HomeMy WebLinkAboutX2021-3315 - Permits,�yy,K•iry4, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3315
r� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 3 3 1 5
Project No: 2873-2021
Permit Counter Phone (949)644-3288
t Inspection Requests Phone (949)644-3255
Issued Date : real
12022
Combination Type - CIP MECH ELEC PLUM : 7
4r+.m
Inspection Area
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0311112025 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: 4701 TELLER AVE NB .�.
Description: COMM TI "MIRAMONTES CAPITAL" 7,740 SF
Legal Desc.: N TR 9626 LOT 11
Owner:
CLAREY/KAO
Address:
4701 TELLER AVE #A
BEWPORT BEACH CA 92660
Phone:
Applicant:
BRENDA/TOKA MELINDA
Address:
9850 IRVINE CENTER DR
IRVINE CA 92618
Phone:
949-679-6880
Code Edit: 2019
Type of Construction: VB
Occupancy Group: B
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 1
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: N
Flnnd 7nne' X
Construction
Building Permit Fee: $9,796.00
Plan Check Fee: $8,522.52
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$60.00
Energy Compliance:
$550.00
CA Seismic Safety:
$0.00
Disabled Access :
$944.00
Hazardous Mat
$0.00
Building Green Fee :
$72.00
TOTAL FEE : $27,390.82
PROCESSED BY:
ZONING APPROVAL:
Contractor:
CASCO CONTRACTORS INC
Address:
9850 IRVINE CENTER DR
IRVINE, CA 92618
Phone:
949-679-6880
Con State Lic:
790706
Lic Expire:
01/31/2023
Bus Lic:
BT30041027
Lic Exp Date:
1013112022
Worker's Compensation Insurance
Carrier: ZURICH AMERICAN
Policy No: WC452503200
Expire: 01/01/2023
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: /
$0.00
$357.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2,564.59
$2,015.04
$1,648.67
Architect:
SANTILLAN MICHAEL
Address:
30 THOMAS
IRVINE CA 92618
P y
Phone:
949-714-9990 State Li¢CO23337
ri
Engineer:
Address:
®°^�
Phone:
State Lic:
0
Designer:
OSBORN CHERYL
Address:
9850 IRVINE CENTER DR
IRVINE CA 92618
Phone:
949-231-8596
Special Conditions:
Fire
Planning Department -
Plan check Fee
Fair Share:
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PNV Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
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: $13,323.18 Fee Due at Permit Issuance : $14,067.64
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: V APPROVAL TO ISSUE:
J
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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Usiness 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
nprovements 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
nproved for the purpose of sale).
D 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
pply 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).
D I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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)
ell 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
Irofessions 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
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 of ivi ion 3 of the Business and Pr fes Cod ferfTmy license is in full force
nd effect. License Class License No Date Contractor Signatur
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm 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
erPSpmance of the work for which this permit is issued. Policy No.
have and willifPpintain workers' com ensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rance carrier d licy number ar IF %�
ter 11 om6er lieftu/ Expiration Date
le of Agent
certify that, in the perfo� f the
if I should become subject to the we
of Applicant
for which this permit it issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
,e0f5ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
at' 3�11�2�
IECLARATION REGAYEDING CONS I IRUCTION LENDING AGENCY
hereby affirm under pfenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
ender's Name Lender's Address
ly 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 oun y ordinances and state ws relating to building construction. q
I authorize representatives of this city or countNJ the above= ntified.prpperty for inspection purposes. _
of Prooertv Owner or Authorized
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
I DATE I
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1403
PART 61 OF TITLE 40 AND ADMD RULE
NOTIFICATION 15 NOT APPLICABLE TO
FOR OFFICE USE ONLY
Civil Code).
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