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Home My WebLink AboutX2021-1076 - PermitsCity of Newport Beach - Building Division 3 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s Inspection Requests Phone (949)644-3255 "Ltra.�c' Combination Type - CIP MECH ELEC PLUM ��III COMB Deo it: 2021-1076 Issued Date : 06/14/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611412024 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: 7 Unit: 750 Description: COMM TI "KICK LAW LLP" 100 SF Legal Desc.: Owner: IRVINE CO Contractor: SIMPSON DAVID CONST CO INC Architect: MORFORD PAUL Address: 111 INNOVATION DR Address: 17177 GILLETTE AVE #A Address: 4675 MACARTHUR CT #100 IRVINE, CA 92617 IRVINE CA 92614 NEWPORT BEACH CA 92660 Phone: 949-720-2400 Phone: 949-250.1348 Phone: 949-863-9434 State Lic:C019058 rnrn Applicant: YAM MARK Con State Lic: 381149 Engineer: Address: 392 LEMAY CT Lic Expire: 03/31/2023 Address: ORANGE, CA 92867 Bus Lic: ST00006013 Phone: 626-757-2320 Lic Exp Date: 06/30/2021 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: I -A -SPR Carrier: CYPRESS INSURANCE CO Address: Occupancy Group: B Policy No: DAWCC222034 Added /New sq.ft. Bldg: 1812 Expire: 05101/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 21 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Y Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $36.000.00 Building Permit Fee: $631.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $548.97 Additional Fee : $0.00 Plan check Fee : $46.25 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $462.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 - _.Demolition Fee- - - - - - - - Record Management : $44.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 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 : $91.00 PM Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $165.20 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $129.80 NMUSD Fee: $0.00 $0.00 Plumbing %: $106.20 $0.00 TOTAL FEE: $2,287.42 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $872.88 Fee Due at Permit Issuance : $1,414.54 ore moi ooc e a PUBL9C VteRKS APPROVAL: PLAN CHECK BY: cc coo 0 o coo APPFtDVAL TO ISSUE: o e oc o m e e c o o c c o 0 00 DOD O G OB OD Gfltl 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 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). 3 1, 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, 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). 1 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). 1 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 legall) 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 Agentaye .ICENSED CONTRACTOR'S DECLARATION / hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 f ivisio 3 of the Business WPro ions e I 1 'cans n full force ctornd effect. License Class License No Date ContraS VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1 66), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 eribirmance of the work for which this permit is issued. Policy No. l have and will m -ntain 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' compensatioi ns nce carrier and licy lumber are: DP Arrier A I Poli Expiration Date �be dame of Agent W, s / Phone # o the work for w ch this per is issued, I shall not employ any person in any manner so as to become subject to the :1I certify that, in th4ARC0 workers' compensation laws of California, and agre hat, if I should becoa wor er ' co m s r Isions pf Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /' _ ICQ signature of Applica Dat )ECLARATION RE UCTIONLEND NG CYhereby affirm undeJurthat there is a co str tion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property ne s behalf. I have read this application and the information I have provid d 1 correct. I agree to comply with all applicable city and coun ordinanc s nd state la tin t uilding construction. 1 authorize representatives of this city or count. enter he o-identif a ropert r inspection purposes. Signature of Property Owner or Authorized Agent riot Property Owner's or Authorized Agent's Na ACTION DATE BY D ION OF COMPUA E TH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • • ••• • ••• ••• PERMITEXPIRED JONT • ••• (SUBMITTED ASBESTOS NOJIFP • ' •� PERMITCANCELLED - EPA • • • •' • PERMIT EXTENDED QM D PERMIT FINAL `I%ZnZI hESTOSNOTIFIC IS NOT AP LICA B TO CERTIFICATE OF RO SED M ITI •• • ••• .�• :•� :•. OCCUPANCYISSUED SI ATURE: