HomeMy WebLinkAboutX2022-1453 - Permits�K,•I,�_ City of Newport Beach - Building Division
}� r 100 Civic Center Drive, Newport Beach, CA 9266C
w.. _ Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - CIP MECH ELEC PLUM
1111111111p1111111111111111111111111111p1111p111JillCOMB Permit: X2022-1453
x 2 0 2 2 1 4 s 3 Project No: 1331-2022
Issued Date : 06/24/2022
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: 4685 MACARTHUR CT NB St: 1 Ft: 4 Unit: 480
Description: COMM TI "GATEWAY" 3,110 SF
Legal Desc.: P BK 196 PG 40 PAR 1
Owner: MAC ARTHUR COURT 1 LLC
Address: PO BOX 2450
NEWPORT BEACH, CA 92650
Phone:
Applicant: HOLLYIALGAZE NELSON
Address: 6083 BRISTOL PKWY
CULVER CITY CA 90230
Phone: 213-929-1400
Code Edit: 2019
Type of Construction: I-A-SPR
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 4
No of Units: 0
Bldg Height: 0
Bldg Sprinklers: Y
Construction
Building Permit Fee: $986.00
Plan Check Fee: $857.82
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$61.00
CA Seismic Safety:
$0.00
Disabled Access:
$91.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
Contractor:
REDHAWK BUILDERS INC
Architect:
ALGAZE NELSON
r
Address:
200 TECHNOLOGY STE L
Address:
6083 BRISTOL PKWY
IRVINE CA 92618
CULVER CITY CA 90230
Phone:
949-754-9050
Phone:
213-929-1400 State Lic:CO21090
Con State Lic:
692901
Engineer:
Lic Expire:
Bus Lic:
10/31/2023
BT30027314
Address:
. -
• ' ' ""
Lic Exp Date:
03/3112023
Phone:
State Lic:
,
Worker's Compensation Insurance
Designer:
- -
Carrier:
INS OF THE WEST
Address:
"
Policy No:
WSD503114305
Expire:
09/01/2022
Phone:
•�^+
Building Setbacks
Rear: /
Special Conditions:
_
"-
Front: I
Left: /
Right: /
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Excise Tax:
$0.00 Planning Department -
Fire Department
Additional Fee :
$0.00 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
PNV Plan Check :
$0.00
Grading Bond:
$0.00
Electrical %:
$258.13 San Dist:
$0.00
Mechanical %:
$202.82 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$165.94
$0.00
TOTAL FEE: $2,677.71 Plan Check Fee : $1,353.47 Fee Due at Permit Issuance : $1,324.24
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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
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 U 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature L�'cw 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 legal)
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
,Professons Code. is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
I Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereht affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) of visio 3 of the Business and P*ssions Gode„aytJ my license is in full force
and effect. License J�ass License No Da t Contractor Signatu✓fe,
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE rU tiFGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF ^OMPENSATICPI, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
I hereby affirm under penalty of perjury one of the following declarations:
i have and will ma,ntain 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
pe` formance of tt:E wor;: for which this permit is issued. Policy No.
JF have and will m31r'ain 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' compensatio
insur Ice carver and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
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
subject to the workkee�g5,'1ompensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /'�
Signature of Applicant I __ __ /�/JDat OG14/2 2
DECLARATION REGAPINQ_CONSTk6CTION 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, i"1 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 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. /� ,r°
I authorize representatives of this city or coup e r the above -identified property for inspection purposes. 1/,� � / /,� /� 66 2 a2
Signature of Property Owner or Authorized Agent t/ha a Print Property Owner's or Authorized Agent's Name a q o q Da
ACTION DATE BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART fit OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED AQM D
PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF R SED E OUTION
OCCUPANCY ISSUED SIGNATURE;