HomeMy WebLinkAboutXC2022-1873 - Permits_EWPORr City of Newport Beach I II I I I II I II I IIII II
COMB Permit: XCZU2Z-1 H73
04 " d= Community Development Department- Building Division
?; 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1889
N"5 2 Permit Counter Phone: (949) 644-3288 Issued Date : 09/15/2022
a� Inspection Requests Phone: (949) 644-3255 Inspection Area : 7
Cq/.�po pN�P newportbeachca.gov/inspections
Combination Type - ELEC MECH PLUM c"� R..r,
Work Class - Tenant Improvement 1 S �!4 0-'°; P a CT R
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 690 NEWPORT CENTER DR Legal Desc : P BK 196 PG 13 PAR 2 PARCEL MAP 196-13 PAR 2 FOR OF PAR AND PAR 3 POR
Description: COMM DEMO PRIOR TO TI OF LAUNDRY FACILITIES @ BASEMENT FLOOR AND OFFICE AREA @ LOBBY (21,345 SF) "PEN DRY HOTELS & RESORTS"
Owner: 690 HOTEL LLC
Address : 690 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone
Applicant: JASONVANAUKER
Address : 300 SPECTRUM CENTER, 500
IRVINE, CA 92618
Phone: (949)574-8500
Owner/Builder;
Address :
Contractor: DRIVER SPG
Address : 468 NO ROSEMEAD BLVD
PASADENA, CA 91107
Phone: (626)351-8800
Con State Lie : 960119
Lie Expire : 02/28/2023
Bus Lie : BT30044313
Bus Lie Expire : 08/31/2023
Workers' Compensation Insurance
Carrier: FEDERAL INSURANCE COMPANY
Policy No : 54310335
W. C. Expire: 10/31/2022
Architect :
VILLEGAS GREGORY
Address :
300 SPECTRUM CENTER DR #500
IRVINE, CA 92606
Phone:
(949)574-8500
State Lie
Engineer:
Address
Phone :
Designer:
Address
Phone:
Phone:
,•
Code Edition : 2019
Fire Sprinklers :
YES
Construction Valuation :
$75.000�-v
Type of Construction : I -A
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
21,345
Occupancy Groups : S-2,A-2,B,U
No of Units :
0
Alteration sq. ft. Bldg :
,
21,345
Bldg Height :
No of Stories :
19
Added/New sq. ft. Garage:
0 ,
Building Setbacks
Flood Zone:
Use Zone :
PROCESSED BY:
X
PC - North Newport Center
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable tennis)
(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),
0 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
ra�Iply 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).
U I am exempt from licensure under the Contractors' Slate 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 legall)
sell a structure that I have builtas an owner -builder if it has not been constructed in its entirely 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 issubmitted or at the following Web site:http:/Iwww.leginfo.ca.gov/c law.html.
Signature of Property Owner or Authorized Agent. _ Date
LICENSED CONTRACTOR'S DECLARATION.
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Profession i , a I. a is m full force
and effect. License Class License No Date-/'i Z2 002�L Contractor Signature)<
WORKERS' COMPENSATION DECLARATION 7
WARNING: FAILURE TO SECURE WORMERS' 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, Me ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
Q 1 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
perforyance of the work for which this permit is issued. Policy No.
have and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers'
Pence carrier and policy number are:
of Agent
Policy Number Expiration Date
Phone #
pertly 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
, if I should. La::ui.ia subject to theirs:' compta_s yt provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
m
Data%C�_/ ZO Z 2 mm
I ereby affirm under Fenalty erperjurythat [here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ander's Nami Lender's Address
:ymy, stgnaturee below, I certify to each of the following:
i am the property owner or authorized to act on the property owner's behalf.
; Have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and slate laws relating to building construction.
' r.uthorize representatives of this city or coup to ant �tp�/,abb tied party for inspection purposes. /y��
iCnature of Propety.Owner or Authorized A ent /i- d Print Property Owner's or Authorized Agent's Name /� �1G}r-) tr1AN �id/J Date
1CTION DATE J BY 1115-VECLOWION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART Sl OF TITLE 40 AND AOMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED qM D
PCAM1BIT FINAL ^�/� ASHESTOSNOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF r PROPOSED DEMOLIT}0�
OCCUPANCY ISSUED SIGNATURE:
PERMIT FEE DETAILS FOR PERMIT XC2022-1873
Fee Name
Fee Amount
Fee Paid Amount
Transaction Date Payment Method
Trans. Paid Amount Paid By
Building
Building Permit Fee -Valuation
$1,043.00
$0.00
Building Plan Check Fee
$907.41
$907.41
07/29/2022 CC EPL
$907.41 JASON VANAUKER
Disabled Review Fee
$91.00
$0.00
Drawing Fee
$40.00
$0.00
Electrical Permit Fee - XC
$146.02
$0.00
Electrical Plan Check Fee - Combo
$127.04
$0.00
Green Building Fee
$3.00
$0.00
Mechanical Permit Fee -XC
$114.73
$0.00
Mechanical Plan Check Fee - Combo
$99.82
$0.00
OTC Plan Check Fee - Planning
$53.00
$53.00
07/29/2022 CC EPL
$53.00 JASON VANAUKER
Plumbing Permit Fee -XC
$93.87
$0.00
Plumbing Plan Check Fee - Combo
$81.67
$0.00
GRAND TOTAL:
$2,800.56
$960.41