HomeMy WebLinkAboutX2019-0899 - PermitsWrr� City of Newport Beach - Building Division
COMB Permit: X2019-0899
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$1,318.00
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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
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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
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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:
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$0.00
$0.00
$0.00
$0.00
$2,451.12
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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
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).