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Home My WebLink AboutX2019-2927 - Permits,r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2927 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 9 2 7 Project No : 2057-2019 Permit Counter Phone(949)644-3288 s : Inspection Requests Phone (949)644-3255 Combination Type "'CIP ELEC MECH PLUM Issued Date: 11/05/2019: Inspection Area'. 7 - PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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:. 1280 BISON AVE NB St:.B F6 1 Unit: B-15 - Description COMM CREATE TASTING STATION IN EXISTING STORE 367 SF ^ Legal Desc.: N TR 12309 LOT 6 INV V! P E^TO v F Owner IRVINE COMPANY Contractor ALEGIS CONSTRUCTION INC Architect: LATONA VINCENT CHARLES Address: 550 NEWPORT CENTER DR Address: 6900 SIN ATLANTA STREET Address: NEWPORT BEACH, CA 92660 - PORTLAND, OR 97223 Phone' Phone: 949-215-2093 Phone: State Lic:C035537 Applicant. MOJAVER FARAH Con State Lic: ' 977691 Engineer: Address: 1111 6THAVE STE 305 - Lic Expire 10/31/2020 Address: BAN DIEGO, CA 92101 "Bus Lic: -.. BT3006614 - Phone: 858-335-0946 : Lic Exp Date: 03131/2020 Phone: State Lic: Code Edit. 2016 Worker's Compensation Insurance Designer. -. ••�•% Type of Construction V -B -SPR Carrier: ZURICH Address: OccupancyGroup:. M. Policy No: 9696152 °.m mmmm dIDOO°� Added /New sq.ft. Bldg: - 367 Expire: 10/01/2020 Phone: O Added /New sq. ft. Garage: 0 o m •m+. o No of Stories: 1 Building Setbacks Rear: /. Special Conditions: . No of Units: 0.. Front: 1... Bldg Height 0 Left: I Bldg Sprinklers: '. Y Right: I Flood Zone: > X Use Zone: Parking S p aces: 0 - ' Fire Hazard Zone : N Construction Valuation: $15.000.00 "'•'•O Building Permit Fee: $312.00 Excise Tax: '$0.00 Planning Department - Fire Department ...... Plan Check Fee: $271.44 Additional Fee: $0.00 Plan check Fee :.. $40.00 Fire Inspection: $•0!00• • ,,, • ° .Overtime Plan Ck $0.00 : Grading Bonds Fee: $0.00 Fair Share : ` : $0.00 Fire Plan Rev $0100 Investigation Fee $0.00 Grading PC Consultant : $0.00 SJH Trans $0.00 Demolition Fee Record Management: $26.00 Grading Permit Fee. $0.00 In -lieu Housing Fee: '$0.00 Building Dept Adm $0.00 Energy Compliance: $56.00 - Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: : $0.00 Park Dedication : - $0.00 Refund Deposit - $0.00 Disabled Access . $87.00 - P/W Plan Check: $0.00 Grading Bond: -$0.00 Hazardous Mat $0.00 Electrical%: $81.68 .San Dist: $0.00 Building Green Fee: $1.0 Mechanical %: $64.18 NMUSD Fee: - $0.00 $0.00 . Plumbing %`. - $52.51 $0.00 IOTA FEE: $991.8 Plan Check Fee : $506.73 Fee Due at Permit Issuance : $485.08 PROCESSED BY: PUBLIC WORKS AP ROYAL: ,^^ ` ZONING APPROVAL: Y 'r '� v _ PLAN CHECK BY: GRADING APPROVAL - 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 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 7000) of Division 3 of the Business and Professions 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 property 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 im roved 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: propeUty 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: By 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 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:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 f Division 3 of the Business and Pro es ' BE Cod an y lic nse is in full force and effect. License Class License No Date //-5 Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE 70 SECtlRE 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 COST OF COMPEN61A4"An,VMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rpge rypffirm under penalty of perjury one of the following declarations: 111 have and wl�ll Aalntain 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, jrgiance of thework for which this permit is issued. Policy No. and will lnuintain 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' carries cod policy number are: Policy Number Date .uneaity that, in tfie performance of the work for whi 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 agre )at' if I ,Should 4eIcppIpftubject to workers' co p s ' n rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ ARAM of ApplicanKnalty 1906ALTION.R�G,G RUCTION LENDING AGENCY // hereby affirm uri&'et of 'ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code).. ender's Name Lender's Address y 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. /%}�/J. 1 authorize representatives of this city or county to enj@PS a A -identified property for inspection purposes. ^ // , Si nature of Property Owner or Authorized Agenb,— Print Property Owner's or Authorized Agent's Nam Date ACTION DATE BY( /. dECl_ARAtTbN OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMITEXTENDED UAQMD PERMITFINAL CERTIFICATEOF OCCUPANCY15SUED },•"L•?,•`C� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: