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Home My WebLink AboutX2021-1487 - PermitsCity of Newport Beach - Building Division �� a COMB Permit : X2021-487 100 Civic Center Drive, Newport Beach, CA 92660 Y' Permit Counter Phone (949)644-3288 Project No : 0771-2d21 U Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date : 06110/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED Construction Hours: Monday -Friday 7.00 a.m. BY 0611012024 OR PERMIT WILL BE INVALID to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sunday or Holidays Job Address: 900 NEWPORT CENTER DR NB Description: COMM -CANTILEVER TERRACE DECK W/CAISSONS 430 SFq�.^R Legal Desc.: P BK 75 PG 33 PAR 1 Owner. NEWPORT CENTER HOTEL LLC Contractor: 'B &a - R D OLSON CONSTRUCTION Architect: Address: 1400 NEWPORT CENTER DR #230 Address: 400 SPECTRUM CENTER DR #1200 Address: .+ NEWPORT BEACH CA 92660 IRVINE CA 92618 Phone: Phone: 949474-2001 Phone: State Lie: •. • ° Applicant: SLASOR ORIANA Con State Lie: 953845 Address: 16795 VON KARMAN IRVINE CA 92606 Phone: 949/474-1960 X4315 Code Edit: 2019 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Valuation: Building Permit Fee: $1,837.00 Plan Check Fee: $1,598.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTAL FEE : $3,443.19 PROCESSED BY: ZONING APPROVAL: Lie Expire: 10/3112022 Bus Lie: BT30009757 Lie Exp Date: 05/31/2022 Worker's Compensation Insurance Carrier: STARR INS Policy No: 100001219 Expire: 0710112021 Building Setbacks Rear: / Front: / Left: I Right: / Use Zone: Parkin Spay Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant : $5,372.64 Grading Permit Fee: $0.00 Grading PC Fee: $1,179.36 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 Engineer: SLASOR ORIANA t Address: 16795 VON KARMAN AVE #100 IRVINE CA 92606 Phone: 949474-1960 State Lic:C-063451 Designer: Address: Phone: ' Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Zone : N Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $3,443.19 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 3 Y• � APPROVAL TO ISSUE: OWN! R-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 repair the checcture, prior 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). 111, 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). [31, 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: year prior to completion By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one of the improvements covered this permit, I Cannot legal) f the applicable law, Section 7044 sell a structure th.z' ' have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy o4 of the Business and Orofessions Cod= is available upon request when this application is submitted or at the following Web site:http:/Aeww.leginfo.ca.gov/calaw.html. Date Signa:Lre of Pronerty Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section f ivis"on 3 of the Business and ProAns, and my licensen full force and effect. License Class License NoDat % Z Contractor Signature N'ORKERS'•COCePENSATION DECLARATIONWARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDREOLLARS ($100,000(, IN ADDITION TO THE JJ. OF COMPFNSH. IVN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ii �i naby affirm u,IJLr penalty of perjury one of the following declarations: J I :nave 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 e ante of the Work for which this permit is issued. Policy No. ,.ave 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' compensation I urance ce r. k,F E r d policy number are: Carrier Policy Number Expiration Date Phone # Name of Agent I certify that, in the perfor 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 that, if I should become sub' ct t the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Date✓ h9b,7, Signature of Applicant DECLARATION REG DI STRUCTION LENDING AGENCY I hereby affirm under pen y f rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 o ces and state laws relating to building construction. I authorize representatives of this city or county to er a above -identified Property for inspection purposes. IIat / 3��(,,pd / / Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name TJ-` � ACTION DATE BY E TION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY R GU TIONSPART61OFTITLE40AND AOMDRULE I SUBMITTED PERMIT EXTENDED"' PERMIT FINAL /f�'j� { ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF I / PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: