HomeMy WebLinkAboutX2022-0573 - Permits (2)City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
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Combination Type - BLDG PLUM
IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0573
x 2 0 2 2 0 5 7 3 Project No: 0508-2022
Issued Date : 04/20/2022
Inspection Area : 7
PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412012025 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: 1660 DOVE ST NB
Description: DEMO BLDG 8 8154 SF SINGLE STORY RETAIL BUILDING
Legal Desc.: P SK 53 PG 13 PAR 1
Owner:
ARYABHATA GROUP LLC
Contractor:
A M P C O CONTRACTING INC
Address:
520 NEWPORT CENTER DR 9480
Address:
17991 COWAN
NEWPORT BEACH CA 92660
IRVINE CA 92614
Phone:
Phone:
949-955-2255
Applicant:
AO/KARA
Con State Lic:
851752
Address:
2923 SATURN ST, STE H
Lic Expire:
12131/2022
BREA CA 92821
Bus Lic:
BT30078474
Phone:
714/639-9860
Lic Exp Date:
0413012023
Code Edit : 2019
Type of Construction:
Occupancy Group: B
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $32,616.00
Building Permit Fee: $606.00
Plan Check Fee: $527.22
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $3,173.76
PROCESSED BY: I 6
ZONING APPROVAL: fir,
GRADING APPROVAL: OIW-)
Worker's Compensation Insurance
Carrier: EMPLOYEE SVC GROUP
Policy No: C69964874
Expire: 07/01/2022
Building Setbacks Rear: I
Front: I
Left: I
Right: /
Architect:
Address:
Phone:
State Lic:
Engineer: AU TERRY P
Address: 2923 SATURN ST, STE H
BREA CA 92821
Phone: 949-727.9095 State Lic:C-068466
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard 7nne N. .y-M-
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical W
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$54.54
Plan Check Fee :
$0.00
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$27.00
General Service
$265.00
Refund Deposit
$1,692.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $3,173.76
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAu 10 ISSUE:
b'D JLi M'I(-
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).
❑ 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 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 7644 of the Business and
Professions 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectil 7000) of Division 3 of the Business and Pr Bsions Code, and r�1 nse is in full force
and effect. License Class License No D t Contractor SignatLie� ,/ ��
WORKERS' 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:
I 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
prmance of the work for which this permit is issued. Policy No.
and will 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'
carrier and policy number are:
Policy Number Expiratic
of Agent Phone #
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 agree
lat, if I should become subject to the workers' compensaf ' ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. %
ignature of Applicant dzL
£CLARATION REGARDING CONSTRUCTfCIN LENDTNG AGENCY
hereby affirm under penalty of perjury that there is a construction lendin ncy for the performance of the work for which this permit is issued (Section 3097, Civil Code).
enders Name Lender's Address
y my signature below, 1 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or cou�ty t/o enter the abov ad property for inspection purposes. In
icnature of Prooertv Owner or Authorized Anent y1.� Print Prooertv Owner's or Authorized ADent's Name/V //7r C
ACTION DATE BY DECLARATION OF C09PLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U i suBM ITTED ASBES� O§ NOTIFICATION TO''
PERMIT CANCELLED
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PERMIT EXTENDED
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PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
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ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
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