HomeMy WebLinkAboutX2021-0730 - Permits�xro� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�II COMB Permit: X2021-0730
0 <t 4 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 7 3 0
Project No : 0670-2021
Permit Counter Phone (949)644-3288
. T Inspection Requests Phone (949)644-3255
n Issued Date : 03/08/2022
E44,w,:�> Combination Type - CIP ELEC PLUM MECH Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/08/2025 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: 900 NEWPORT CENTER DR NB
Description: COMM TI "MARRIOTT" 87860 SF & ADD 2676 SF (PACIFIC POINTE BLDG) 198 GUESTROOMS
Legal Desc.: P BK 75 PG 33 PAR 1
Owner: NEWPORT CENTER HOTEL LLC
Contractor:
DIGNEY YORK ASSOCIATES LLC
Architect:
TYNER RUSSEL EDWARD
Address: 1400 NEWPORT CENTER DR STE230
Address:
1919 GALLOWS ROAD # 950
Address:
2630 SEPULVEDA BLVD
NEWPORT BEACH, CA 92660
VIENNA VA 22182
TORRANCE CA 90505
Phone:
Phone:
703-790-5281
Phone:
310.326-3050 State Uc:C014979
Applicant: WICKETT BJ
Con State Lic:
1080482
Engineer:
STEWART JOSEPH E I -S F 4:0' '7p�y_ —^ M"�
Address: 2630 SEPULVEDA BLVD
Lic Expire:
0813112023
Address:
2401 COLORADO AVE, #315 d 'Ni%.d' d L- �..J
TORRENCE, CA 90505
Bus Lic:
BT30076453
SANTA MONICA CA 90404
Phone: 310-750-8223
Lic Exp Date:
0613012022
Phone:
310/828-1536 State Lic:S-003065
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: I-A-SPR
Carrier:
TRANSPORTATION INS
Address:
Occupancy Group: R1
Policy No:
7011432027
Added /New sq.ft. Bldg: 2676
Expire:
10/01/2022
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 16
Building Setbacks
Rear: I
Special Conditions:
No of Units : 0
Front: /
Bldg Height: 0
Left: /
4V i�aAACbYVS
Bldg Sprinklers: y
Right: /
,V x AMIra
Building Permit Fee:
$23,028.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee:$20,102.36
Additional Fee :
$0.00
Plan check Fee :
$208.00
Fire Inspection:
Overtime Plan Ck:
$15,025.77
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
Investigation Fee:
$0.00
Grading PC Consultant''
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$378.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
Energy Compliance:
$550.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
CA Seismic Safety:
$1,663.20
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
Disabled Access :
$944.00
PM/ Plan Check: $710.50
Grading Bond:
Hazardous Mat
$0.00
Electrical %:
$6,028.73
San Dist : $5,378.69
Building Green Fee :
$238.00
Mechanical %:
$4,736.86
NMUSD Fee: $772.80
Plumbing %:
$3,875.61
TOTAL FEE : $86,028.52
r rtv�.�ou oar o,.
ZONING APPROVAL:
GRADING APPROVAL:
`1I
M
Plan Check Fee : $86,028.52 Fee Due at Permit Issuance
PUBFIC WORKS APPROVAI
PLAN CHECK BY
APPROVAL TO ISSUE:
$0.00
$1,579.00
$26.00
$219.00
$564.00
$0.00
$0.00
$0.00
$0.00
KH _6 5 jib
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
:he 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
tot 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
mprovements 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 Iegalll
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 fallowing Web site:http://www.leginfo.ca.gov/calaw.html.
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 70 ) of Division 3 of the Business and Prof si ocrjje appdmy nse is in full force
and effect. License Class License No Date �— contractor signatureJ�Y �.V�( ��iJ
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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
rformance of the work for which this permit is issued. Policy No.
I 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' compensatiol
insu nce carrier and policy number are: y�
ar r, 1_%T 1 Yl�PiM(.i�ilJ!\f,\ \V\N Q1�11gz,L -� Policy Number _-_�O Expiration Date Ii, M01'2-
Name of Agent P uv\A C.A(ar-\ Phone # lggQ — 4OR - 'c,;IoDD
❑I Certify 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 agre
that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
DECLARATION of ON Ii, Gant It'r`G CONSTRUCTION C
Datek�
LENDING AG ��Y
I hereby affirm under penalty 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).
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 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 ter th bove-identified propert to y for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam Date
ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
R ULATIONS PART 61 OFTITLE 40 AND AQMD RULE
PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFI-:A'I
PERMIT EXTENDED LJAQMD
PERMiTFINAL
CERTIFICATE OF �� S / ASBESTOS€NNO�TIFIICATpION ISrNOT
-yAPPLICABLE TO
OCCUPANCYISSUED SIGNATUREY M11 U 1 \\l /�UAN