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Home My WebLink AboutX2020-2651 - Permits,$Vrr'p�, City of Newport Beach - Building Division IIIIIIII�IIII�IIIIIIIIIIIIIII III II COMB Permit: X2020-2651 #100 Civic Center Drive, Newport Beach, CA 92660 x 2 8 2 0 2 6 5 1 Project No : 2104-2020 F v Permit Counter Phone (949)644-3288 IV Inspection Requests Phone (949)644-3255 Issued Date : 0110712021 Combination Type - CIP ELEC MECH PLUM Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 01/08/2024 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: 2826 NEWPORT BLVD NB Description: COMM TI - 800 SF OFFICE SPACE Legal Desc.: NEWPORT BEACH SEC A BLK 225 LOT 14 I N �� Owner: SZABO ALAN Contractor: KING CHRIS CONSTRUCTION INC Architect: SKENDERIAN TODD Address: 2826 NEWPORT BLVD Address: 29592 ANA MARIA LANE Address: 1100 S COAST HWY, #316 NEWPORT BEACH CA 92663 LAGUNA NIGUEL CA 92677 LAGUNA BEACH CA 92677 Phone: Phone: 949-249-5512 Phone: 949-715-6461 State Lic:C030518 Applicant: KING CHRIS Con State Lic: 800201 Engineer: Address: 29592 ANA MARIA LN Lic Expire: 10131/2021 Address: LAGUNA NIGUEL CA 92677 Bus Lit: BT00022701 " Phone: 949-249-5512 Lic Exp Date: 0713112021 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE COMP Address: Occupancy Group: B Policy No: 9056582 Added /New sq.ft. Bldg: 800 Expire: 0710112021 Phone: ' Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: HIGH DENSITY AREA No of Units : 0 Front: / LIQUEFACTION AREA , .. Bldg Height: 0 Left: I Bldg Sprinklers: Flood Zone: Use Zone: Right: I Parking Spaces 0 Fire Hazard Zone : IN Construction Valuation: $14,000.00 Building Permit Fee: $314.00 Excise Tax: $0.00 Planning Department - Fire Department $0.00 Plan Check Fee: $273.18 Additional Fee : $0.00 Plan check Fee : $92.50 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 $0.00 SJH Trans: $0.00 Demolition Fee In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Record Management: $12.00 Energy Compliance: $61.00 Grading Permit Fee: Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 $0.00 Disabled Access : $91.00 PNV Plan Check : $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $43.96 San Dist: $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $34.54 NMUSD Fee: $0.00 $0.00 Plumbing %: $28.26 TOTAL FEE : $951.44 Plan Check Fee : $517.68 Fee Due at Permit Issuance : $433.76 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: 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 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for is 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 'rofessions 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 of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 n roved 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 pply 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: ly 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, 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affim unrter penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Division 3 of the Business and Profejon , li R e!I force nd effect. License Class License No Date Contractor Signature VORKERSt COMPENSATION DECLARATION 'ARMING: FAILURE TO nECURE 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 OFT 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: have oiler 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 erformance of the work for which this permit is issued. Policy No. anO 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 Ie of Agent Date I certify that,` in the perfnrjnance 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' co ensation laws of California, and agre r, if I should becon is d �o the workers D�lsation ction 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applicant / _� ,� � � �� __. Date CLARATION REGARDINGL'ONSTRUCTION LENDING AGENCY • / :reby 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, Cl 11 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and DO' {[Ify ordinances and state laws relating to building construction. M I authorize representatives of this city or countytreAenter �-identified {Peak for inspection purposes. Owners or Authorized Anent's Name 1_77- ACTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V ULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED 49AQMD PERMITFINAL / Z ASBES OS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 6"h NPR DE OCCUPANCY 155UED SIf,N TII . �/� /�