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Home My WebLink AboutX2021-1382 - PermitsCity of Newport Beach - Building Division "X20211382* 100 Civic Center Drive, Newport Beach, CA 92660 .H% Permit Counter Phone (949)644-3288 v.. n Inspection Requests Phone (949)644-3255 ,"trrvan Combination Type - CIP ELEC MECH PLUM I N no P LC11- COMB Permit: X2021-1382 (o U Project No : 1220-2021 NeKYC/V+ Issued Date : 0611512021 Dy, Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/1512024 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: 610 NEWPORT CENTER DR NB St: 1 FI: 3 Unit: 370 Description: COMM TI - 1000 SF'SEIA' Legal Desc.: P BK 295 PG 33 PAR 4 Owner: 610 NEWPORT CENTER DR LLC Address: 660 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: LIANG TIFFANY Address: 18600 MACARTHUR BLVD STE 100 IRVINE CA 92612 Phone: 213 -*929-1428 Code Edit: 2019 Type of Construction: I -A -SPR Occupancy Group: B Added /New sq.ft. Bldg: 1000 Added /New sq. ft. Garage: 0 No of Stories: 18 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Y Construction Valuation: $55.036.00 Building Permit Fee: $857.00 Plan Check Fee: $745.59 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $61.00 CA Seismic Safety: $15.41 Disabled Access : $91.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $2,411.62 PROCESSED BY: ZONING APPROVAL: Contractor: SIMPSON DAVID CONST CO INC Architect: ALGAZE NELSON .... Address: 17177 GILLETTE AVE #A Address: 3300 IRVINE AVE #130 ...... $0.00 IRVINE CA 92614 NEWPORT BEACH CA 92660 Fire Inspection: e.. Phone: 949-250-1348 Phone: 949-608-3749 State Uc:CO21090 .... • ° e • 0 o • ° Fire Plan Rev $47.50 e • $0.00 Con State Lic: 381149 Engineer: • • • . ° 0 Lic Expire: 03/3112023 Address: • e ee o Bus Lic: BT00606013 $0.00 e • • e m m • ° e ° o Lic Exp Date: 06130/2021 Phone: State Lic: ° .. o • ° ° Worker's Compensation Insurance Designer: • o m e0000 Carrier: CYPRESS INSURANCE CO Address: ° ° m 000 °° Policy No: DAWCC222034 e m ° om m e m r 0 Expire: 05/01/2022 Phone: ® ®• e ° m " m ® ooe000 Building Setbacks Rear: / Special Conditions: ; ..... m °°°° Front: / $144.23 Left: / $0.00 Plan Check Fee Right: I Use Zone: Parkinq Spaces: 0 Fire Hazard Zone : N dd Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee: $46.25 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $47.50 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $224.36 San Dist: $0.00 Mechanical %: $176.28 NMUSD Fee: $0.00 $0.00 Plumbing %: $144.23 $0.00 Plan Check Fee : $1,188.02 Fee Due at Permit Issuance : $1,223.60 PUBLIC WORKS APPROVAL: dd PLAN CHECK BY: (� /` /� , _ ._ 'L/ C% A 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) (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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a %tructure th•af f have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code,me available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of FYope$ty Owner or Authorized Agentat GGRNSED CONTRACTOR'S DECLARATION I he414by affirm voter penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) f Di ision of the Business and Pr ions ode, an full force and ef�e ct. Lite tse•Qlass License No Date Contractor Signature NCIRKERS' MMPENSATION DECLARATION .RA MN: FAILUgE Ng9bURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10 , 0 1 ADDITION TO THE gPJSJ p COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heaby affirm under penalty of perjury one of the following declarations: . . . . I have ano•lyJl•mjintain 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 Cade, for the peofsr nce of the work for which this permit is issued. Policy No. KT 119ve and M11'malstain 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 fn'Orance carrier and policy number are: Policy Date Jame of Agent rUuUe n I certify that, in the performance o he work flwhth,,s p 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 agrehat, if I should becom ubject to a wor ers' savisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. 1 / ^ signature of Applicant Dat /� �/� / )ECLARATION REG INSTRUCTION LE G AGENCY hereby affirm under IW erjury 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 3y my signature below, I certify to each of the follaordinan I am the property owner or authorized to act on is behalf. I have read this application and the informatiod s 4state I agree to comply with all applicable city and anr t' to building construction. I authorize representatives of this city or coun veop y for inspection purposes. Oka 3icnature of ProDertv Owner or Authorized Agent 'nt Property Owner's or Authorized Agent's Nam �� (( D lSr ACTION 6Na( PERMIT EXPIRED PERMIT CANCELLED I DATE �AI. KATION OF CO PLIA E WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 EPA ASBESTOS NOTIFICATION TO PERMIT FI NAL PRO SBEED DITO N OLITIOIFICAN 10 NOT OCCUPANCVISSUED SIGNATURE: %l I hr