are:
tier. • • • Policy Number Expiration Date
me of Agend
Phone #
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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Date_
1ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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, Civil Code).
.ender's Name Lender's Address
ly 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 authorize representatives of this city or coun enter above -identified property for inspection purposes. �'
0onature of ProDertv Owner or Authorized ADe= W Print Property Owner's or Authorized Agent's Name Ont b 1� ✓ 4
ACTION
DATE
BY VCLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE
1403
PERMIT EXPIRED
U I SU BM ITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
UEPA
PERMIT EXTENDED
OMD
PERMITF/NAL
7,�r
UV lI
ASB STOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF
PROPO D DE (TION
OCCUPANCYISSUED
SIGNATOR