HomeMy WebLinkAboutX2022-1036 - Permitspe
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v.
Inspection Requests Phone (949)644-3255
Combination T - CIP
*X2022-1036*
COMB Permit: X2022-1036
Project No : 0951-2022
zasna Y Issued Date : 05/12/2022
Q6. 4 fZ ?'? 177 y t Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 4000 MACARTHUR BLVD NB
Description: COMM VOLUNTARY STRUCTURAL UPGRADE TO (2) EXISTING STEEL FLOOR BEAMS @ 2ND FLOOR TO UPGRADE LOAD CAPACITY
Legal Desc.: P BK 114 PG 22 PAR 1
Owner: HG NEWPORT OWNER LLC
Contractor:
COMMERCIAL
BUILDERS INC
Architect:
Address: 101 CALIFORNIA ST #1000
Address:
525 B STREET STE 1010
Address:
SAN FRANCISCO, CA 94111
SAN DIEGO CA 92101
Phone: 619-665-5383
Phone:
949-337.2578
Phone:
State Lic:
Applicant: WEISE TINA
Con State Lic:
669342
Engineer:
DOMINAS CHRISTOPHER
Address: 12 MAUCHLY #E
Lic Expire:
1013112022
Address:
18400 VON KARMAN AVE #600
°
IRVINE, CA 92618
Bus Lic:
BT30050318
IRVINE CA 92618
Phone: 949-679-6456
Lic Exp Date:
05131/2023
Phone:
949-252-1022 State Lic:S-005913
Code Edit : 2019
Worker's Compensation Insurance
Designer:
CDL DESIGN
°
Type of Construction: I-A-SPR
Carrier:
STATE COMPENSATION INS FUND
Address:
12 MAUCHLY #E
Occupancy Group: B/U
Policy No:
9036265
IRVINE, CA 92618
Added /New sq.ft. Bldg: 0
Expire:
1210812022
Phone:
949-679-6456
Added /New sq. ft. Garage: 0
No of Stories: 10
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: $75,000.00
Building Permit Fee: $1,026.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $892.62
Additional Fee :
$0.00
Plan check Fee :
$52.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $40.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
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 : $0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee : $3.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $2,013.62
PROCESSED BY:
ZONING APPROVAL:
AN
Plan Check Fee
$944.62 Fee Due at Permit Issuance : $1,069.00
PUBLIC WORKS APPROVAL: jQ,
PLAN CHECK BY: P� r 1
GRADING APPROVAL: APPROVAL TO ISSUE:
o a
eocoao
°
aacaa
aaaQao
0
a °
oy o
aaoa
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)
ction 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
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
�fessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
)rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
)roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
fly to an owner gfpyoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt fNw; aicdhsure under the Contractors' State License Law for the following reason:
rVv §Sipoature below acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall)
a structure that lliave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
'ndh4rVbf Propertf Owner or Authorized Agent Date
JEN$ED CONTM.gTOR'S DECLARATION 7�
�reby arm under penaltyoof perjury that I am licensed under provision�oj I;,Liaptar (commencing with Section 7000) of Division 3 of the Business and Professio �y�cjr �y license is in full force
f effect. License Class `0C/ License No D(0"M1IA�I Date �C cil I�L� % �- Contractor Signature �,/ 6`,l%//,'+'
)AKERS' COI'APENGATION DECLARATION ��
ZNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDITION TO THE
if OR CQMPENSATI,pN, D.Ap1AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
)reby affirm unf%ffenbity of perjury one of the following declarations:
I have and will.mainiain 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
foromance of ttie w&k:or which this permit is issued. Policy No.
have 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'
:anc caryer and nolicy number are: l
ie of Agent
certify that, in the performance� of the work
, if I should become subie70,41;7�IkkftPe
of
Policy Number
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date ` )/ 1212v22
CLARATION REGAR;Q tN(YCONSTRUCTION LENDING AGENCY
)reby affirm under pe ty of perjury that 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 count to ante he above -identified property for inspection purposes.
.nature of PrODertv Owner or Authorized A--..-�'. W5 VftM'r Print Property Owners or Authorized Agent's Name
ACTION
PERMIT EXPIRED
PERMITCANCELLED
DATE BY DECLARATION 01 REGULATIONS PART 061 O TIIT E 40 AND AQMD RULECE WITH CODE OF
FOR OFFICE USE ONLY
CERTIFICATE
ly'Ii ZIZL NATURE:ASBESTOSX IFICe�� LICABLE TO
CERTIFICATE OF PROPOSED DEMOLIT
OCCUPANCYISSUED