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Home My WebLink AboutX2020-2359 - Permitswtr, City of Newport Beach - Building Division R: 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 +9 Inspection Requests Phone (9491 `1"2raasrr'a Combination Type - CIP ELEC MECH PLUM COMB Permit: X2020-2359 2 0II�359lu III Project No: 1883-2020 Issued Date : 11/16/2020 Inspection Area : 7 �cnmr r txrneES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/17/2023 OR PERMIT WILL BE INVi 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: 1000 N BRISTOL ST NB St: 1 Ft: 1 Unit: 30 Description: COMM TVMARIO% BUTCHERY & DELI' 1760 SF Legal Desc.: P BK 81 PG 43 PAR 2 Owner. PLAZA NEWPORT LP Address: 1000 BRISTOL ST N Contractor: TIMBERLINE INT GEN CONTR NEWPORT BEACH CA 92660 Address: 7152 HAZARD AVE Phone: WESTMINSTER CA 92683 Phone: 714-903-1105 Applicant: PARR BOB Address: 21601 TURTLE DOVE ST Con State Lic: 732308 73230 TRABUCO CANYON CA 92679 Lic Expire: /281201 2021 Phone: 714-258.3901 Bus Lic: B 30073512 Lic Exp Date: 11/30/2021 Code Edit: 2019 Typeof Construction: Worker's Compensation Insurance V-B-SPR Occupancy Group: M Carrier: EVEREST NAT'L INS CO Added /New sq.ft. Bldg: 1760 Policy No: 7600018123201 Added /New sq. ft. Garage: 0 Expire: 09130/2021 No of Stones: 1 No of Units, Building Setbacks Rear: / 0 Bldg Height: p Front: / Bldg Sprinklers: Y Left: / Flood Zone: ,. _ Right: / Building Permit Fee: $2,137.00 Plan Check Fee: $1,859.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $74.00 Energy Compliance: $175.00 CA Seismic Safety: $70.00 Disabled Access : $250.00 Hazardous Mat $0.00 Building Green Fee: $10.00 TOTAL FEE: $6,742.90 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: Address: Phone: State Lic: Engineer: AFZAL BEN Address: 4000 BARRANCA PKWY #250 IRVINE CA 92604 Phone: 949-836-8298 State Lic:C-079628 Designer: Address: Phone: Special Conditions: WASTE MGMT TO HAUL DEBRIS Zone: Excise Tax: Additional Fee : $0.00 $0.00 Planning Department - Fire Department Grading Bonds Fee: $0.00 Plan check Fee: Fair Share $0.00 Fire Inspection: $0.00 Grading PC Consultant: $0.00 : SJH Trans : $0.00 $0.00 Fire Plan Rev $0.00 Grading Permit Fee: $0.00 In -lieu Housin Fee : $0.00 Demolition Fee Grading PC Fee: $0.00 Public Works De Department P Building Dept Adm $26.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 General Service $219.00 Electrical %: $559.47 P/W Plan Check, $0.00 Refund Deposit Grading Bond: $564.00 $0.00 Mechanical %: $439.58 San Dist: NMUSD Fee: $0.00 $0.00 Plumbing %: $359.66 $0.00 $0.00 Plan Check Fee: $2,916.32 Fee Due at Permit Issuance : $3,826.58 .»4 c ?,UBLIC WORKS APPROVAL: PLAN CHECK BY: .b e . e•. ... APPROVAL TO ISSUE: m o eo c o` 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 repair the checcture, prior I have placed next to the applicable items) action 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 far = 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 3 e permit t 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 It 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 (_) portions ofithe work, and the structure is not intended or offered for sale (Section 704a isiness 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 Iprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of corr(pletion, the Owner -Builder will have the burden of proving that it was not built or (proved 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 )ply 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: y 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 legall 'll 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ca.gov/calaw.html. D ignature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjurKp�that 1 am licensed under provisions ter 9 ol_ A n9 with S?pDattione 000 i i 3 of tCootractor Signatur Co ,and se is i nd effect. License Class Q_ License No /''`S� �j3�1_— VORKERS' COMPENSATION DECLARATION EMPLOYER TO OSNIOF COMPENSATION, TO SECURE WORKERS' COMPENSATION COVERAGE AS PROVIDED FOR IN SECTION 3706 10F THE LABOR AND SHALL INTLL SUBJECT AN ATTORNEY'S FEES. RIMINAL PEN LTIES AND CIVIL FINES OP TO ONE HUNDRED THOUSAND DOLLARS (E10a,000), IN ADDITION TO THE 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 e _ ormance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitisissued. My workers' compensation is nce carrier and olicy numb r are: o 1 Expiration Date V3 //24 Z ,amen �R%2V-2S"� i�a t.�q,Cpolicy Number D V `° L 2-2 % - yame of Agent Cc L Phone # �.i7 4a certify that, in the performance of the wo h this permit is issued of am any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat, if I should become subject to the ' com nsat' rovision Sectio o e ode, I shall forthwith comply with those provisions. �/ //��Zb Dat 7� signature of Applicant - (� )ECLARATION REGA I G CO CTION LE AGENCY hereby affirm under penalt of perjury that there is a construction lending agency for the eerr's Armance ddress of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name By 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 ordinan a la to I n ion. I authorize representatives of this city or county toe a -Id s purposes. .iti:V9� L -:_. :,..,...,,..., n,.,.,er� .,. A: eH�.l>ed Aaent's Name �Gy yrtki �C lJ'2�Ctvr� Date PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY )DECLARATION OF COMPLIANCE WITH DE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 T • • • •• s • as e n ° n • o ♦• � s ees ee