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Home My WebLink AboutX2022-0426 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH PLUM IIIIIIII��IIIIIIIIII�llllllll lll�lu �I COMB Permit: X2022-0426 Project No: 0379-2022 Issued Date : 05/26/2022 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: 5000 BIRCH ST NB St: 1 FI: 4 Unit: 4600 Description: COMM TI - 1597 SF SPEC SUITE Legal Desc.: P BK 181 PG 13 PAR 5 Owner: JOHN HANCOCK LIFE INS CO Address: 5000 BIRCH ST NEWPORT BEACH CA 92660 Phone: Applicant: GRAVES HOLLY Address: 18600 MACARTHUR BLVD STE 100 IRVINE CA 92612 Phone: 949-608-3723 Code Edit : 2019 Type of Construction: I-A-SPR Occupancy Group: B Added /New sq.ft. Bldg: 1597 Added /New sq. ft. Garage: 0 No of Stories: 10 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Valuation: $63,880.00 Building Permit Fee: $938:00 Plan Check Fee: $816.06 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $46.00 Energy Compliance: $61.00 CA Seismic Safety: $0.00 Disabled Access : $91.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE : $2,651.95 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: CREW BUILDERS INC Architect: ALGAZE NELSON Address: 6191 CORNERSTONE STE 101 Address: 6083 BRISTOL PKWY SAN DIEGO CA 92121 CULVER CITY CA 90230 Phone: 619-587-2033 Phone: 213-929-1400 State Lic:CO21090 Con State Lic: 753428 Engineer: Lic Expire: 04/30/2023 Address: Bus Lic: BT30049124 Lic Exp Date: 11/30/2022 Phone: State Lic: Worker's Compensation Insurance Designer: Carrier: AMERICAN ZURICH Address: Policy No: WC551373107 Expire: 10/01/2022 Phone: rr" e Ys Building Setbacks Rear: I 1ll�'v Special Conditions: Front: / Left: / Right: I Use Zone: Parking Spaces: 0 Fire Hazard ZoneN Excise Tax: $0.00 Planning Department- Fire Department Additional Fee : $48.50 Plan check Fee : $52.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 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 P/W Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $245.57 San Dist: $0.00 Mechanical %: $192.95 NMUSD Fee: $0.00 $0.00 Plumbing %: $157.87 $0.00 Plan Check Fee : $1,346.03 Fee Due at Permit Issuance : $1,305.92 o PUBLIC WORKS APPROVAL: 0 o u- u o „moo 0 J V J J PLAN CHECK�- 'T coo APPROVAL TO ISSUE: � c c.• o OWNER -BUILDER 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 (_) 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). ❑ 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 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). ❑ 1 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 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perj that I am licensed under provisions of Chapter 9 (prr�encing with Section 7000) of Di si 33oof the Business and Professions an my license is in full force and effect. License Class Z License No .] 74 dS Da C's Contractor S ig natures WORKERS' COMPENSATION DECLARATION NARNING: 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 COST 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: have and will maintain a certificate of consent to self -insure for workers' compensation, issued :mance of the work for which this permit is issued. Policy No. by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 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' compensatiol carrier an"dypolic number are: �p.�! 71LY1 �MZYt Ca. Policy Number Ii c3 3bys-oo Expiration Date of Agent 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 agre that, if I should become subject to the rs' pensati/on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant ,%%%� / D*P DECLARATION REGARDI CONSTRUCTION LENDING AGENCY I hereby affirm under penalty 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). Lender's Name Lender's Address By 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 e' a roperty for inspection purposes. Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name Date �Z�P ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 0 I SUBMITTED ASBESTOS NOTIFICATION TO • • • •• + PERMITCANCELLED EPA • • • •°� s° ° • �• PERMIT EXTENDED QMD PERMITFINAL TIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION °a° °° • • •°• •a OCCUPANCYISSUED SIGNATURE • • • s o e ° ° o c� o o a oo a o