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HomeMy WebLinkAboutX2021-0411 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 '�3z�rmiw"s`a Combination Type - CIP ELEC Ill����������p! III Project No Dermit:o22021-0411 Issued Date : 03/0112021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310112024 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: 21163 NEWPORT COAST DR NB Description: COMM TI "UPS STORE" 952 SF Legal Desc.: P BK 318 PG 27 PAR 2 f Owner: IRVINE COMPANY LLC Address:. PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: Applicant: RODRIGUEZADRIAN Address: 12800 GARDEN GROVE BLVD#H GARDEN GROVE CA 92843 Phone: 714-285-1919 Code Edit: 2019 Type of Construction: V-BSPR Occupancy Group: M Added /New sq.ft. Bldg: 952 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Y Building Permit Fee: $607.00 Plan Check Fee: $528.09 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $40.00 Energy Compliance: $61.00 CA Seismic Safety: $0.00 Disabled Access: $91.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,534.25 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: CIMA C M 8 D Address: 1016 SHARON ROAD Policy No: SANTA ANA CA 92706 Phone: 714-785-1919 Con State Lic: 757047 Lic Expire: 09/30/2022 Bus Lic: BT30074422 Lic Exp Date: 0313012021 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: CIWC169234 Expire: 09101/2021 Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing W Rear: / Front: I Left: I Right: / Architect: I j f r OSUCH EDWARD e.. Address: 2115 HUNTINGTON DR iiiddd SAN MARINO CA 91108 ...... Phone: 626-590-1818 State Lic:C032544 .... ° Fire Inspection: • • ee0000 Engineer: •ee°ep • " Address: e ° • o Phone: e o ee o eoee State Lic: • . • ° SJH Trans : 0000 • ® o Designer: Address: °O°°0O O°0°^ ° $0.00 00000 m Phone: eeemmo Public Works Department- m• ® 0 0 0 a o Special Conditions: 0 0 o ©o $0.00 m m m m m o o e m o oee•mo eo•e 0 Hazard Zone: N $0.00 Planning Department - Fire Department $0.00 Plan check Fee: $46.25 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department- General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $158.91 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $814.69 Fee Due at Permit Issuance : $719.36 _ PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 7031.5, 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 (_) all of or (_) 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 im 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 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: i 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 legal sell a structure that Fh the 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 Professions C08a,ia available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. liggitylg of Prgperty pwner or Authorized Agent Date KICENSED CQVrAACTOR'S DECLARATION I hereby affirm under penalty of perjthat I at m licensed under provisions of Chapter,7 (corn encing with Section 0)•of ivision 3 of the Business and Pr f salons e, and m 1 icense is in full force 4nd'affect. License Class License No ?S`70 C Date I Contractor Signatur WORKERS' COMPEfVSATION DECLARATION NB�FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM �COMPENV:QW,J$MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :p fiffirm under peTalty of perjury one of the following declarations: Gave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the rm*ce of tbg vr)Pkfor which this permit is issued. Policy No. 0* &"and will malntp�in workers' compensation insurance, as required by Section 3700 of the Labor Code, alae carrieoanckpelicy number are: .r Policy Number AND CIVIL FINES UP TO ONE HUNDRED THOUS D LARS ($'100,000), IN ADDITION TO THE Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for for the performance of the work for which this permit is issued. My workers' Date ne of Agent / """ certify that, in the aDLNSTR e work for w ch 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 I. if I should becomorkers' co ensatio 'siGRs-0 tion 3700 of the Labor Code, I shall forthwith comply with those provisions. J nature of Applicant Dat ISI CLARATION REGT N LENDING AGENCY areby affirm under penalty of erjury the ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil ode). Ider's Name Lender's Address my signature below, I certify to of the following: I am the property owner or authorized to act on the property I have read this application and the information I have provir I agree to comply with all applicable city and county ordinary I authorize representatives of this city - countyJ enter th DATE PERMITEXTENDED CERTIFICATE OF OCCUPANCYISSUED ler's behalf Is correct. and state Is relating to building construction. ve-identifi property for inspection purposes. Print Property Owner's or Authorized Ag COMPLIANCE WITH CODE OF FEDERALI FOR OFFICE USE ONLY ART 61 OF TITLE 40 AND AOMD RULE ASBESTOS NOTIFICATION TO NOT Name X AT of ft"`,-�