HomeMy WebLinkAboutX2021-2273 - Permitsri,wt=Uk City of Newport Beach - Building Division
4 0, 100 Civic Center Drive, Newport Beach, CA 92660
ti Permit Counter Phone (949)644-3288
c... Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC
COMB Permit: X2021-2273
Project No : 1965-2021
Issued Date : 10/06/2021
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010612024 OR PERMIT I L BE
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
Job Address: 660 NEWPORT CENTER DR NB St: 1 FI: 14
Description: COMM TI - NON-STRUCTURAL ELEVATOR LOBBY REMODEL 475 SF
Legal Desc.: P.M. 295-33 PAR 6 POR OF PAR
Owner: IRVINE CO Contractor: ESPLANADE BUILDERS INC Architect: MORFORD PAUL
Address: 4343 VON KARMAN AVE #350 Address: 23820 HAWTHORNE BLVD Address: 4675 MACARTHUR CT #100
NEWPORT BEACH, CA 92660 TORRANCE CA 90505 NEWPORT BEACH CA 92660
Phone: Phone: 310-783-7664 Phone: 949-863-9434 State Lic:C019058
Applicant: YAM MARK
Address: 392 N LEMAY CT
ORANGE CA 92867
Phone: 626-757-2320
Code Edit :
2019
Type of Construction:
I-A-SPR
Occupancy Group:
B
Added /New sq.ft. Bldg:
475
Added /New sq. ft. Garage:
0
No of Stories:
16
No of Units:
0
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Valuation: $120,000.00
Building Permit Fee: $1,384.00
Plan Check Fee: $1,204.08
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$42.00
Energy Compliance:
$84.00
CA Seismic Safety:
$0.00
Disabled Access :
$120.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
TOTAL FEE: $3,301.91
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
831964
Lic Expire:
0212812022
Bus Lic:
BT30045862
Lic Exp Date:
01/31/2022
Worker's Compensation Insurance
Carrier: ZURICH AMERICAN
Policy No: WC380467000
Expire: 0110112022
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
'Eking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$362.33
$0.00
$0.00
0
Engineer:
Address:
Phone:
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
P/W Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lic:
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$48.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $1,677.15 Fee Due at Permit Issuance : $1,624.76
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 far 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-Builderwill 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 legal)
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 Property Owner or Authorized Agent Date
LICENSED GUNTRACTOR'S DECLARATION
"I h.En7by affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 10) o Divis' n f the Business and Prof s o ode, Ind my Iic e i in ull force
and effect. _.: ense Class License No Dat Contractor Signatur
iKORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T U AND DOLLARS ($100,006), IN ADDITION TO THE
COS OF COMPFNSAI IUN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hulaby affirm under penalty of perjury one of the following declarations:
�P I have and :pill 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 the
formance 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' compensatio
urance carrier and policy number are:
'Carr'sr Policy Number Expiration Date
Name of Agent _ Phone #
❑I certify that, in the perforiflance of the work for h 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 subOct the workers' co sation p ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signatureof Applicant% Date IV_l-Y
DECLARATION REGAR ONSTRUCTIC) LENDIN AGE CY
I hereby affirm under peme ty f 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 t e property owner's behalf.
I have read this application and the information ave provided i c rrect.
I agree to comply with all applicable city and co my ordinances tate laws relating to building construction.
I authorize representatives of this city or cou t r
the abo e i en i ro rt for inspection purposes.
Signature of Property Owner or Authorized Age rint Property Owner's or Authorized Agent's N e� to -
ACTION DATE B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
QM D
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
WIA�9ESTOS NOVIFICATION IS NOT
POSE D LITION t,
SIGNATUR M W iTvA d
P0 I
BILE TO
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