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Home My WebLink AboutX2021-1948 - PermitsCity of Newport Beach - Building Division *X2021-1948* COMB Permit: X2021-1948 �. 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1697-2021 Permit Counter Phone (949)644-3288 i3 t3 Inspection Type V Requests Phone (949)fi44-3255 i I P LE 1C� t�1 CombinationionTe - CIP ] Issued Date : 08/1012021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/10/2024 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: 888 SAN CLEMENTE DR NB St: 1 FI: 1 Unit: 180 - Description: COMM TI "VIVANTE NEWPORT CENTER LLC" 120 SF Legal Desc.: IRVINE SUB. POR OF BLOCK 55. Owner: IRVINE COMPANY Contractor: NEXUS CONSTRUCTION SRVS Architect: MORFORD PAUL ...... Address: 550 NEWPORT CENTER DR Address: 1 MACARTHUR PLACE SUITE 300 Address: 4675 MACARTHUR CT #100 NEWPORT BEACH, CA 92660 SANTA ANA CA 92707 NEWPORT BEACH CA 92660 Phone: Phone: 714-546-5600 Phone: 949-863-9434 State Lic :C019058 Applicant: YAM MARK Con State Lic: 767678 Engineer: Address: 392 N LEMAY CT Lic Expire: 0813112023 Address: ORANGE, CA 92867 Bus Lic: BT30071422 Phone: 626-757-2320 Lic Exp Date: 03/31/2022 Phone: State Lic: °ooa o Code Edit : 2019 Workers Compensation Insurance Designer: ° Type of Construction: II-A-SPR Carrier: OAK RIVER INS Address: Occupancy Group: B Policy No: NEWC213365 Added /New sq.ft. Bldg: 0 Expire: 07/01/2022 Phone: Added /New sq. ft. Garage: 0 Jo000 No of Stories: 6 Building Setbacks Rear: / Special Conditions: EMP QUESTIONNAIRE ATTACH ° No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4 500.00 Building Permit Fee: $164.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $142.68 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 Fin; Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $12.00 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 : $91.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $462.68 Plan Check Fee : $194.68 Fee Due at Permit Issuance : $268.00 PROCESSED BY: l PUBLIC WORKS APPROVAL: ZONING APPROVAL: i AA v (' A`/� PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: �I J- 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) 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 ie 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 niness 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). 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 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). I am exemptRi1di ligensure under the Contractors' State License Law for the following reason: V my signature IIE4" 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 legalll 0A a.siructure that lJwve 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 hofessi8ns Code. %pAilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. �iq atere of Prope�y Owner or Authorized Agent Date dCbNED CONTRACTOR'S DECLARATION hereby affirm undenpmalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of Division 3 of the Business and Pro s Code. ands -my I` icense is in full force �d%fe8t. License Class License No Date m—lo—L Contractor Signature —�`� WORKERS' CFAPENSATION DECLARATION "WING: 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 :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. .. ele..by.• affirm un derpemalty of perjury one of the following declarations: ..46ave and wit -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 th E qq Vhce of tPDWII{for which this permit is issued. Policy No. I 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' compensatioi su 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 It, if I should becom su e) a to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (q --Z—to--Zl ]nature of Applicant V �" �""—`"'�— Date :CLARATION REGARPNQ CONSTRUCTION LENDING AGENCY ereby affiml under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, evil Code). nder'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 owners 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. Y I authorize representatives of this city or co t ter t bove-identified property for inspection purposes. N N NA<J mature of Prooertv Owner or Authorized Aoent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY J`DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED 0 AQM D PERMITFINAL -I r9 ESTO NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF POSED 0U N OCCUPANCVISSUED SIGNATURE:,\ '