HomeMy WebLinkAboutX2022-0670 - Permits�Nntyk City of Newport Beach - Building Division
Y rb 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
c:..0 Inspection Requests Phone (949)644-3255
Combination Type - CIP MECH ELEC PLUM
COMB Permit: X2022-0670
Project No : 0591-2022
Issued Date : 06/02/2022
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: 545 NEWPORT CENTER DR NB
Description: COMM RETURN TO SHELL & MERGE SUITES W/HVAC UNIT ANCHORAGE 10,992 SF
Legal Desc.: P BK 221 PG 30 PAR 1
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Owner: IRVINE CO
Contractor:
ALTA CONTRACTING
Architect:
BAGLEY AMY STEINER
Address: 110 INNOVATION
Address:
369 E. BLAINE STREET
Address:
17800 MITCHELL NORTH
f�"')
IRVINE CA 92617
CORONA CA 92879
IRVINE CA 92614
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Phone: 9491720-3198
Phone:
714-380-9233
Phone:
714-299-5957 State Lic:C030804
11
Applicant: WRIGHT CARRIE
Con State Lic:
742360
Engineer:
BISHOFF RYAN WILLIAM
1 t
Address: 17800 MITCHELL NORTH
Lic Expire:
11130/2023
Address:
3300 IRVINE AVE #245
IRVINE CA 92614
Bus Lic:
BT01020983
NEWPORT BEACH CA 92660
Phone: 714-299-5957
Lic Exp Date:
0113112023
Phone:
949-862-8510 State Lic:S-006250
Code Edit : 2019
Worker's Compensation Insurance
Designer:
0
Type of Construction: III-B-SPR
Carrier:
EMPLOYEE SERV GROUP
Address:
�•g-y
Occupancy Group: M
Policy No:
WC169082801
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Added /New sq.ft. Bldg: 0
Expire:
12131/2022
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: /
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: $100,000.00
Building Permit Fee: $1,226.00
Excise Tax:
$0.00 Planning Department
-
Fire Department
Plan Check Fee: $1,066.62
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: $54.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $70.00
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: $100.00
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$320.97 San Dist:
$0.00
Building Green Fee : $4.00
Mechanical %:
$252.19 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$206.34
$0.00
TOTAL FEE: $3,352.12
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Plan Check Fee: $1,651.28
Fee Due at Permit Issuance : $1,700.84
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PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUE'JCWORKS APPROVAL:
PLAN CHECK BY:
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
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 Business 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).
7 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,
Iusiness 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-Builderwill have the burden of proving that it was not built or
nproved for the purpose of sale).
1 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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 legall,
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:LLwww.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000,ji,of Division 3 of the Business and Pro s Code, and m IIense is in full force
nd effect. License Class License No Date Contractor Signatu[e''S7//i/
VORKERS' COMPENSATION DECLARATION
ARNING: 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 ATTORNEY'S FEES.
hereby 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 th
erfpymance of the work for which this permit is issued. Policy No.
and will rIDTtain workers' cprRpensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier an p licy number re: ij1�
_ n \ C%'icv 14uker Expiration Date
ne of Agent
certify that, in the performance of the
. if I should become subject to the we
of
for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
)ECLARATION REGAFIDING CONSTRUCTION LENDING AGENCY
hereby affirm under pejialty 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).
-ender's Name Lender's Address
3y 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 the above -identified property for inspection purposes.
nt
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ()O
ACTION DATE BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
ULA S PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMITEXPIRED LJ I SUBMITTE ASBESTOS NOT. IC.ITI DN TO PERMIT CANCELLED E.IEPA
PERMIT EXTENDED r LJAQMD
PERMIT FINAL 7 T}-76Yi (, r"6Y 5 SBESTO OTIF ATION IS NOT APPLICABLFiTO
CERTIFICATEOF PROPOS TION
OCCUPANCY ISSUED SIG URE: