HomeMy WebLinkAboutX2021-2811 - PermitsCity of Newport Beach - Building Division
Vi 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : X2021-2811
Project No: 2447-2021
Issued Date : 1212312021
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/23/2024 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: 620 NEWPORT CENTER DR NB Su 1 FI: 12
Description: COMM TI - 12TH FL RESTROOMS 357 SF
Legal Desc.: P BK 295 PG 33 PAR 1
Owner: THE IRVINE CO
Address: 111 INNOVATION
IRVINE, CA 92617
Phone: 949-720-2400
Applicant: YAM MARK
Address: 392 N LEMAY CT
ORANGE, CA 92867
Phone: 626-757-2320
Code Edit : 2019
Type of Construction: V-B-SPR
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 12
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Flood Zone: X
Construction
Building Permit Fee: $1,564.00
Plan Check Fee: $1,360.68
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 :
$6.00
TOTAL FEE : $4,786.07
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
fxt�
Contractor:
. C D G BUILDERS INC
Address:
24 EXECUTIVE PARK #150
IRVINE CA 92614
Phone:
949-892.3510
Con State Lic:
921615
Lic Expire:
09/30/2022
Bus Lic:
BT30044670
Lic Exp Date:
09/3012022
Worker's Compensation Insurance
Carrier: LIBERTY MUTUAL FIRE INS
Policy No: WC2Z91470101020
Expire: 0112012022
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: /
Left: I
Right: /
larking Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$409.46
$321.71
$263.22
Plan Check Fee
Architect:
MORFORD PAUL
Address:
4675 MACARTHUR CT #100
NEWPORT BEACH CA 92660
Phone:
949-863-9434 State Lic:C019058
Engineer:
Address:
Phone: State Lic
Designer
Address:g
Phone:
Special Conditions:
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$26.00
General Service
$219.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
$1,875.31 Fee Due at Permit Issuance : $2,910.76
PI It3LIC WORKS APPROVAL:
PLAN CHECK BY: 09
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
1e 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
'rofessions Code) or that he or she is exempt from Iicensure 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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
nprovements 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
nproved 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
JOnly 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 Iicensure under the Contractors' State License Law for the following reason:
ly 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)
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Iignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section the Business and P e ins Co e, an my license is in full force
nd effect. License Class License No Date,
A Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 I 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 the
Wormance 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
of Agent
Date
JI 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 agree
tat, if I should become st.Ixq)ect to the worrkkerr'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �Z/Z3
ignature of Applicant 1 \ �'YN" Qat / '—I
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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, Civi Code)
ender's Name Lender's Address
y 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 to enjer the above identified property for inspection purposes. %4 y,
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 _
PERMITEXPIRED I SUBMITTED ASBESTOS NOTIF,CAT;ONTO �.
PERMITCANCELLED EPA
PERMIT EXTENDED QM D
PERMITFINAL G-IG - IL SBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PRO SED EM OUTJON
OCCUPANCY ISSUED SIGNATURE: