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Home My WebLink AboutX2022-0317 - Permitststo�y City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 alas "-a<trers Combination Type - CIP MECH ELEC PLUM IIIIIIIIIIIIIIII�III�II�IIIIIIIIIIIIIIII II COMB Permit: X2022-0317 Project No : 0290-2022 Issued Date: 06/21/2022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID 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: 2122 BRISTOL ST NB Description: COMM TI'STARBUCKS COFFEE' & DRIVE-THRU" 2565 SF Legal Desc.: N TR 706 LOT 141. S Owner: SCHIFFMAN TODD I TR Address: 9229 W SUNSET BLVD, STE 501 WEST HOLLYWOOD CA 90069 Phone: 714-885-4760 Applicant: ANDERSON AMBER Address: 30 EXECUTIVE PARK #100 IRVINE, CA 92614 Phone: 949-285-4760 Code Edit: 2019 Type of Construction: V-B Occupancy Group: A2 Added /New sq.ft. Bldg: 2565 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: x Building Permit Fee: $6,122.00 Plan Check Fee: $5,326.14 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $234.00 Energy Compliance: $550.00 CA Seismic Safety: $0.00 Disabled Access : $944.00 Hazardous Mat $0.00 Building Green Fee : $38.00 TOTAL FEE: $19,651.01 PROCESSED BY: ZONING APPROVAL: Contractor: SERVCOINC Address: 18009 SKY PARK #E IRVINE CA 92614 Phone: 949-955-2300 Con State Lie: 937164 Lie Expire: 08/31/2023 Bus Lie: BT30059160 Lie Exp Date: 07/31/2022 Worker's Compensation Insurance Carrier: EVEREST PREMIER Policy No: 7600021913211 Expire: 10/20/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I Parking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,602.74 $1,259.30 $1,030.33 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: COUPER DOUGLAS 24315 AIRPORTER WAY LAGUNA NIGUEL CA 92677 949-296-0450 State Lie CO26874 Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $1,319.50 San Dist: $0.00 NMUSD Fee: $0.00 State Lie: Fire Department $416.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: ° • $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee : $8,631.01 Fee Due at Permit Issuance : (I / $11,020.00 PUBLIC WORKS APPROVAL: IG 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U 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). I 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 Cocjp! IS ABilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of PropeA)POwner or Authorized Agent Date LicFNOED CONTRACTOR'S DECLARATION Aereby effinn underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 0) f Divi 'on 3 of the Business and Prof D sod�e, ay y licf.nse is in full force apa,pffert. License, Class License No Dat Contractor Signature`y�/6� ! hORIKERS' COMP€NSATION DECLARATION 'G Aft RyING:.FAILURE TaSECdRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND DOLLARS I$100,0001, IN ADDITION TO THE COST ORCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1 helehy affirm order pe�Ially of perjury one of the following declarations: **rMave and will.maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ppffQ 2Jtce of the wojl�for which this permit is issued. Policy No. have and w1l.mainein workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol aSice cafrier and aekv number are: Policy Number of Date I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre t, if I should become` suubbjec a work ' ccom�5}evnsation prov ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �/) �i mature of Applicant ) t// y) 1 rRtJ` &%Y:� Date G— ZZ '.CLARATION REG RU&i6IIYLENDING AGENCY C(/�� areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, III Code). ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and countqngtr$O es state laws relating to building construction. authorize representatives of this city or countv,�tr�,v e i prop or inspection purposes.'ny1l'J^/,,/,,-��/ i/k �� P/t'+� iwf c.t L✓ 1/eLt4-�Datmature of Proepre Owner or Authorized AGent '/ Print Property Owner's or Authorized Agent's Nam . ACTION DATE BY Y ARATIONbF CONIPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED EPA NOTIFICATION TO TO