HomeMy WebLinkAboutX2020-1234 - Permitsrr,Hrr,� City of Newport Beach - Building Division
C4 100 Civic Center Drive, Newport Beach, CA 92660
N t, Permit Counter Phone (949)644-3288
m Inspection Requests Phone (949)644-3255
Combination Type - BLDG
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-1234
x 2 0 2 0 1 2 3 4 Project No : 0951-2020
Issued Date: 06/19/2020
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 06/20/2023 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 MAN -RETAINING
DR N8 Its r � f- iz ,. JI® n
Description: COMM -RETAINING WALLS 8' MAX BY 609 LF (INSIDE PIL) i{®VF Nv
Legal Desc.: P BK 81 PG 8 PAR 2
Owner: VIVANTE NEWPORT CENTER LLC Contractor: NEXUS CONSTRUCTION SERVICES INC Architect:
HARRIER DONALD
Address: 1 MACARTHUR PL #300
SANTA ANA CA 92707
Phone:
Applicant: ERES ROBERT
Address: 1 MACARTHUR PL#300
SANTA ANA CA 92707
Phone: 714/546-5600 X220
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: .
Construction
Building Permit Fee: $1,603.00
Plan Check Fee: $1,394.61
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$7.0fi
TOTAL FLEE: $3,220.1
PROCESSED BY:
ZONING APPROVAL:
Address:
1 MACARTHUR PLACE SUITE 300
Address:
SANTA ANA CA 92707
Phone:
714-546-5600
Phone:
Con State Lie:
767678
Engineer:
Lie Expire:
08/31/2021
Address:
Bus Lie:
BT30071422
Lie Exp Date:
03131/2021
Phone:
Worker's Compensation Insurance
Carrier: OAK RIVER INS
Policy No: NEWC009913
Expire: 0710112020
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: /
Right: /
)arkina Spaces
$0.00
$0.00
$0.00
$483.80
$0.00
$106.20
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
1030 TEHAMA AVE `
MENLO PARK CA 94026
415-356.3800 State Lic:CO21353
VANDERVIS JACOB
701 N PARKCENTER DR
SANTA ANA CA
714-560-8200 State Lic:C-046301
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAIV Plan Check :
$85.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
PUBLIC WORKS
PLAN CHECK BY:
Fire Department
$124.50
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $3,220.11
GRADING APPROVAL: I/ I S YL_Izl 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).
❑ 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 legallt
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.govicalaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 Divi ion of the Business and Prof se ins o�S,Code a e is in I force
and effect. License Class License No Date Contractor Signature /
WORKERS' COMPENSATION DECLARATION
NARNIN9: FAILUnE -0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUMECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPE.4SATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm urrJer penalty of perjury one of the following declarations:
D-1, have and, oii9 ra;.intain 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 the
ae ;atrnance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
ame of Agent __ _ Phone #
Date
21 adi iLy that, inthe 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
fly t, if' should Becnm=`subject to the w/�orkk�ke��sss---�' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant /�C�✓��- Date D O
)ECLARATION REGA DING CONSTRUCTION LENDING AGENCY
hereby affirm under p natty 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 enter �e-ideentifed property for inspection purposes. �/� �J
signature of Property Owner or Authorized AgentV.��l /f Print Property Owner's or Authorized Agent's Namel"' KO eC� (e s Da
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY /
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
OEPA
PERMIT EXTENDED
M D
PERMITFINAL
CERTIFICATEOF
OCCUPANCY ISSUED
7-Z(_Z0
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: