The URL can be used to link to this page

Home My WebLink AboutX2019-3499 - Permits"t� ,City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-3499 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 4 9 9 Project No: 2420-2019 1. ',Y Permit Counter Phone (949)644-3288 - Inspection Requests Phone (949)644-3255 r''tamr�a'�`' Combination Type - CIP ELEC MECH PLUM Issued Date : 12/18/2019 0 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: 895 DOVE ST NB St: 1 FI: 1 Unit: 120 Description: COMM TI "SPEC SUITE" 4,244 SF /%T Legal Desc.: TRACT N07694 LOT 4 AND LOTS POR OF LOT B P E V t Owner: NEWPORT PLAZA OFFICE LLC Contractor: CALIBER CONSTRUCTION INC Architect: KELLY LISA M Address: 2001 ROSS AVE #2800 Address: 240 NORTH ORANGE AVE Address: 17877 VON KARMAN #200 - DALLAS TX 75201 BREA CA 92821 IRVINE CA 92612 Phone: Phone: 714/572-0700 Phone: 949-798-7300 State Lic:C032528 Applicant: KELLY LISA M Address: 17877 VON KARMAN #200 Record Management: IRVINE CA 92612 Phone: 949-798-7300 Code Edit: 2016 Type of Construction: I -A -SPR Occupancy Group: B Added/New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 5 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Construction Building Permit Fee: $1,714.00 Plan Check Fee: $1,491.18 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $50.00 Energy Compliance: $133.70 CA Seismic Safety: $0.00 Disabled Access : $191.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: Con State Lie: 635842 Lie Expire: 01/3112020 Bus Lie: BT30062464 Lie Exp Date: 03/3112020 Worker's Compensation Insurance Carrier: TRAVELERS PROPERTY Policy No: UBOK19760619 Expire: 0211312020 Building Setbacks 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: / 3arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $448.73 $352.57 $288.47 Plan Check Fee Engineer: HAIGHT CHRISTOPHER Address: 3434 VIA LIDO NEWPORT BEACH CA 92663 Phone: 949-675-8030 State Lic:S-004596 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 $2,024.65 PUBLIC WORKS PLAN CHECK BY: m mmomme a m• m m • m m mm mmmm.m DC O KOO O m O 24.00 $197.00 $564.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $3,478.00 GRADING APPROVAL: / / APPROVAL TO ISSUE: o m m • D 00 L amv dommD e�aoco c o D O ooesoL D o Bm4C Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: m mmomme a m• m m • m m mm mmmm.m DC O KOO O m O 24.00 $197.00 $564.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $3,478.00 GRADING APPROVAL: / / APPROVAL TO ISSUE: o m m • D 00 L amv dommD e�aoco c o D O ooesoL D o Bm4C 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 (_) all of or (_) 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). ❑ 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 legally 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 hereby affirm under penalty of perjury that I am licensed under provisionspfltFUapser 9 (commencing with Sect[ 00 of Di ision of the Business and Prof ssio and m I' en is in full force and effect. License Class License No � '� -DiX�'7_- D to `, Contractor Signature NORKERS' COMPENSATION DECLARATION 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 DOLLARS ($100,000), INCZIJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm underpemalty of perjury one of the following declarations: 4-164" and wig 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, ormatice of tRg ptr1for which this permit is issued. Policy No. I ve,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' compensatior risdf nce G�rrier and policy number are: r ,,. ,Z� r�. )_ tib`' :P,.r2 Policy Numbery �2W� �.� ��G�G Expiration Date Name of Agent.. �,P� i .✓ Phone # 3Z -7 Z.(,= �7♦,.. i :X GaryfS'that, in the'(lerformance 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 :144,i(�s.hould become ect to�the `worrrke cgmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^ 9ignaturoof Appliean7y`" _ f1 Date x / avby'affirm upWrlpej alty of perjury that there is a c nstru ' n 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 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 countyant Id nn�I�e property for inspection purposes. nature of Prooertv Owner or Authorized Agent \�i _ Print Property Owner's or Authorized Agent's Narhe ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED - �p PERMIT FINAL CERTIFICATEOF OCCUPANCVISSUED DECD{TATION OF COMPLIAN IT CODE OF FEDERAL REGULATIONS PART fi10FT ND AQMD RULE 1403 L1 I SUBMITTED ASBESTOS NOTIFICATION TO EPA QMD ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY