HomeMy WebLinkAboutX2021-2869 - PermitsCity of Newport Beach - Building Division
*X2021-2869*
COMB Permit: X2021-2869
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Project No : 2503-2021
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Inspection Requests Phone (949)644-3255
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Issued Date : 01/0612022
Combination Type - CIP MECH ELEC
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110612025 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: 840 NEWPORT CENTER DR NB St: 1 Ft: 2 Unit: 200
Description: COMM TI "AVIATION CAPITAL" 515 SF +�
Legal Desc.: P BK 136 PG 22 PAR 1 a+++,
Owner:
IRVINE COMPANY LLC
Address:
PO BOX 2450
NEWPORT BEACH CA 92658
Phone:
Applicant:
MIKE/INTERIOR ARCHITECTS
Address:
17877 VON KARMEN AVE #200
IRVINE CA 92614
Phone:
949-798-7300
Code Edit:
2019
Type of Construction:
I-A-SPR
Occupancy
Group: B
Added /New sq.ft. Bldg: 515
Added /New sq. ft. Garage: 0
No of Stories: 7
No of Units : 0
Bldg Height: 0
Rhin .4n6,,klers' Y
Contractor:
JLC ASSOCIATES INC
Architect:
KELLY LISA M
Address:
3198 A AIRPORT LOOP DR
Address:
17877 VON KARMAN #200
,
COSTA MESA CA 92626
IRVINE CA 92612
,
Phone:
949-241-4430
Phone:
949-798-7300 State Lic:C032528
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Con State Lie:
645576
Engineer:
HAIGHT CHRISTOPHER
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Lie Expire:
05/31/2022
Address:
1401 DOVE ST#240
Bus Lie:
BT30053881
NEWPORT BEACH CA 92663
Lie Exp Date:
01/31/2022
Phone:
949-623-9957 State Lic:S-004596
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Worker's Compensation
Insurance
Designer:
as
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+
+
Carrier:
INS CO OF THE WEST
Address:
Policy No:
WVE504621603
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Expire:
01/01/2023
Phone:
Building Setbacks
Rear: /
Special Conditions:
Front: /
Left: I
Right: /
Flood Zone:
X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation:
$62000.00
Building Permit Fee:
$842.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $732.54
Additional Fee :
$0.00
Plan check Fee :
$52.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$472.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$28.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$61.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
CA Seismic Safety :
$0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access :
$91.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$117.88
San Dist :
$0.00
$0.00
Building Green Fee :
$3.00
Mechanical %:
$92.62
NMUSD Fee:
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $2,492.04
Plan Check Fee
: $1,408.54
Fee Due at Permit Issuance :
$1,083.50
PROCESSED BY:
ZONING APPROVAL:
01
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
mY- 3R
OW NEK-BU LDER DECLARATION
I hereby a$inhuncier penatyofperMY hair I am etunpt bum to C4dnbacbrsSato License law for the reason(5) iadbcaled below by he ttetdaatk(s) I have paced and to the appfraible eem(s)
Sedan 70315. Business and ftobssi ns Code: Arryatyorcounty1hat ratfumes a perm to consavet, alter, atprowe, dampish, or repairanysaucti priorTons issuance. also mWi es theappscant br
he punift to fie a signed statement he hear she is licensed pursuant b the pe visions of he Conaaptors' State L is mse lair ((7ugter 9 (ooarmericatp w fh Secion 7000) of LSvision 3 of tie Business and
4ohssons Cod*) or hat be or she s raempt icrrniam+atae saMd the basis for the alleged exemption,. Any 4oiaticn of Section7031.5 byanyappicant iir a palm subjects dio appicrert to a dvil penally of
of vrore than Awe hunded doaxs (5500).
1, as owner of he property, or mry eanptoyaieswth wagte as (heir salecompensation. wd do U al of o {} portions of the waif and to stud" is not inierhded o oAated br sate (SMion 7044,
kmaess and profassa s Code: The Cantracbrs' Sate Lamm Law dots root api loan the nor ofpropttdywho, thuoup enpbyeef cc personal effort. busts or impro es the property, provided that the
Tapmverwmarerotin*odeRdoroffwrediprsaW If, however, toa. buR*V or iniprovementh soldwthn one year ofeomplation, he Ownerainberwd have the' burden of powrg'hat awns not brut or
'rI,
Yed br the purpose of sale).
J as owner Of # a p perry, a n ezriaskoy connoting will. licensed Conaactors to constuct he pnjtct (Sacfon 7044, BusheIs and p'rofessiau Code: The Cantacbrs' St oe License Law does not
�y b an vwrer otp„+artywho builds or irniprows, hereMn, and who contracts (or the projects wit a toensed Contadtt pursuant to the Gontracttxb� State License Law) -
I an. wempt limo, n loxr.sure under the Cbntraatom" Sate License Law for he btowinq reason:
ly aysigna'Ltre bebw iarkow Edge Chat except for mypespinal residence h oncch l mist haw residled at least one Ivan prior b conipletion of the air owments co wFed by Ms pemrit l cannot 3e9a7Yg
�P-& a =tuc'ure hat I ha ve built as an own er-bufder if t tsits not been oaastucted in is entaetyby licensed contactors. 1 understand hat a oopyof the applca bie law. Sector. 7044 of the Susinessand
nraEss:a.os Code. is avaAabla upon request when has applicator is submitted or at the follow ire Web site htIp7Nwwrw. legavtb.oi;. gov+batrw.h"
Ngrm tum of Prolde Try Oar arc or Aubw&ed Agent IaE
_ICEM 9cO CONT fiAI:TOR'S DECLARAT ION
her,�h,,P-*m; amder =xe�abyof perprythat Iam ticenaed tvruw proisionsof Chapter 8(cormTer c vt Section 70fi30) f 'siortc 3 o(the Busdips 0 and profess ow ce-cs ao full force
end Of&= Uceer k(). a t.ioanse No Gate] ,� Ccratacor Signature_
NCIRKERS' CONFENSATION DECLARATION
tLnA"-F{,LLIRETQ:a3tGY'wY'ORIt8t1'ppaaE.M ilw'lON pAL13r'AOEaUlawN1PLL.AIO]MALL LMLECT AA 911FLOER TO 0RA1WrE'NALTE A MCI CAL ra MUPT004E N ThouIAAODQUARa(armd;iie, a ADOMON TO THE
MIT OF COMP"WiMr L AM4r EIAI PAOwfG@FORIN *CrXM ]xraOF THMPAORCODE,,IWrMIT, AMO C rOMEY IF HEA.
logrreiryaAnrrn under penatyof perjury one of the following decbrai
I nave and wd :Tamuin a r ertficate of consent to set -insure far worii f oompeaasatbra, ssraad by the Director of hedusuial Fir- lotions as provided or bySection 37010 of the Labor CAde. for Lae
ofthework for whichlhis perimitis issued FoicyNo.
! tout and w1I mantas w c4Ws' ccMpensatora hsurance, as required by SLa*m 3700 of tte Labor God*, fear tie perfomiance of be work for evtWctt ttiis perm is issued. My worker&' corrpennsatar
anat carer and polcv number are:
DUL
ore of Agent Phore a
cerbly hat. n tfie pert; Trance of the 'or ottt forwhiich his pewit is issued. I steal tact employ anyperson n anymanner so as b beeorrne subject to the worlers oompers ation law s of Call four a, and
, if I should become suboact to
/ (y�Qggq(Irrr' r5' 1�ojortT(�rtsatior proviso ns of Section 3703 of the Labor Cade. 1 &'hall foreTRith congas wih those provsions,. j
aat ure of Applicant X Y \�Li X/✓�%�G�,G C>aa x
:LA RATION REGA FaMG CONST F3dCr ION t EMM4Ci AGENCY
.re(ryaAnrrar wrxW penaftyof perjuryhat there is a. ccastruabn lending agency lea the perbrrranoe of the work for which dos parrmt is issued 1;Section 30F, Ovil Coda).
ider's Noma Landers Address
mysignattae below. I rrerefytoeach otthe fullpwahg:
I err he prbpertycwner or autuoreed toast on the propemyowne fs behalf
i have read thus applicaton and teas intonation I have provided is correct.
I agree to tsmptywrth V appIcable, sty arrd countyor linattoes and sate taws rels.tvnp to bu lding constrrrcton.
I auhor¢e spreseriatves ofhis Ctyor coLurttyto epStrwte above-dtntl5td property for mnsptcbm puposes., fl X �IU Z2
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AMULM MS PART 61 OFTM C 40 AND Aalkil) RtAC
1403
NOTIF
CFRTWICATE OF
OCCUFAWYI,tSUM
NOTIFICATION TO
FOR OFFICE. USE ONLY