HomeMy WebLinkAboutX2019-2656 - Permits�no�r City of Newport Beach - Building Division *X2019-2656* COMB Permit: X2019-2656
a •rr� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1889-2019
E v Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Issued Date : 0412412020
Combination Type - BLDG PLUM
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: 850 SAN CLEMENTE DR NB
Description: COMM - DEMO COMM BLDG "ORANGE COUNTY MUSEUM OF
ART" (23,632 SF)
Legal Desc.: P BK 81 PG 8 PAR 2
INSPECTOR
Owner: VIVANTE NEWPORT CENTER LLC
Contractor:
INTEGRATED DEMOLITION Architect: HARRIER DONALD
Address: 1 MACARTH UR PL #300
Address:
4938 E LA PALMA
AVENUE Address: 1030 TEHAMA AVE
SANTA ANA, CA 92707
ANAHEIM, CA 92807 MENLO PARK CA 94025
Phone:
Phone:
714-340-3333
Phone: 415-356-3800 State Lic:CO21363
Applicant: ERES ROBERT
Con State Lic:
10035047
Engineer: VANDERVIS JACOB
Address: 1 MACARTHUR PL #300
Lic Expire:
0513112021
Address: 701 N PARKCENTER DR-
SANTA ANA, CA 92707
Bus Lia
BT30059005
SANTA ANA CA
Phone: 714-546-5600 x 220
Lic Exp Date:
0413012020
Phone: 714-560-8200 State Lic:C-046301
Code Edit : 2016
Worker's Compensation Insurance
Designer:
Type of Construction: II-B-SPR
Carder:
ZURICH AMERICAN
Address:
-.
Occupancy Group: A3
Policy No:
AC068767900
• '
Added /New sq.ft. Bldg:
Expire:
0612112020
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: 5'
Special Conditions: PA2018-185 ,
No of Units : 0
Front: 15'
WASTE MANAGEMENT TO
Bldg Height: 69
Left: 5'
HAUL
Bldg Sprinklers:
Right: 5'
Flood Zone:
Use Zone: PC-19
Parking Spaces:
117 Fire Hazard Zone : N
Construction Valuation: $300,000.00
Building Permit Fee: $2,368.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $2,121.16
Additional Fee :
$0.00
Plan check Fee : $640.00 Fire Inspection: $0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev $228.00
Investigation Fee: $0.00
Grading PC Consultant: $1,064.36
SJH Trans : $0.00 Demolition Fee
Record Management: $24.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00 Building Dept Adm $26.00
Energy Compliance: $0.00
Grading PC Fee:
$233.64
Public Works Department - General Service $210.00
CA Seismic Safety : $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit $1,692.00
Disabled Access : $0.00
PAN Plan Check: $660.00 Grading Bond: $0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $12.00
Mechanical %:
$0.00
NMUSD Fee: $0.00 $0.00
Plumbing %:
$398.53
$0.00
TOTAL FEE : $9,677.69
Plan Check Fee :
$2,473.57 Fee Due at Permit Issuance : $7,204.12
41
PROCESSED BY:
PUBLIC WORKS APPROVAL:
I1
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:��_
APPROVAL TO ISSU
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 L) all of or L) 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).
❑ 1 am exempt from licensure under the Contractors' State 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 legally
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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Prope,t/ Cwner or Authorized Agent Date
LICENSED COI, T v WTOR'S DECLARATION
I nereoy effirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Senkion 7000) of Dvision 3 of the Busin and Prof is in full force
and effect. License, Vlass License No t Z+{ Zoe Contract nature
V.'/ORKERS' COkIPENSATION DECLARATION
WARNING: FAILURE TO SE^.I IRE 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
COST OF r.OMPENBATIOA, CWAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I ha�.e 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
peormance of the work for which this permit is issued. Policy No.
and WE.: ma!rtain 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'
carrier Find policy number are: IAJC�. 2v22 `i`01_— ) ( L)5 —Zi " �c,fU
L Y1 Ch Policy Number Expiration Date
ne of Agent Phone #
certify that, in the pert a e th ork fo hich Is rmit is issued, I shall not employ any person in any manner so as to become subject to the works s' compensation laws of California, and agre
I, if I should becomes bjec to th rkers' pe atio isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature 6��ef—
CLA REGARDING CONSTRUCTION LE14DING AGENCY
Ireby affirm under penalty of perjury that there is b construction lending agency for the performance of the work for which this permit is issued (Section 36 , Civil Code).
Ider'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 owner's behalf.
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordin ces a state aw relating to building construction.
I authorize representatives of this city o nt o rd r h�w€ entr I roperty for I on purposes. Ain, �. r / C1
of PfoDerty Owner or
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DA1V BY ECLARATION OFCOMPLIANCE WITH CODE OF FEDERAL OFFICE USE ONLY
lL ,2t(_2e. b REGULATIONS PART 61 OF TITLE 40 ANDAQMD RULE
GEQ'IL7
SUBMITTED
APPLICABLE TO