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Home My WebLink AboutX2020-2833 - Permits (3)�1.VWWP City of Newport Beach - Building Division `X2020--2833* COMB Permit: X2020-2833 ,,(:. - OR 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2241-2020 Permit Counter Phone (949)644-3288 H , u .@ Inspection Requests Phone (949)544-3255 Combination Type - CIP ELEC MECH PLUM Issued Date : 02126/2021 r"144iti s YP Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/27/2024 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: 20361 IRVINE AVE NB Description: COMM - TI "VINTAGE DESIGN" COMBINE SUITES B1 & B2 (5340 sf) g _T0 J Legal Desc.: Owner: THE JETTY NEWPORT BEACH LLC Address: 35010 JAMBOREE RD #4200 NEWPORT BEACH CA 92660 Phone Applicant: WHITE TOBIN Address: 16612 GRAND AVE BELLFLOWER CA 90706 Phone: 917-301-8776 Code Edit: 2019 Type of Construction: V-B Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $3,577.00 Plan Check Fee: $3,111.99 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $132.00 Energy Compliance: $343.00 CA Seismic Safety: $0.00 Disabled Access : $490.00 Hazardous Mat $0.00 Building Green Fee : $20.00 TOTAL FEE: $11,377.25 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: DALTON R M CORPORATION Architect: WHITE TOBIN Address: 1400 BRISTOL STREET NORTH #120 Address: 16612 GRAND AVE NEWPORT BEACH CA 92660 BELLFLOWER CA 90706 Phone: 949-644-9463 Phone: 917-301-8776 State Lic:C035284 Con State Lic: 776183 Engineer: Lic Expire: 0313112022 Address: Bus Lic: BT01031308 Lic Exp Date: 02/2812022 Phone: Workers Compensation Insurance Designer: Carrier: OAK RIVER Address: Policy No: RMWC124927 Expire: 1112212021 Phone: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I arking Spa $0.00 $349.00 $0.00 $0.00 $0.00 $0.00 $0.00 $936.46 $735.79 $602.01 0 BUSHRA RAFEEK 2564 W WOODLAND DR ANAHEIM CA 92801 , 714-522-0911 State Lic:S-004490 Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $86.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $5,352.07 Zone: Fire Department $185.00 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 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $6,025.18 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 11 APPROVAL TO ISSUE: e_1,A-A"No 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 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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). 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). 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.MITI. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION /J hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S tion of Division 3 of the Business an of sioons d , q ny lice is in full force nd effect. License L;ia,vs License No e'2 t Contractor Sig r; BORKERS' COMPENSATION DECLARATION 'ARNING: -AILURE 'O SrcUSE 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 COMPENSAI,CN, Df.MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I,eruby affirm under penalty of perjury one of the following declarations: 71 hare and will masrtain 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 prtdjmance of the work Forwhich this permit is issued. Policy No. and wi!' maintcin 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' carrier andpolicy number are: Policy Number Date a of Agent Phone # �erflft, that, in the performance the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the if I shop buucn,r`„�� to t� workers' 96)npensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ?reby 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). lder'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 inan as and state laws relating to building construction. 1 authorize representatives of the %& city panty en r th7 bove-idg 'ied property for inspection purposes. Owner's or Authorized AD ACTION DATE V' BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE -, 1403 PERMIT EXPIRED PERMIT CANCELLED PERMIT FINAL psi/O7/z1 Jprw� ASBESTOS NO I ,,q,(�; ION IS NO PLICAB TO CERTIFICATE OF DE LI y OCCUPANCY ISSUED per�✓l 5IC'NATII d //�� ; �� laws of California, and