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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