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HomeMy WebLinkAboutX2021-0693 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP MECH ELEC PLUM IIIII�X 2 9 21 069 3��IIIII COMB Permit: X2021-0693 Project No: 0635-2021 Issued Date : 08/31/2021 Inspection Area : 7 NSPECI I I PROJECTS MUST BE COMPLETED BY 08/31/2024 OR PERMIT WILL BE INVi PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID 1 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 Hob ays Job Address: 320 MARINE AVE NB St: 1 FI: B Description: MIXED USE TI "BALBOA GRILL" 1,358 SF, ADD 71 SF AND CONVERT 290 SP FROM RESIDENTIAL Legal Desc.: BALBOA ISLAND SEC 4 LOT 11 BLK 14 E 75 FT Owner: 320 MARINE AVE LLC Address: 2505 W COAST HWY #201 NEWPORT BEACH CA 92663 Phone: Applicant: WADE EILEEN Address: 10540 TALBERT AVE #175 FOUNTAIN VALLEY CA 92708 Phone: 949.515.9600 Code Edit : 2019 Type of Construction: VB O anc Group: B ccup y Added /New sq.ft. Bldg: 1358 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $1,564.00 Plan Check Fee: $1,360.68 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $114.00 Energy Compliance: $105.00 CA Seismic Safety : $42.00 Disabled Access : $150.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE : $7,835.65 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: OW NER/BLDR Address: MANOUCHEHR MOSHAYEDI Phone: 949-232-5023 Con State Lic: 016 Lic Expire: Bus Lic: Lic Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: / Left: / Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $409.46 $321.71 $263.22 TO COMMERCIAL Architect: ANDERSEN PATRICK R Address: 10540 TALBERT AVE #175 FOUNTAIN VALLEY CA 92708 Phone: 949-515-9600 State Lic:CO26643 Engineer: LAM CHSUNG Address: 8633 KNOTT AVE BUENA PARK CA 90620 Phone: 657-214-0648 State Lic:S-078287 Designer: Address: Phone: Special Conditions: LIQUEFACTION & HIGH DENSITY AREA LLC ATTACHED Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PIW Plan Check: $406.00 San Dist: $1,791.28 NMUSD Fee: $21.30 Plan Check Fee : $2,508.84 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $472.00 $26.00 $219.00 $664.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $5,326.81 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 0 n 0 M 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 theappl��ant 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 70D0) of Division ir of the Business and Professions Code) or that he ll 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 n more than five hundred dollars is ex. as owner of the property, or my employees with wages as their sole compensation, will do Kall of or L) 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'pfoperty 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature �j:3�.v I acknowledge that, except for my personal residence in which�I ust have ide l for at least one year prior to completion of the improvements covered by this permit, I cannot legall; sell a structure tl,2! I tiave built as an owner -builder if it has not been construe s en' Icensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and �Profoss4ons Code, is available upon request when hi application is s ed or at owing Were:http://www.Ieginfo.ca.gov/calaw.html. 3ignatu'.e of Property Gwner or Authorized Agent L'CENSED CONTRACTOR'S DECLARATI Date her^.hy affirm under penalty of perjury that I am licensed under provisions of er 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Licen=e i;lass License No i'VORI<ERS' COMPENSATION DECLARATION Date Contractor Signature AIPPN1N9: FAILURE rr 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 -OST OF -OMPENSATION, EAMAGES 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 ha,,e 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 the rerformance of the work for which this permit is issued. Policy No. ,l I -a re and v:lt : xn:ain 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' comoensatior✓ lsurance carrier and policy number are: Policy Number of Agent Expiration Date certify that, in the performance of the work for if I should become subject to the workers' co. ignature of .d, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrE Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date / �� / 7 =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, Lender's Address Civil Code). lder's Name my signature below, I certify to each of the fallowing: 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 Taws relati building construction. 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