HomeMy WebLinkAboutX2022-0108 - Permitsywrq,4,� City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
4 y Inspection Requests Phone (949)644-3255
Combination Type - CIP MECH ELEC PLUM
*X2022-0108* COMB Permit: X2022-0108
Project No : 0125-2022
Issued Date : 0310812022
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 03/08/2025 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:
4770 CAMPUS DR NB
Description:
COMM TI GROUND FLOOR RESTROOMS 279 SF
s
Legal Desc.:
P BK 68 PG 19 PAR 1
Owner:
MAC ARTHUR COURT I LLC Contractor:
REDHAWK BUILDERS INC Architect:
Address:
PO BOX 2450 Address:
200 TECHNOLOGY STE L Address: f
NEWPORT BEACH, CA 92658
IRVINE CA 92618
Phone:
Phone:
949-754-9050 Phone: State Lic: s J
Applicant:
YAM AM RK
Con State Lic:
692901
Engineer:
FECAROTTA ROBERT
Address:
392 N LEMAY CT
Lic Expire:
10/3112023
Address:
18400 VON KARMAN AVE #600
ORANGE CA 92867
Bus Lic:
BT30027314
IRVINE CA 92612
Phone:
626-757-2320
Lic Exp Date:
03/31/2022
Phone:
_
949.252-1022 State Lic:S-004306 »..
Code Edit : 2019
Type of Construction: III
Occupancy Group: B
Added /New sq.ft. Bldg: 279
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
Construction Valuation: $77
Building Permit Fee: $1,050.00
Plan Check Fee: $913.50
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$34.00
Energy Compliance:
$61.00
CA Seismic Safety:
$0.00
Disabled Access :
$91.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE : $2,873.10
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Workers Compensation Insurance
Carrier: INS OF THE WEST
Policy No: WSD503114305
Expire: 0910112022
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: /
Front: /
Left: /
Right: /
larking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$274.89
$215.99
$176.72
a
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share :
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist :
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,376.10 Fee Due at Permit Issuance : $1,497.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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
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
Irofessions 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
lot 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,
3usiness 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
mprovements 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
mproved 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:
3y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
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. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000),of Division 3 of the Business and Professi RAC n 'inniull-force
and effect. LICE Tr`Eoss License No Date 2'Contractor Signature
WORKERS' CC;V.PENSATION DECLARATION
N4RNINL4: FAILUKE TO -CURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS LS700,0001, IN ADDITION TO THE
--:CURE
COST OF COMPEnISA FION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA13OR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
1 have and %:i! 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
ce of he work for which this permit is issued. Policy No.
and will ,r,aintain workers' compensation insurance, as required by Section 3700 of the
carricr anJ policy number are:
Policy Number
Labor Code, for the performance of the work for which this permit is issued. My workers'
Date
lame of Agent
2 ,;crtify that, in the performance of the work for h 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
.Lt, if I shouq besurile subject to th ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
;ignature of Applicant Date
)ECLARATION RE RDING O TRUCTION 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, 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 law 'ng to building construction.
1 authorize representatives of this city or County to enter th - e ap2rty fob rispectioripurposea rn )ate i
Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Name �i d5C vC 3
ACTION DATE BY D LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
QM D
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
7
/N
SBESTOS NOTIFICATION IS NOT AP TO
ROPOSEDD M ITION
SIGNATURE: