HomeMy WebLinkAboutX2021-3290 - Permitsw,yen�. City of Newport Beach - Building Division *X2021-3290* COMB Permit: X2021-3290
100 Civic Cent r Drive, Newport Beach, CA 92660 Project No : 1428-2020
Permit Countei Phone (949)644-3288
Inspection Req jests Phone (949)644-3255 ° a-' + as ° ,' Issued Date : 01/05/2022
Combination Type - BLDG ELEC Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 01105/2025 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: 3700 (CS) CAMPUS DR NB
Description: COMM *ADDITIONA SCOPE* NEW PLATFORMS AND RETROFITTING
Legal Desc.: P BK 104 PG 37 PA 1
Owner: CLAYTON NICK
Address: 3700 CAMPUS DR A
NEWPORT BEACH,
Phone: 949-852-0300
Applicant: COASTAL BUSINE:
Address: 24310 MOULTON P
LAGUNA HILLS CA
Phone: 949/336-1550
Code Edit : 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: I
Added /New sq. ft. Garage: I
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
F
uction Va I u a"on:g Permit Fee: $249J
heck Fee: $216.63
e Plan Ck: $0.1
igation Fee: $0•d Management: $12.
y compliance: $0.
ismic Safety : $0•
ed Access : $0.
dous Mat $0.
g Green Fee : $1.
PROCESSED BY:
Contractor:
PROCELL
Architect:
„
6
Address:
3020 W HARVARD ST
Address:
4 92650
SANTA ANA CA 92704
Phone:
State Lic:
Phone:
714-617-9921
GROUP
Con State Lic:
951819
Engineer:
Address:
PINA PAUL
10650 REGAN ST #482
VY, STE O #1009 Lic Expire:
0813112022
LOS ALAMITOS CA 90720
2637-3306
Bus Lic:
Lic Exp Date:
BT30076409
08/27/2022
Phone:
562-652-5330 State Lic:C-0041035
Worker's Compensation
Insurance
Designer:
,
Carrier:
CYPRESS INSURANCE CO
Address:
-
Policy No:
PRWC231333
Expire:
09/1712022
Phone:
-
Building Setbacks
Rear: /
Special Conditions: REV21.1921
.>>�
Front: I
Left: /
Right: /
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
000.00
Excise Tax:
$0.00
Planning Department-
Fire Department
$52.00 Fire Inspection:
$0.00
Additional Fee :
$0.00
Plan check Fee :
Fair Share :
$0.00 Fire Plan Rev
$0.00
Grading Bonds Fee:
Grading PC Consultant:
$0.00
$0.00
SJH Trans:
$0.00 Demolition Fee
Building Dept Adm
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Public Works Department-
$0.00
General Service
$0.00
Grading PC Fee:
$0.00
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
WO Insp. Fee:
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$32.59
San Dist:
$0.00
$0.00
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEES: $563.22
ZONING APPROVAL:
GRADING APPROVAL:
!r
Plan Check Fee : $268.63 Fee Due at Permit Issuance : $294.59
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVALTOISSUE:
Mk
OW N�-8U ILD DECLARATION
I hereby afirm under penatyof perjury that I a m exerrpt from the Ccnuacbrs' Slate License La -a, for Awe reason(s) indicaled below by Ale dreclnwk(s) I have phced nerd to the applcabk items)
(Seobon 70L31.5. Business and Pro L.ssbns Code: Anyctyo r ocunryl hat r[ZTulres a pernY 10 construct, alter, Irrprove, demo) sh, or repay any st'IYCtue, pr Or I8105 is slranmE. 3150 re¢ru25 the a applicant br
Prolass
the pernY to Ile a signed he orslate:s nt star he or she is tcensed pursuant s due plc -Edon of aee Contracbrs' Stae License Lau (Chapter 9 (cort nencing with Section 7000} of Di'vtsion 3 of the Business and
not more thrtsan
Code) u crehat d ll she s e>�nept from (censure and the basis 'a the a6eged a ertption. Any notation o f Section 7031.5 byanyapplcant br a perm subpcts the appicant to a dvl penallyof
not more than fr:e hundred dollars t55(y0}.
❑ I, as ownero f be property; or my enployees w th wages as their sole compensation,will do (j al of or U portions of the work, and the structure is not inended or o iilered br sap (Section 7044. Business and Pofessons Code: The Contracbrs' Slate License Lawdoes not applyb an aunerof propertyw•ho, through empb)se�or pell
rsonal effort, bus or inpro as the pbper[y, provided that the
Improhements are rot in"e-d or ofbred for sale. If, hcweher, the building or inprosement is soli wthn one year of arorrpletio n, he ON nor-Buide r w 4 have the burden of pw %in that it was not bolt or
FIm roved br the pu rpcse of sale_).
I, as Owner o f the proper ly, a m exdusi,•efr• eontraahg wth I censa7 Contra ebrs to cons tract the prgect ( Section 70 44. Bushe ss and Professions Code: The Ccntractxs- Sti a License Law does not
ffale y b an Owner of propertywho burins or it proves dwx n, w6d who contracts for the proRcis with a Icensed COnPaCbr pursuers[ to the Contractors State License (Law).
I am exe1 , t f-om }censure under the Contractoa' Slate License Lar for the blloa•ing reason:
B y rty signalu re be per I ackcrwkledgethat except br mype 64n4 residencen w•hah Imu st Ka r�ded for at teas t one year pr*r b complevon ofthe Irpro*ments mvered by the perrriL I cannot}kgath
sell:} structure hat I ha tie built as an ownee bukder if i has not been constructed in is entiretyby (coned contactors. I understand that a oopyet pee optima ble law. Becton 7044 ot1M Business and
Froessioas,( c-d� is available upon regvestwhen his applcatbn is subrcived or at[M_fciba•ing Web si2htp:.bk•xw. bainio.m.andthat a copf.
Sgna Lure of Proper�YCA ner or Authorized Agent Coe LIC=N SED C7NTRACTOR'S DECLARATION
the rebyaf:rm••rdsr penalty,ppf pryttLat11 m lice,rtsed underprousbns of a 9( nmencingwith Section 7000) o Ltvk n of the Business -s aProfess ions n� foense is in full for ce
an;; effect. License Gass �j� ((0� L License hb1 [ate or to Cantracbr 5ianaeue
WORKERS' COMPENSATION DECLARATION
IhA; Oiltq: iIiLURLi0.t3A1gEY•'ORxHY t'Lbl1 PFX WlON C0191A0EItUNICN FIJr AJ1Di LfJ crA at ROY TO CRfa FALiENH.TEIA C Ftl Iu TOONE Mkl®FHI T1iOU lA1C DOLIAR f(I'f00-m4WAOOfrgN TO THE
COITOFCOMPENa ON,OANAOEIAIRRO•MOWFORai WCT`"IAIOFTNELA COOEIXrEF.E1r,W ATTd EYlTMi
I hereby a elmh under penalty of pefyTyone of the following declarations
L7 6 ha ere a.W w:l ,naintan a cerlifhcate of consent to self -insure for workers corrpensatcn, issued by Are Director of hd'ustrial Pe Utbas as provided br by Section 3700 of the Labor Code, for h[
ofrhe work for whch the permit is issued PolcyNo,
3` h� ave area wii m.: htan w O"rs' canpehsaton nsurance, asrequired by Section 3700 of the Labor Code, for dhe performance of the work Sor whch this p+_mh.'t is 3ssuei, Aly wbrlmrs' coupons atior
nsurance careranc policy number ar
LK%
Co rrier�y pY[55 I NSUYAh GP L"Y Pol cy t,krmber �p . W G 231333 Expiration DvE _ CqI 17I Z2
tic are of,5j1 rent —/
Phone F
01 certly plat, n the perbrrtance of the wo rwhich his permit is issued. I shal not employ anyperson n anyrranner so as b become sub' t to theworiefa m that, e I should become subject to then o J� lrpens anon la•w s of CaG'(oma, and agr
eTpe nsaton protisb ns of 310J Of tine Lobo Cade, 1 shatl torAreith cortply w4h t»se provisions.
3gnatu,e orA
CECLA RATION REGA RIDING CONSppicant �e� 01/P5/?-Z
T NG AGENCY
I herebya-M"under penalty of perjury plat there is a 00=111ttbn lending agency br the perbnrance of the work for which the perrrit is issued (Section 3097, Civil Code).
Lender's Name
D/ rrysignature below, I ce ffyto each of the folbuing:
I am he properly Owner or auharced to act on the propertyowners behalt
I ha ve read this application and the inforrre Eon I have provded is ow ect
Agree to mrrply with all applicable city art coon tyardinanoe a la,
I au Vmze iepresen hives 0 f pusctyo r coun ty b en ter the i' ._.
RCGUtA71ONS PARTG1 OTC
1403
r
I5701:tlLJ TTTD MaTs7p5
CIRT1Fh OATf OF I %-'o �/ l PROP=.D
OCCUAWCYIssULII
relating to bu idin g cormructon.
Opertyforinspection purposes.
.40 AND AQIdO RULC
HCATrON TO
OT PLKARLE TO
eners err Authorized Ag
FOR OFFKE USE ONLY
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