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Home My WebLink AboutX2021-2955 - Permitsr' City of Newport Beach - Building Division ` d 100 Civic Center Drive, Newport Beach, CA 92660 w '_;, Permit Counter Phone (949)644-3288 c"i... Inspection Requests Phone (949)644-3255 r'-,zy,,,c'� Combination Type - CIP MECH ELEC PLUM *X2021-2956* TUIR COMB Permit: X2021-2956 Project No: 2638-2019 Issued Date : 10/29/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012912024 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: 610 NEWPORT CENTER DR NB Description: COMM TI "CHIPOTLE MEXICAN GRILL CORPORATE OFFICE" 14,068 SF `CHANGE OF CONTRACTOR` ° ..... Legal Desc.: P BK 295 PG 33 PAR 4 Owner: 610 NEWPORT CENTER DR LLC Address: PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: Applicant: MONTEJANO NELLIE Address: 4740 GREEN REIVER AVE #102 CORONA CA 92880 Phone: 951357-6916 Code Edit : 2016 Type of Construction: I-ASPR Occupancy Group: B Added /New sq.ft. Bldg: 14068 Added /New sq. ft. Garage: 0 No of Stories: 18 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Contractor: RENAULT & MORAN CONSTRUC. Architect: BROWN RUSSELL Address: 19900 MACARTHER BLVD #600 Address: 1160 SANA FE DRIVE IRVINE CA 92612 DENVER CO 80204 Phone: 949-412-6500 Phone: 303-571-4137 State Lic:C-020920 Con State Lic: 1038156 Engineer: Lic Expire: 04/3012022 Address: Bus Lic: BT30065288 Lic Exp Date: 12/31/2021 Phone: State Lic: Worker's Compensation Insurance Carrier: LANDMARK AMERICAN Policy No: LHA141338 Expire: 01/18/2022 Building Setbacks Rear: I Front: I Left: / Right: I Designer: Address: Phone: Special Conditions: FRANCHISED HAULER: CA WASTE SERVICES Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $0.00 Additional Fee : $38.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $38.00 PROCESSED BY: ZONING APPROVAL: Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0000 m°mom 0 00 o • mmo• m omomom m $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $38.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: mamaa• meom m moaom OpJOJ3 0 0 0000m� 0 mmoo 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) action 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 Ifessions 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, $iness 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 purpV je 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 *rbmn 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 ajn exempt rrt"licensure under the Contractors' State License Law for the following reason: 'i sigrunature 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 Iegall) I aestcture that I Faye 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 )(es%ons Code, j?arailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. inahi of Prope. y Owner or Authorized Agent Date i6NSED CONT-RACTOR'S DECLARATION Baby affirm uneer* penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of Division 3 of the Business andJrssions Code, SO my license is in full force f effpo. license Class License No Date O /24/L I Contractor Signatu )RK6RS' CdMPUlSATION DECLARATION rUA&194FAILURE 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 $T OF eOMPEN SA�InON, MMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .reby 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 fgrmance of the work for 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' r�nce 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 Tat, if I should become s/4ject(t7o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signatureof Applicant' la //��W`//%/"�D IECLARATION REG D CONSTRUCTION LENDING AGENCY hereby affirm under natty, of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code). .ender's Name Lender's Address ly 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 anq county ordinances and state laws relating to building construction. I authorize representatives of this city or co toe rthe rra��b��o��v��e��-�iden ad property for inspection purposes.L-r Jh;�LO /,y! tionature of Prooertv Owner or Authorized ADeht t�.LClGJr"^— Print ProDertv Owners or Authorized ADent's Namd r;.JCSTL rti) ✓zi p R: w+1`7 Date'/1 e;� Z q ACTION DATE BY ' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED AQMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED I-2-N SBESTO,,SyyOTIFICATION IS NOTAPPLICABLE TO RO DDWOUTION SIGNATURE///•//��\��\ 32 J'A k),4-e �4/�'�