HomeMy WebLinkAboutX2021-0899 - PermitsCity of Newport Beach - Building Division
A 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone(949)644-3288
x Inspection Requests Phone (949)644-3255
4 a Combination Type - BLDG ELEC PLUM GRAD
Illllllllllllulllllllllllllllll II COMB Permit: X2021-0899
x 2 0 2 1 0 8 9 9 Project No : 0830-2021
Issued Date : 03/16/2022
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311612025 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: 1101 NEWPORT CENTER DR NB
Description: COMM REINFORCEMENT & TEMPORARY SHORING OF REMAINING WALL & ADD NEW WALL, & ROUGH GRADING (34,848 SF) W/U/G UTILITIES
Legal Desc.: P BK 221 PG 30 PAR 7
Owner:
IRVINE CO
Contractor:
CUESTA CONSTRUCTION CO
Architect:
ROSE HUGH MASON
Address:
550 NEWPORT CENTER DR
Address:
3195A AIRPORT LOOP DR
Address:
144 NORTH ORANGE STREET
NEWPORT BEACH, CA 92660
COSTA MESA CA 92626
ORANGE CA 92866
Phone:
Phone:
714-557-5877
Phone:
714-639-9860 State Lic:C030461
Applicant:
ROSE HUGH MASON
Con State Lic:
568466
Engineer:
THIESSEN MITCHELL
Address:
144 NORTH ORANGE STREET
Lic Expire:
0513112023
Address:
38 TECHNOLOGY
ORANGE CA 92866
Bus Lic:
BT20012806
IRVINE CA 92618
Phone:
714-639-9860
Lic Exp Date:
12/3112122
Phone:
949-923-6293 State Lic:C-056967
Code Edit:
2019
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
INSURANCE
CO OF THE WEST
Address:
Occupancy Group:
U
Policy No:
WSD503883004
Added /New sq.ft. Bldg:
0
Expire:
12/3112022
Phone:
Added /New sq. ft. Garage:
0
No of Stories:
0
Building Setbacks
Rear: /
Special Conditions:
No of Units :
0
Front: /
Bldg Height:
0
Left: /
Bldg Sprinklers:
Y
Right: /
Flood Zone:
Use Zone:
Parking Spaces:
0
Fire Hazard Zone :
N
Construction Valuation: $2,700,000.00
0 rA
Building Permit Fee:
$13,171.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee:$11,526.77
Additional Fee:
$291.00
Plan check Fee :
$0.00
pection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$48.50
Investigation Fee:
$0.00
Grading PC Consultant:
$1,102.08
SJH Trans :
$9.00
Demolition Fee
Record Management:
$0.00
Grading Permit Fee:
$2,632.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$2,531.76
Public Works Department -
General Service
$0.00
CA Seismic Safely:
$0,00
WQ Insp. Fee :
$0.00
Park Dedication :
$0.00
Refund Deposit
$o.00
Disabled Access :
$0.00
PAN Plan Check :
$101.50
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$1,724.08
San Dist:
$0.00
Building Green Fee :
$108.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$2,216.68
$0.00
TOTAL FEE : $35,453.37
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
U A
Plan Check Fee : $22,004.47 Fee Due at Permit Issuance : $13,448.90
F UBLF; WORKS APPROVAL: _
PLAN -CHECK 3Y:
APPROVAL TO ISSUE:
JV_
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 (_) all of or L) 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 -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 legall,
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 CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) Islon 3 of the Business and Profgssions C � y license is in full force
and effect. License Class License No Date . (�Contractor Signature ��
WORKERS' COMPENSATION DECLARATION 11
✓DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT ANO IL ES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, 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:
❑ I ve 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
rt rmance of the work for which this permit is issued. Policy No.
I)have 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
Lwifirance d policyfhJi���umber are: 1/ti5��i3U - 6 � �z
Carrier /i?�u�P C:F/X7b umber 0 Expiration Date r�A_'�
Name of Agent Phone #
certify that, in the perforTAnqe 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
if I should becomes ecjA'q he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
DaQ(__
CLARATION REGA'RDIt ECINSTRUCTION LENDING AGENCY
nder areby affirm upenal of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
Ider's Name % Lender's Address
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 o ances and state laws relating to building construction.
I authorize representatives of this city or county to me a above -identified property for inspection purposes.
nature of Prooertv Owner or Authorized Agent _ Print Property Owner's or Authorized Agent's NaI(
ACTION DATE BY V 7CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
IEGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION -n
PERMITCANCELLED EPA
PERMITFINAL 1• )- ZC4 (ram WASBtr STO-NO'I IFICF.T OT APPLICABLE TO
CERTIFICATE OF PROFOScD nl PNIOLITIO
OCCUPANCY ISSUED SIGNATURE:
Civil Code).
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