HomeMy WebLinkAboutX2019-4061 - 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
tai +u x� Combination Type - CIP MECH ELEC PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-4061
x 2 6 1 9 4 0 6 1 Project No : 2798-2019
issued Date:
NO CONSTRUCTION NOISE InspeconAre29
Area
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: CO MAIN ST NB O B SATURDAYS n TU R D fl YS
Description: COMM TI "VICCI BAKERY CAFE" 1,627 SF _ I V JB'1 9 j'I /'t
Legal Desc.: BALBOA TR RESUB OF BLK 9 LOT 7
Owner:
RICCI ALBERT FAMILY TRUST
Address:
606 E CHAPMAN AVE
Occupancy Group:
ORANGE CA 92866
Phone:
714-231-6058
Applicant:
WEISS WES
Address:
128 TURQUOISE
0
IRVINE CA 92620
Phone:
213-308-3191
Code Edit:
2016
Type of Construction:
'VB
Occupancy Group:
B,A-2
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
Flood Zone:
X
Construction Valuation: $20.000.00
Building Permit Fee: $392.00
Plan Check Fee: $341.04
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$38.00
Energy Compliance:
$56.00
CA Seismic Safety:
$0.00
Disabled Access :
$87.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $1,166.76
PROCESSED BY:
ZONING APPROVAL:
Contractor:
NASR JOE CONSTRUCTION
Address:
9406 STONE CANYON DR
Design :
CORONA CA92883
Phone:
714-920-9031
Con State Lic:
535656
Lic Expire:
07/31/2020
Bus Lic:
BT30071222
Lic Exp Date:
02/2812021
Worker's Compensation Insurance
Carrier: BENCHMARK INS CO
Policy No: CST5016286
Expire: 0610712020
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: /
Left: I
Right: /
larking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$102.63
$43.12
$65.97
0
Architect: BDAIWI MUSTAFA
Address: 601 PARKCENTER DR #204
SANTA ANA CA 92705
Phone: 714-673-6611 State Lic:C033953
Address
LiHEPT
Phone:
--_g����+�+
Design :
APPROVAL
Addres :
-r!`1
Phone:
aE U'RE
Fire Hazard Zone : N
Planning Department-
-
Plan check Fee
$40.00
Fair Share
$0.00
SJH Trans
Fire Plan Rev
In -lieu Housing Fee
$0.00
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $260.01 Fee Due at Permit Issuance : $906.75
-
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E PLAN CHECK BY:
GRADING APPROVAL:"` f�� •+� APPROVAL TO ISSUE:
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Fire Department
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $260.01 Fee Due at Permit Issuance : $906.75
-
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e °PMBLIC WORKS APPROVAL:
E PLAN CHECK BY:
GRADING APPROVAL:"` f�� •+� APPROVAL TO ISSUE:
L G 4 L
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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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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
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).
❑ 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 lega111
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:http://Www.[eginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 00) of Division 3 of the Business and Profes onsK o e, nd my license is in full force
and effect. License Class License No DatQW Contractor Signature �/��
INORKERS' COMPENSATION DECLARATION
NARNING: 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
COST 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:
1 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 the
)erfyrmance of the work for which this permit is issued. Policy No.
71 have and wil maintain 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' compensation
nsurance carrier d policy numbe re:
)arrier 1 i' Number Expiration Date
Vame of Agent + Phone #
❑1 certify that, in t e perfor, rice of the work r which this permit is issued; ISYf31 no emp by -any- rson in any manner so as to become subject to the workers' compensation laws of California, and agre,
:hat, if I should becom su ' ct to tl} the
ompensation provisions of Se`ctron37Q0 of the Labor Co e, I shall forthwith comply with those provisions. - J
Signature of Applicant / T 2 /2 T / 'Z '-
)ECLARATION REGARDING cdWSTRUCTION LENDING AGENCY--
hereby
GEE CP—"hereby 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).
-ender's Name 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 o.dinances and state la relating,to building construction.
I authorize representatives of this city or county nt the a ve-identified property for`inspection purposes.
Signature of Property Owner or Authorized Agent .Print Property Owner's or Authorized Agent's Name G D e
ACTION DATE BY DECLARATION OF CO AN@E-WiTFTODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATIOIST(j •' i
PERMITCANCELLED LIEPA i i • • •+
PERMITFINAL ` ASBESTOS N IFICATION IS NOT APPLICABLE TO
CERTIFICATE OF / PROPOSED OLffJJION %� • • • • • ° ° °
OCCUPANCY ISSUED SIGNATUR u : + • • • •_• °—
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