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HomeMy WebLinkAboutX2019-3952 - PermitsCity of Ne port Beach - Building Division n�` s 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v- Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH PLUM GRAD IIIIII�IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II COMB Permit: X2019-3952 x 2 6 1 9 3 9 5 2 Project No: 0707-2018 Issued Date : 12/11/2019 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 1461 SUPERIOR AVE NB Description: COMM *"CHANGE OF CONTRCTOR"" DEMO CONVENIENCE STORE PORTION & BUILDING NEW STORE WILOUNGE & OFFICE 3956 SF (CARWASH TO REMAIN) (X2018.3327) Legal Desc.: FIRST ADD TO NEWPORT MESA TR LOT 817 S 66 FT E1/2 -EX ST -(AND ELY Owner: KOKDA LLC Address: 1461 SUPERIOR AVE $0.00 NEWPORT BEACH CA 92663 Phone: 714-686-8817 Applicant: MAKKAWI MOHAMAD Address: 4414 VIA DEL PRADO Bus Lie: YORBA LINDA CA 92886 Phone: 714-686-8817 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group:, B,M,S1 Added /New sq.ft. Bldg: 3956 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Contractor: MAKKAWI BUILDERS Address: 4414 VIA DEL PRADO $0.00 YORBA LINDA CA 92886 Phone: 714-686-8817 Con State Lie: 1030863 Lie Expire: 09130/2021 Bus Lie: BT30070126 Lie Exp Date: 12131/2020 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Fire Inspection: $0.00 Expire: $0.00 Excise Tax: Building Setbacks Rear: 5 Plan Check Fee: $0.00 Front: 0 $35.00 Left: 5 Overtime Plan Ck: Right: 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: INSPECTOR State Lic: e e o o e° MCHANTAF KAMAL BESHARA 23315 SARATOGA SPRINGS PL ° MURRIETA CA 92562 me0mom 714-695.9300 State Lic:C-051050 ° m o oeoomm e Special Conditions: Construction Valuation: $0.00 $0.00 Fire Inspection: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $0.00 Additional Fee: $35.00 Plan check Fee: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant: $387.04 SJH Trans Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $84.96 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : g $0.00 echanical %: / $ 0.00 NMUSD Fee: $0.00 P umbing %: $0.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee N $0.00 Fee e a PUBLIC WORK APPROVAL: PLAN CHECK Y: APPROVAL TO ISS Issuance: 0 m mmmmmm m 00 0 0 0 ommm $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 0 0 o m 0 eo 0 oe•0o 0 mom0o p 000tC e e 0 0 0 000000 0 eoeo Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Fee e a PUBLIC WORK APPROVAL: PLAN CHECK Y: APPROVAL TO ISS Issuance: 0 m mmmmmm m 00 0 0 0 ommm $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 0 0 o m 0 eo 0 oe•0o 0 mom0o p 000tC e e 0 0 0 000000 0 eoeo 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) ction 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 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 �fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness 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 Irovements 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 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 fly 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). Iam exempt from licensure under the Contractors' State License Law for the following reason: 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) a structure tifat T Aff* 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 JggA*s Code.is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Propertyl,dwner or Authorized Agent Date IFNEED COAfRAtTOR'S DECLARATION :reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of 'visi n 3 of the Business and Profe0sions Code aG r license' 11 force I effect. Lice 4g.Cj%ss License No Date j Contractor Signature J! )Ti)GEeRS' COMPENSATION DECLARATION T 0- IIIIIIe: FAILURE.1hWgJRE 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 II OF OOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. S Eby. ffirm under penalty of perjury one of the following declarations: i have and 44igialrtain 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 IppViince of the work for which this permit is issued. Policy No. •have and vrli mair: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' compensatiol Trance carrier'aTG policy number are: CW,ijer Policy Number Expiration Date N fAgent Phone# I ce fy that, in the performance f the rlt-fo 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 that, if should become subje or r� mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , Signature of Applicant yam[ c? /I DECLARATION REG R G CONSTRUCTION LENDING AGENCY I hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address 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 ordinances and state laws relating to building construction. I authorize representatives of this city or countV toenter t identiii pro r Inspection purposes. _ Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name G D ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACM D RULE 1403 PERMIT EXPIRED I L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED PERMITFINAL /' 0/,.% j(�� U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF tff'Zb �J 6/ PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: