HomeMy WebLinkAboutX2021-0913 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2021-0913
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 9 1 3 Project No : 0840-2021
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 06/24/2021
Combination Type - CIP ELEC
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/24/2024 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: 1071 NEWPORT CENTER DR NB
Description: COMM - TI 4378 SF "ATHLETA"
Legal Desc.: P BK 221 PG 30 PAR 6
e
Owner:
IRVINE CO
Address:
550 NEWPC
NEWPORT
Phone:
9491720-20C
Applicant:
LUZIO JOE
Address:
1350 E TOL
DES PLAIN
Phone:
847-291
Code Edit :
Type of Construction: I..
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage
No of Stories: 1
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Construction
Address: 1659 WEST ARROW ROUTE
CA 92660 UPLAND CA 91786
Date. �-, -zh
Con State Llc: 740882
ST L1c Expire: 0913012021
018 Bus Lic: 8T30075616
Lc Exp Date: 06I30/202
1 ,t ` r ee Compensation Insurance
R Carrier: NEW HAMPSHIRE INS
cy o WC0113266660
n E 03/01/2022
L,
09it et kir
0-1 Reari I ---
Front: /
Left: /
Right: /
Building Permit Fee:
$1,4'p pi)
Plan Check Fee: $1,232.79?j
Overtime Plan Ck:
0
Investigation Fee:
0
Record Management:
$.b0
Energy Compliance:
$9,1100
CA Seismic Safety:
$l♦a00
Disabled Access :
$131
Hazardous Mat
$O:pO
Building Green Fee :
$6.00
PROCESSED BY:
Note:
TOTAL FEE : $3,412.26
ZONING APPROVAL:
Excise Taz:
$0.00
Ad(ifNO�'I>started)
$0.00
Gryid-ing Bonds Fee:
$0.00
Grading PC Consultant :
$0.00
WQ Insp. Fee: Pam
N INC Architect:
Ad ress:
If app (Cable:
Phone:
I] 81 ❑ 100% ref
Address:
to WhQm. State
Designer: CHIPMAN JOHN A
Address: 1360 EAST TOUHY AVE, FI
DES PLAINES IL 60018
Phone:
Special Conditions:
qui
Planning De, r�ail$lork started) Fire Department
Plan check ee : $92.50 Fire Inspection:
Fair Share : $0.00 Fire Plan Rev
SJH Trans n Fee
Works
San Dist:
Mechanical %: $0.00 NMUSD Fee:
Plumbing %: $0.00
Plan Check Fee : $1,872.94
$O.OQ uildin' Dept
ntVnsp, initt3lS: 3ev
$0.00 d
Grading Bond:
$0.00
$0.00
Fee Due at Permit Issuance :
IPUPLIC WORT PPPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: - APPROVAL TO IFS( IE:
FLR E
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,539.32
0
Di
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 tnypl
t r
fiction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State apter 9Iifessions Code) or that he or she is exempt from licensure and the basis for the alleged exam on of Section 7031.5 by a
more than five hundred dollars ($500). �,,1
I, as owner of the property, or my employees with we a compensation, will do ( dII lyyti� of the work, and the struct
siness and Professions Code: The Co Cerise Law does not apply to an owner Qlfp w o, through em I e ',q�pp�Q�al
>rovements are not in a for sale. If, howeve ,the building or improvement is sold within one yearpTrctlrrr�I��DIL�V6i%1-guild
lrove¢fnr ose of sale). Z B0 0 LJ
I a ' n of the pro arty, am exclusive Ing with licensed Contractors to con struct th project (Section 7044, Business and Profs !on
)ly tOhlep are s or improves thereon, and who contracts for the pr. act with a licensed C ntractor u otll'e Contracts
[a +;ae t from Ilcensure under the. Contractors Stat cerise Law for the followings as tO Wh��
my slg' to below acknowledge at, except for my personal residence in hi I- u sided for at least one year priorto completion of
a strd rFe that have bmlt a'$ an owner -builder if It has not been construcfe0 mire y by licensed contractors. I understand that a copy of th
ifesslol ope Is available upon recjuest when this application Is submitted or followin Web site:http://www.leginfo.ca.gov/calaw.html.
nature Prs 3erty Owner or A,�thoriz6d Agent
hereby affitti,f ul
Ind effect QN111pe
VORKER,Q_C(
IARNING. FAIL4RE
:DST OF COMkNS/
hereby affirrANr
I have and H
art ante dF;tt
have and wil
isurance carrier
:artier
lame of Agent !
if I
penalty of perjury that I am licensed under provislc
License No
SECURE
TI
SAS PROVIDED FOR IN SECTION 3706
d9 a jury one of the following��d¢
a certificate of consent to, elf-
:(s) I have placed next to the applicable item(s)
prior to its issuance, also requires the applicant for
with Section 7000) of Division 3 of the Business and
it a permit subjects the applicant to a civil penalty of
is not intended or offered for sale (Section 7044,
art, builds or improves the property, provided that the
will have the burden of proving that it was not built or
of dFap%F4rCor1Wg with Section 7 00 o Division 3 of the Business
7-- Date —'L -2 Contractor Si
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL \PENA S A�O�1 L u TO ONE
t CODE, INTEREST, AND ATT ie FSES. Vnl,t )��
prkers' comp 1 Ed0by the pjreclor, Pt®tyl {it`riiaal Relations as pro
f by Section 3700 of the abor Code, for the performance of the_WD*-forG
DEE' The Contractors' State License Law does not
State License Law).
law, Section 7044 of the Business and
Date
is in full force
THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
by Section 3700 of the Labor Code, for
rmit is issued. My workers'
of the work forwhich 's.gei° sued, I shall not employ awn pBrearr'I y me ecome subject to the workers' compensation laws of California, and agre
hew pensation provisions of Sectio e�Labor o with comply with those provisions. %
- Date
1a1RUQTi0NCENDING,AGENCY'
hereby affirm under p a p?r) Wj4at4be ,is�a'-construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name m^'"' 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 to building construction.
I authorize representatives of this city or courized Agent ty -, ante PY brave -identified property for inspection purposes. \ /� 2�
Signature of Property Owner or Authovf-d Print Property Owner's or Authorized Agent's NarrtX wer, ' a F
ACTION DATE BY TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULA NS PART61 OF"TITLE 40 AND AOMD RULE
in the
of Applicant
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
LSTOS WTIFICr,IUN TO
IS NOTAPPLICABLE TO
XCZ6Z3 - W1-7