The URL can be used to link to this page

Home My WebLink AboutX2021-0550 - Permits4�xro4r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0550 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 0 5 5 0 Project No : 0498-2021 Permit Counter Phone (949)644-3288 F Inspection Requests Phone (949)644-3255 Issued Date : 03118/2021 Combination Type - CIP ELEC MECH PLUM Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0311812024 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: 895 DOVE ST NB St: 1 FI: 1 Unit: 100 Description: COMM TI "WOODSIDE CREDIT' 8534 SF Legal Desc.: TRACT NO 7694 LOT 4 AND LOT 5 POR OF LOT Owner: NEWPORT PLAZA OFFICE LLC Address: 4000 W METROPOLITAN DR STE 190 IRVINE, CA 92868 Phone: Applicant: WILSON MICHAEL Address: 17877 VON KARMAN IRVINE, CA 92614 Phone: 949-798-7300 Code Edit : 2019 Type of Construction: II-A-SPR Occupancy Group: B Added /New sq.ft. Bldg: 8534 Added /New sq. ft. Garage: 0 No of Stories: 5 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Building Permit Fee: $1,717.00 Plan Check Fee: $1,493.79 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $66.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $180.00 Hazardous Mat $0.0c Building Green Fee : $8.0c TOTAL FEE: $5,411.71 Contractor: CALIBER CONSTRUCTION INC Address: 240 NORTH ORANGE AVE BREA CA 92821 Phone: 7141572-0700 Con State Lie: 635842 Lie Expire: 0113112022 Bus Lie: BT30062464 Lie Exp Date: 0313112022 Worker's Compensation Insurance Carrier: TRAVELERS PROPERTY Policy No: UBOK197606 Expire: 02/13/2022 Building Setbacks Rear: I Front: I Left: I Right: I Zone: Architect: KELLY LISA M Address: 17877 VON KARMAN #200 IRVINE CA 92612 Phone: 949-798-7300 State Lic:C032528 Engineer Address: Phone: State Designer: Address: Phone: Special Conditions: CR R H TO HAUL DEBRIS Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Sham: Grading PC Consultant: $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PM Plan Check: $0.00 Electrical W $449.51 San Dist: $0.00 Mechanical %: $363.19 NMUSD Fee: $0.00 Plumbing %: $288.97 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: - - - - -- Fire Department $46.25 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 Plan Check Fee : $2,227.93 Fee Due at Permit Issuance : $3,183.78 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Tel M.(-- �S� 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, priorto its issuance, also requires the applicant for the 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 licensors 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 licensors 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.htmi. 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 fLEIALTIES of Dlvisi 3 of the Business and Profess! e, and I y I! nse is in full force and effect. License Class License No Date Contractor Signatu NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMI AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDI ION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affiml under penalty of perjury one of the following declarations: 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 th rf mance of the work for which this permit is issued. Policy No. 9"a a 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' compensatiol nsura a rrier and policy number are: /� r\`Jiro �Yl '�, Policy Numbery'P>o\c-1q�ua c�—ZI ZS -`-1 Expiration Date 2—�(3/ 2 Jame of Agent _ �I�'P.V\ L1✓�F'Ca1 Phone# 2 .5 -]. 2Is94 �/ 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 hat, if I should become subject to the o ' compe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant DECLARATION REGARDIN O TRUCT N LENDING ENCY--�1 hereby affirm under penalty ofp-e-q-u-ry7Fat there is a construW1qL leadfng agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name Lender's Address 3y 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 tobuilding construction. I authorize representatives of this city or cou�ntr�� er a above-id}}fj��t�iff� prope�rty for inspection purposes. _ signature of Property Owner or Authorized Aga /(� Y.f'JC.PZIt Property Owner's or Authorized Agent's Name1 /, ll (.VI .l (7i(, p/C(,(1�'e� Date PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED DATE V 1403 CATIONS PART T061 OFANCE WITAND AQMD RULERAL FOR OFFICE USE ONLY SUBMITTED ASBESTOS NOTIFICATION TO rcmvni ruvq�-I� 1 /` ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFIC4TE OF (// PROPOSED MO OCCUPANCY ISSUED 101 F" SIGNATDR :EV/ L,0ih..r^