HomeMy WebLinkAboutX2020-1507 - Permitsxn City of Newport Beach - Building Division
a` 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
yam, Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC PLUM
*X2020-1507' COMB Permit: Y2020-1507
Project No: 1165-20''0
Issued Date : 09/24/2020
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0912512023 OR PERMIT WILL BE INS?ACID
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 Holiday;
Job Address: 900 NEWPORT CENTER DR NB
Description: TI -MODEL STE 291 SOUTH WING (HARBOR LANDING) "MARRIOTT' 318 SF tL t t3L-��^
�`.i1 Legal Desc.: P BK 75 PG 33 PAR 1 � \`99
Owner:
HHR NEWPORT BEACH LLC
Address:
PO BOX 579
LOUISVILLE, TN 37777
Phone:
Applicant
WICKETT BJ
Address:
2630 SEPULVEDA BLVD
TORRANCE CA 90505
Phone:
310-326-3050
Code Edit: 2019
Type of Construction: I-ASPR
Occupancy Group: RI
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units: 0
Bldg Height 0
Bldg Sprinklers: Y
Building Permit Fee: $416.00
Plan Check Fee: $361.92
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$56.00
Energy Compliance:
$61.00
CA Seismic Safety:
$0.00
Disabled Access :
$91.00
Hazardous Mat
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $1,361.84
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Y
Contractor.
P W I BUILDERS
Architect:
TYNER RUSSEL EDWARD
Address:
3903 WEST MARTIN AVE
Address:
2630 SEPULVEDA BLVD
LAS VEGAS NV 89118
TORRANCE CA 90505
Phone:
702-942-8400
Phone:
310-326-3050 State Lic:C014979
Can State Lie: 816987
Engineer.
Lie Expire:
01/31/2021
Address:
Bus Lic:
BT30007625
Lie Exp Date:
1213112020
Phone:
State Lie:
Workers Compensation Insurance
Designer:
"
Carrier:
TRAVELERS INDEMINTY
Address:
Policy No:
UB7K7781821826G
Expire:
0710112021
Phone:
Building Setbacks
Rear, I
Special Conditions:
Front: /
Left: /
Right: I
Use Zone:
Parking Spaces:
0
Fire Hazard Zone; N
Excise Tax:
$0.00
Planning Department-
Fire Department
Additional Fee:
$0.00
Plan check Fee:
$0.00 Fire Inspection:
$0-0b
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$19L (A
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
PNJ Plan Check:
$0.00
Grading Bond:
$0.00
Electrical W
$108.91
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$70.01
$0.00
Plan Check Fee
: $1,261.56
Fee
Due at Permit Issuance :
$1(0.29
'L-If
PUBLIC WORKS APPROVAL:
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 Divisio 1 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 save (Section 70",
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 It at 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 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_ 1 understand that a copy of the applicable law, Section 7044 o: the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:ilw .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Data
LICENSED CONTRACTOR'S DECLARATION �p
I hereby affirm under penalty of penury that 1 am licensed under provisions of 6� gf/commencing with Secti 70001of Division 3 of the Busin nd Professions Code, and r t) geatrso-is^In-Full force
and effect. License Class tLSS License No to 9/24/2020 Contractor nature Tanner Grmedose
WORKERS' CZ' 6IPENSATION DECLARATION
WARNING: FAILURr ,Z r?CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALLSUWECTAN EMPLOYERTO CRIMINAL PENALTIES AND OML FINES UP TOO E HUNDRED THOUSAND DOLLARS ($'ae,000), IN ADDITION TO THE
COST W COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STUfi OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm und„ r penalty of perjury one of the following declarations:
Ihave 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,
;crmance of the work for which this permit is issued. Policy No.
have and will ma3mtaln workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. M,( workers' compensatioi
saiancecar�Brand ppolicy number are: UB7K7781822026G 7/1/2021
carer
JJ: i rs Policy Number Expiration Date
2-956-2250
of Agent Phone# b
IV
in tlbp nerformance 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
emz subject to the workers' compere'%jgp,flriky)5JMeQf,Secbon 3700 of the Labor Code, I shall forthwith comply with those provisions.
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9/24l2020
EG:.RDING CONSTRUCTION LENDING AGENCY
ender penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 Code).
.enders Name Lenders Address
3y 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.
1 authorize representatives of this city of County to enter the abny; d it - ases.
'kmature of PrODertv Owner or Authorized Ment ramerGmsaslysa •, a;�-o--;=^^ Print Property
of
ACTION
<,, Ili 01
PERMIT CANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
v�
OCCUPANCY ISSUED
OF COMPLIANCE WITH CODE OF FEDERAL I F.OR ONCE USE
PART fil OFTITLE 40ANDAQMD RULE i j
1403
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
)POSED DEMOLITION
NATURE:
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