HomeMy WebLinkAboutX2020-2911 - Permits�w City of Newport Beach - Building Division
b` 100 Civic Center Drive, Newport Beach, CA 92660
r. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
a yes Combination Type - CIP MECH ELEC
*X2020-2911* COMB Permit: X2020-2911
Project No : 2317-2020
Issued Date: 0310112021
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310112024 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: 4440 VON KARMAN AVE NB St: 1 FI: 2 Unit: 230
Description: COMM TI "SPEC SUITE 230" 2,790 SF
Legal Desc.: N TR 8762 LOT 5 -
Owner: 4440 VKA TIC 3 LLC
Address: 2 PARK PLZ #700
IRVINE CA 92614
Phone
Applicant: JOSEISPACES PLNG DESIGN
Address: 3150 BRISTOL ST #205
COSTA MESA CA 92626
Phone: 949.724-1499
Code Edit: 2019
Type of Construction: I-B-SPR
Occupancy Group: 8
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Construction Valuation:
Building Permit Fee: $1,081.00
Plan Check Fee: $940.47
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$32.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$91.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $2,700.09
PROCESSED BY:
ZONING APPROVAL:
Contractor:
ROBINSON REESE LP
Address:
2505 W COAST HWY #202
NEWPORT BEACH CA 92663
Phone:
949-910-3047
Con State Lie:
1053056
Lie Expire:
0513112021
Bus Lic:
BT30071636
Lic Exp Date:
0413012021
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No: NO EMPLOYEES
Expire:
Building Setbacks
Zone:
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: /
Left: I
Right: I
'arking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$283.01
$222.36
$0.00
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Architect:
Address:
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SState
Phone:
Lie:
Engineer:
......
Address:
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Phone:
State Lic:
Designer:
PICKERTON TRICIA
Address:
3150 BRISTOL ST #205
COSTA MESA CA 92626
Phone:
949-724.1499
Special Conditions
Planning Department -
Plan check Fee:
Fair Share
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $1,312.84
Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $1,387.25
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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)
iection 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
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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).
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,
Iusiness 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 own%(af,p.operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
7 I am exempt ilrow,jitensure under the Contractors' State License Law for the following reason:
ly 9W-Sfgnatur%beloy 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. 1 understand that a copy of the applicable law, Section 7044 of the Business and
hofessions Cone, is Available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
gnatufe of Propdtty Owner or Authorized Agent Date
.ICEpISED CPP"RACTOR'S DECLARATION
Irgreb)f affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec' n 7000) of ivisio 3 of the Bu ess and Profes io s Co , and my license is in full force
W select. Li ceoise lass License No at 2 Co ct Signature
1(QR.(ERS' COMPENSATION DECLARATION
yyCCyy FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO SAND DOLLARS ($100,000), IN ADDITION TO THE
OC�bYyCOMPENSkTIOI.,.DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereb)T affirm GplOr penalty of perjury one of the following declarations:
...
b gave 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
ormance of the Wofk 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:
is of Agent
certify that, in the pertormanc oft a work for
if I should bese rf ie subject t the orkers' cp
Policy Number Expiration Date
this permit is issued, I shall not employ any person in any manner so as to become subject to the
ation provisions of_Section 3700 of the Labor Code, I shall forthwith comply with those provisAonsv
IECLARATION REGARDING CONSTRDCTION LENDING AGENCY
hereby affirm under penalty of pedu \v that there is a construction lending agency for the performance of the work for which this permit is issued
ender's Name Lender's Address
ly my signature below, I certify to eacft 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 infoion I hve rmataovided is correct.
I agree to comply with all applicable cit and county rd nances and state laws relating to building construction.
I authorize representatives o hi y or county to to the abjjve-identified property for inspection purposes. �\
....,�f— ,.E o.. 4', n,. — „� �d�ed Ancn1 v `� Print Prooertv Owner's or Authorized INDE s NrdrR
DATE I I BY I REC#ARATION OF COMPLIANCE WITH CODE OF FEDE
ULATIONS PART 610 TIITLE 40 AND AQMD RULERAL FOR OFFICE USE ONLY
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
RMITCANCELLED EPA PE
PERMIT EXTENDED OAQMD
PERMITFINAL 6• z9'Z f AS STOS gQ�TIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF ED DE LIT SIG
OCCUPANCYISSUED SIG URE:
compensation laws of California, and
Date - Z'
3097, Civil Code).
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