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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: