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Home My WebLink AboutX2021-1375 - PermitsImo City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1375 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 3 7 5 Project No : 1212-2021 ni Permit Counter Phone (949)644-3288 .� Inspection Requests Phone (949)644-3255 " a}rn 7,4� - Combination Type - CIP , \ , Issued Date : 07/07/2021 00 0 '� �� il QCjyl{eY D( Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 07/07/2024 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: 800 NEWPORT CENTER DR NB St: 1 FI: 1 Unit: 150 Description: COMM - TIIADD DOOR TO CONF RM 50 SF Legal Desc.: P BK 136 PG 22 PAR 1 Owner: THE IRVINE CO Address: 110 INNOVATION Record Management: IRVINE CA 92617 Phone: $0.00 Applicant: BAGLEY AMY STEINER Address: 17800 MITCHELL NORTH Con State Lic: IRVINE CA 92614 Phone: 714.299-5957 Code Edit: 2019 Type of Construction: I -A -SPR Occupancy Group: B Added /New sq.ft. Bldg: 50 Added /New sq. ft. Garage: 0 No of Stories: 7 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $5.000.00 Building Permit Fee: $164.00 Plan Check Fee: $142.68 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $14.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $91.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $464.68 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: C D G BUILDERS INC Architect: Address: 24 EXECUTIVE PARK #150 Address: SJH Trans : IRVINE CA 92614 In -lieu Housing Fee: Phone: 949.892.3510 Phone: Con State Lic: 921615 Engineer: Lic Expire: 09/3012022 Address: Bus Lic: BT30044670 $0.00 Lic Exp Date: 0 9/3 012 021 Phone: Worker's Compensation Insurance Designer: Carrier: LIBERTY MUTUAL FIRE INS Address: Policy No: WC2Z91470101020 Expire: 01/20/2022 Phone: 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: / Front: / Left: / Right: / Parkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee BAGLEY AMY STEINER 17800 MITCHELL NORTH IRVINE CA 92614 714.299.5957 State Lic:C030804 Special Conditions: Planning Department - Fire Department Plan check Fee $52.00 Fair Share : $0.00 SJH Trans : Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lic: g�q� ��ryq I1 �EV�®1 l $186.32 Fee Due at Permit Issuance : $278.36 opo _ o D 6 O -f 0 O O B PUBLIC WORKS APPROVAL: z, a PLAN CHECK BY:.� APPROVAL TO ISSUE: c o 0 0 o c � 'oo e.00 a o oo� oc ooc Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $186.32 Fee Due at Permit Issuance : $278.36 opo _ o D 6 O -f 0 O O B PUBLIC WORKS APPROVAL: z, a PLAN CHECK BY:.� APPROVAL TO ISSUE: c o 0 0 o c � 'oo e.00 a o oo� oc ooc 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 he 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 Irofessions 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 Tlproved 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 Ipply 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: iy 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 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 Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and Prof SSI my licenses in full force Ind effect. License Class License No Da �� 2�'L Contractor Signet VORKERS' COMPENSATION DECLARATION IARNING: 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), IN ADDITION TO THE :OST 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 the Rgprrgance 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 I 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 t, if should becomXRI'NG ject to the workers cgmpensation provisio -(Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican�� //—i= -.cam// Dat 11 CLARATION RE CONSTRU ON LENDING AGENCY -reby affirm under penalty of perjury f` at 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 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 county to enter the above -Id ntified prroop9erty for inspection purposes. J / nature of Prnnertv Owner or Authorized Anent � / A-�r / �/7i.N� Print ProDertv Owner's or Authorized Agent's Nan*' .1 G _ sd-H.✓t/ Date vII 7120 1 ACTION DATE DECLARATIONIOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY (/ / p� •g REG ULATIONS PART6I OFTITLE 40 AND AQMD RULE %//M • .1 .J "%/ .. • • 1403 PERMITii(PTOE9 . • 6 +• ISUemiTTED ASBESTOS NOTIFICATION TO PFRMITrNAWF11Flf • • • • •• FPe PERMIT EXTENDED WAQMD PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE CERTIFICATEO�• ••• •'• ••• •• • PROPOSED DEMOLITI N OCCUPANCY153UED • • • SIGNATURE•