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HomeMy WebLinkAboutX2019-0899 - PermitsWrr� City of Newport Beach - Building Division COMB Permit: X2019-0899 ` $1,318.00 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $70.00 Energy Compliance: $87.50 CA Seismic Safety: II Disabled Access : $125.00 100 Civic Center Drive, Newport Beach, CA 92660 ''� X 2 9 1 9 0 6 9 9 Building Green Fee : Project No : 0612-2019 Eq 0 Permit Counter Phone(949)644-3288 4t Inspection Requests Phone (949)644-3255 `rtme'� .''. Combination Type - CIP MECH ELEC PLUM Issued Date: 09116/2019 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: Description: 2280 NEWPORT BLVD NB St: 1 FI: 1 Unit: 101 .COMM TI "THE LOOK FITNESS" 1,998 SF �� 0 Legal Desc.: 1 INSPECTOR 1 Owner: NPBEACH MARINA Contractor:1DC Architect: Se VTION NOISE Address: 2300 NEWPORT BLVDC Address: 010INC S HATHAWAY ST UNIT C Address: 140Yutuff"qu NEWPORT BEACH CA 92660 BANTA ANA, CA 92705 ESCONDIDO CA 92026 Phone: ". Phone: (714) 664-0477 Phone: 760-214-6129 State Lio'C035784 Applicant: RODRIGUEZ JANEL Address: 1242 WREN GLEN ESCONDIDO CA 92026 Phone: 760-214-6129. Code Edit : 2016 Type of Construction: V -B -SPR Occupancy Group: B Added /New sq.ft. Bldg: 1998 Added /New sq. ft. Garage: 0. No of Stories: 3 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Y Construction Valuation: $125.000.00 Building Permit Fee: $1,318.00 Plan Check Fee: $1,146.66 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $70.00 Energy Compliance: $87.50 CA Seismic Safety: $0.00 Disabled Access : $125.00 Hazardous Mat $0.00 Building Green Fee : $5.00 TOTAL FEE: $4,075.14 PROCESSED BY: ZONING APPROVAL: Con State Lie: 988559 Lie Expire: 11/30/2019 Bus Lie: BT30055261 Lie Exp Date: 06/30/2020 Worker's Compensation insurance Carrier: EVEREST PREMIER INS CO Policy No: 7600020452191 Expire: 05/2912020 Building Setbacks Rear: / Front: / Left: / Right: I Excise Tax:. $0.00 Additional Fee: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee : $0.00 Electrical %: $345.05 Mechanical %: $271.11 Plumbing %: $221.82 Engineer: Address: ON THE WEEKEND Phone: State Lie: Designer. $0.00 Address: $0.00. Phone: Special Conditions: LIQUEFACTION AREA Fire Hazard Zone : N Planning Department- .. Plan check Fee : $320.00 Fair Share: $0.00 SJH Trans :. $0.00 In -lieu Housing Fee: $0.00. Public Works Department - Park Dedication : $0.00 PAN Plan Check : $165.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee: $1,624.02 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: 'GRADING APPROVAL: APPROVAL TO ISSUE: 0000 0 0 0 om m $0.'00 0 o $0000 ° tSiioa° $0.00 $0.00 $0.00 $0.00 $2,451.12 m o omocoo 0 o m m o coo c m o oommo 0 omomo c ommoc 0 o a 0 00000c m oomo 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 he 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 rrofessions 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 lot 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Wsiness 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 reproved 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 Ipply 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: 3y my signature below I acknowledge that, except for 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 legal) ,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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with cti 7 )f Di sio 3 of the iness an Prof " ions ode, a Ii ns is in f II fo ce Ind effect. License Class License No ate Con a tpr Signa pr . VORKERS' COMPENSATION DECLARATION \ 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST 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: I have and Yvt11•tAintain 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 ,edQrmance of the#"k for which this permit is issued. Policy No. i .IrW and 4I`ffiain(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'. compensatio agce carrier 611Q policy number are: ;arPgr. • Z- Policy Number Expiration Date ne Of Agent cwtify that, in the e >f 44 sho . 41 nature of Appl nth the br f wh' this permit is issued, I shall not employ any person in. any manner so as to become subject to the w e cora ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �rebyaffirm ender ponalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued rdeia Name ' Lender's Address oW.slgnature bdlgw:l certify to each of the following: I am the prooAl towner or authorized to act on the property owner's behalf. 1 I have read this application and the information I, a provided is correct. I agree to comply with all applicable city andppounty rdinances nd s to I s relating to building construction. I authorize representatives of this city orr oo9rity oo a ter the e/�y''ee t d property f r in p tion purposes. nature of Pfooertv Owner or AuthdrixerYAaBnt A"I SAA /.I//�l.f��i� Int Property Owner's or Authorized AgenP�N�d ACTION DATE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCVISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE TO TO laws of California, and Civil. Code).