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HomeMy WebLinkAboutX2019-1097 - PermitsCity of 1>vevvport•Bga�Foo.BµIding Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1097 s POCtC •t'ePlrr�erN�w�an:BGa£h,OA02660 X 2 0 1 9 1 0 9 7 Project NO: 0759-2019 r+ A erml oun er one (949) M -3T, $ • o et., ra Inspection Requests Phone (949)644-'3268 Comet%ationdype ;CIP ELEC MECH PLUM Issued Date: 0 510 912 01 9 0 Inspection Area 7 m o EOQ a o o e o-, oo •, • e • • • e PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: A ondaap n 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: 3300 NEWPORT BLVD NB Description: COMM -ADD 123 SF OUTDOOR SERVICE ROOFTOP BAR & WALK-IN COOLER @ LIDO HOUSE HOTEL Legal Desc.: TR 1117 LOT 3 FOR OF LOT AND LANCASTERS ADD AND FOR THE HUDSON Owner: - LIDO HOUSE, LLC Contractor: R D OLSON CONSTRUCTION Architect: VILLEGAS GREGORY. Address: 520 NEWPORT CENTER DR STE. 600 Address: 2955 MAIN ST, 3RD FL Address: - 300 SPECTRUM CENTER DR #500 NEWPORT BEACH, CA 92660 IRVINE CA 92614 IRVINE CA 92606 Phone: 949-271-1100 Phone: 949.474-2001 Phone: 949+-574-8500 State Lic:CO26518 Applicant: REYLING DENNIS Con State Lic:. 953845 Engineer: Address:520 NEWPORT CENTER DR #600 Lie Expire: 1013112020 Address: NEWPORT BEACH, CA 92660. Bus Lie: BT30009757 Phone: 949-271-1100 Lie Exp Date: 0513112019 Phone: State Lie: Code Edit.: 2016 Worker's Compensation Insurance - Designer: .Type of Construction:.. 1AIVAIVBSPK' Carrier: STARR INS Address: Occupancy Group: A2IA3IB Policy No: 100001219 Added /New sq.ft. Bldg: 123" Expire: 07/01/2019 Phone: - - - Added /New sq. ft. Garage: 0 - DO NOT FINAL UNTIL No of Stories: 4 Building Setbacks Rear: l Special Conditions: HEALTH DEPT HAS APPROVED No of Units: 0 Front: / THE PLANST' Bldg Height: 0 Left:' / Bldg Sprinklers: Y Right:. /. Flnnd 7nne- Ilse 7nne- Parkinn Snacac- 'n Fire Ha7aM 7nne.• N Construction Valuation: $58,000.00 Building Permit Feer $819:00 Plan Check Fee: $712.53. Overtime Plan Ck:. $0.00 Investigation Fee:. $0.00 Record Management: $60.00 Energy Compliance: $56.00 CA Seismic Safety: $16.24 Disabled Access: $87.00 Hazardous Mat $0.00 .Building Green Fee : $3.00 TOTAL FEE: $3,857.32 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: $0.00 Additional Fee :. $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: ' $0.00. Grading Permit Fee: $0.00 Grading PC Fee:.. $0.00 WQ Insp. Fee: $0.00 Electrical%: $214.41 Mechanical %: $168.47 Plumbing %: $137.84 San Dist: Plan Check Fee / Planning Department - Plan check Fee: $40.00 Fair Share :. $0.00 SJH Trans : $0.00 In -lieu Housing Fee: - $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check: $41.25 San Dist: $603.68 NMUSD Fee: $36.90 Fire Departmentf;" Fire Inspection ,, Fire Plan Rev Demolition Fee"2u Building Dept Adrh1 General Service Refund Deposit Grading Bond: $1,050.79 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $547.00 W00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,806.53 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 thech;ckm�k(J) I:haae platlgd naaA W the applicable item(s) lection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair anNiuclure, prior to A 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 Irofessions 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 gubjecta.ttle aQAI'lpant to a civil penalty of of more than five hundred dollars ($500). R • • ' ' I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the Anuetur�Is At ivi ncild Qr offecsd fof- *e (Section 7044, Iusiness and Professions Code: The Contractors' State License. Law does not apply to an owner of property who, through employees' or per0al effelrt, bui18g cr improves tt a 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-BdtRlePwiil 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 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:http://www.leginfo.ca.gov/calaw.htmi. 'signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 00) f Division 3 of the Business and Prgfgssio�•s-Oot¢,,� dense is in full force nd effect. License Class License No Dat 5 q Contractor Signature�( c-/� �/�� IIORKERS' COMPENSATION DECLARATION L/ (� 'ARNING: 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 OST 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 th Wbrmance 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 of Agent 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 became yb�ect to orers' co 'ryn-/rivts'ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applicant O 4adF— s (e CLARATION REGARDING CONSTVCPON LENDIN NCY :reby affirm under penalty of perjury tTM there is a const clion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder'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 county or ' nd sta I ating to building construction. I authorize representatives of this city or countyyto nter the abo� - 9� d prop y for inspection purposes. /fir mature of Prooertv Owner or Authorized Aoent Z Print Property Owners or Authorized Agent's dV -C(r� W OOLz�jb Date 5l t ACTION DATE BY V CLAIIA ONS OF CO 1 OF TNTCE E I AND DE OF FEDERRULE AL I FOR OFFICE USE ONLY RE PERMIT EXPIRED PERMIT CANCELLED PERMITFINAL Z�`p C U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF ` +w~+� PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: