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Home My WebLink AboutX2022-0676 - PermitsCity of Newport Beach - Building Division "X2022-0676* COMB Permit: X2022-0676 (9) 100 Civic Center Drive, Newport Beach, CA 92660 Profect No : 0595.2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 N19-% � 9Issued Date : 04/28/2022 Combination Type - CIP ELEC MECH PLUM 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: 3110 NEWPORT BLVD NB Description: COMM DEMO PRIOR TO TI - 3700 SF Legal Desc.: LANCASTERS ADD LOT 3 BLK 431 AND LOTS 4 5 6 7 R8 BILK 431 EX Owner: NBPL REAL ESTATE LLC Address: 3110 NEWPORT BLVD NEWPORT BEACH, CA 92660 Phone Applicant: HALLIMORE MARIA Address: 3195 B AIRPORT LOOP COSTA MESA CA 92627 Phone: 951-337-7012 Code Edit : 2019 Type of Construction: II-A-SPR Occupancy Group: B Added /New sq.ft. Bldg: 3700 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: A01 Valuation: Building Permit Fee: $164.00 Plan Check Fee: $142.68 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $469.95 PROCESSED BY: ZONING APPROVAL: Contractor: S T D CONSTRUCTION Architect: HILL JOHN STEVEN Address: 703 PIER AVE 9297 Address: 3195-B AIRPORT LOOP DR ^ , HERMOSA BEACH CA 90254 COSTA MESA CA 92626 Phone: 310-648-4547 Phone: 714-825-8888 State Lic:CO23653 Con State Lic: 904930 Engineer:- Lic Expire: 09/30/2023 Address: Bus Lic: BT30074162 Lic Exp Date: 01/31/2023 Phone: State Lic: + ++ Worker's Compensation Insurance Designer: Carrier: EXEMPT Address: _ •- Policy No: no employees Expire: Phone: - Building Setbacks Rear: I Special Conditions: HIGH DENSITY ZONE Front: / LIQUEFACTION ZONE Left: / A01 FLOODZONE Right: / Use Zone: Parking Spaces' 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Electrical W $42.94 San Dist: $0.00 Mechanical %: $33.73 NMUSD Fee: $0.00 $0.00 Plumbing %: $27.60 $0.00 Plan Check Fee : $243.19 Fee Due at Permit Issuance : $226.76 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: C)D 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 ie 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 Iicensure 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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). 1, 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 Iicensure 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 legally all a structure that I hwie 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 rofessinns Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. iynatUra of Prcpa, tv Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION he, eby affirm und.,r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) f ivision 3 of the Business and Professi ns C e, andjiny li , se/is in full force nd effect. Licer. se Clrss License No Date 2—Contractor Signature L��'lC /CRK[:RS' CCf.1PENSATION DECLARATION IF ARNING: FAILURE TO EZ]URE 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 CS,Jr COMPENSA ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. na,eoy affirm under penalty of perjuryone of the following declarations: haze and will =!i tain 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 Trance of ing work for which this permit is issued. Policy No. and will makiI 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' carrier Ord pclicy number are: Policy Number Expiration Date ie of Agent Phone # certify that, in the performance f the work for which his 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 if I should become snubbjject to a work re7rs' temper do revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant 7l Q/1/� Dat CLARATION REGARDING O TRYTION LENDING AGENCY >reby affirm under penalty of jury th t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 pr ided is correct. I agree to comply with all applicable city and county ordivinces and state la s relating to building construction. I authorize representatives of this city or county to enter abo denIifi'�7p' pro rty for inspection purposes. v^ L nature of Prooertv Owner or Authorized Agent /�, / Print Property Owner's or Authorized Agent's Name /V Tod: ACTION WITH CODE OF DATE BY I REGVL4TIONS PA T061 OF TITLE 40A DAQMD RULERAL FOR OFFICE USE ONLY Date OL-L 26, PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO �I 5�� ''L C �1 rt/�1 ILI PERMITCANCELLED EPA PERMIT EXTENDED 40AQMD (� PERMIT FINAL _/7. / SBESTOS NOTI CATION IS NOT PPLICABLE TO / CERTIFICATE OF / c� PROPOSED DEMOL�fp,!�(LO'N / 1g1L D (� OCCUPANCYISSUED cIf,NATIIRF•fC JU.M4DIN /'L/1