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Home My WebLink AboutX2021-0139 - 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 iiiiiiiii II COMB De2021-0139 g m1 -2o Issued Date: 04/2612021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/26/2024 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: 23 CORPORATE PLZ NB St: 1 FI: 2 Unit: 230 Description: COMM TI -SPEC SUITE 2888 SF Legal Desc.: PARCEL MAP 9345 PAR 20 POR OF PAR AND POR PAR B OF SAID PARCEL MAP Owner: IRVINE COMPANY Address: 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: YAM JUDY Address: 392 N LEMAY CT Record Management: ORANGE CA 92867 Phone: 626-863-9434 Code Edit: 2019 Type of Construction: III -A -SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Construction Building Permit Fee: $1,417.00 Plan Check Fee: $1,232.79 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE: $3,556.72 PROCESSED BY: ZONING APPROVAL: l)` Contractor: SIMPSON DAVID CONST CO INC Architect: MORFORD PAUL Address: 17177 GILLETTE AVE #A Address: 4675 MACARTHUR CT 9100 In -lieu Housing Fee: IRVINE CA 92614 Public Works Department - NEWPORT BEACH CA 92660 Phone: 949-250-1348 Phone: 949-863-9434 State Lic:C019058 Con State Lic: 381149 Engineer: Lic Expire: 0313112023 Address: Bus Lic: BT00006013 Lic Exp Date: 0613012021 Phone: State Lic: Worker's Compensation Insurance Carrier: OAK RIVER Policy No: DAWC016660 Expire: 0510112021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: I Front: / Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $370.97 $291.48 $238.48 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 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $1,651.94 Fee Due at Permit Issuance °. TupblC VVORttBA PPFa1 W1. u u u o u u u 111A 'rt✓ PLAN CHECK BY: ►.10S GRADING APPROVAL: un ouo V U ISSUE: U U U O U U U U O V V O U OU U O O O U' U U C $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,904.78 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Fee Due at Permit Issuance °. TupblC VVORttBA PPFa1 W1. u u u o u u u 111A 'rt✓ PLAN CHECK BY: ►.10S GRADING APPROVAL: un ouo V U ISSUE: U U U O U U U U O V V O U OU U O O O U' U U C $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,904.78 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 3 of 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 L) 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-Builderwill 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). ❑ 1 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 legall, 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/oalaw.htmi. Signature of Property Owner or Authorized Agent Mte LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700&of Divisi n of the Business and Profession , a d lie In is in full force and effect. License Class License No Daft J Contractor Signatur WORKERS' COMPENSATION DECLARATION ILA NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLS ($1 ,000), IN ADDITION TO THE COST 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 th 1e mance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date certify that, in the performance f th work for whit this er It 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 t, if I should become sub' ct tot a or i' com nsatio ovislons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �C nature of Applicant ''// - ' I t6_? c�J CLARATION REGARDI C STRUCTION LENDINTAGENCY �1 )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). 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 property owner's behalf. I have read this application and the Information I have provi d is come t. I agree to comply with all applicable city and county ordin es and s to la lating to building construction. I authorize representatives of this city or ccun /to, enter a above -i nti roperty for inspection purposes. nature of Property Owner or Authorized ADent/1 /i/ti/.f' /Z/7",//Bf'int Propertv Owner's or Authorized Agent's Name �)UrCirN k��/x11�DU/ /. .Date ACTION DATE BY `DECLARATION OF COIyYPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONSPAR 61 OFTITLE 40 AND AQMD RULE PERMIT EXPIRED U I SU M:Fr Dj1BE1T111 N j1.1 ATIOTV•TO PERMIT CANCELLED EQA : ' • • • o s • • ._;/j; PERMIT EXTENDED QIAD PERMITFINAL2 ASBESTOS NOTIFICA N IS NHP-PLI'l LILE TO CERTIFICATE OF PROPOSED DEMOLIT ••>" OCCUPANCYISSUED / SIGNATURE: