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HomeMy WebLinkAboutX2020-2946 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H rr Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP MECH ELEC COMB Permit: X2020-2946 IIIIIIII�II�III�II�IIIIIIIIIII�IIIIIIIIII� II Project No : 2346-2020 Issued Date: 02104/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210512024 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: 415 NEWPORT CENTER DR NB Description: COMM "WHOLE FOODS MARKET" INSTALL DEHUMIDIFICATION EQUIPMENT WIDUCT WORK Legal Desc.: f Owner: IRVINE ( Address: PO BOX Phone: Applicant: LORA JA' Address: 891: Phone: 951-24� Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bic Added /New sq. ft. Gi No of Stories: No of Units: Bldg Height: Bldg Sprinklers: Construction Building Permit Fe Plan Check Fee: Overtime Plan Ck: Investigation Fee: Record Managem Energy Complian CA Seismic Safety Disabled Access Hazardous Mat Building Green Fee PROCESSED BY: PANU,alee Contractor: Ft-9VT'%"eh"k1kW6 ,.-� Architect: 0 3-_�_tBAddress: 891 LOWA AVE �°°m`�iYtlre EACH CA 92658 RIVERSIDE CA 92507 Phone: IB84=0008— If appfiCft7e: 3R Co at ic: 56 ,AEdn�giinneeer: TREAT KEVIN CA _uLi B 30">�{4� $0% V1 Us,�0„3,�Q1 SLUCILLE 11 c xp e:4' 0 1 Phone: t 44115.5� 2 9 - W rker's Compensation Insurance to whom�l er: ROSENZWEIG R ERAL INS CO Addresgss--�4275N-PAtMSI t 1 FULLERTON CA `'' 10 Phone: 714-578-1200 0 2 Building Setbacks Rr� Special Conditions: 0 Front: / 0 Left: / g�p'!� ��p, Right: I 'i..�.fq- Gi..� �..�4 FPS 10 uuo =,.,I - 159.00 Excise Ta f $0.00 s"ridPlanning g e d Depa me"a9 Additional Fee : $0.00 (n0aW�ktl�,njr�FS!8rtCd $0.00 � d,00------- Grading Bonds Fee: $0.00 Fair Share: $0.00 $0.00 Gram S-GeAsu8ant . $0.00 SJH Trans : $0.00 . Grading Permit Fee: —' -TO-.0 In -lieu Housing Fee: $0.00 ��"'-6redi Fee: $0.00 Public oV-rR"epartman ,Fee ; -""""'99,�. Park D J ation :, $0.00 -P/W-Plit $0.00 -,� b�hk $:fiQr,v�"� $0.00 Electrical %: $148.35 'Sam©I,&L,,,,, $0,00-""------ $2.00 Mechanical %: $114.99 NMUSD Fee: Plumbing %: $0.00 TOTAL FEE: $1,385.67 ZONING APPROVAL: GRADING APPROVAL: INSPECTUODIR State Lic:; State Lic:S-004947 Department a Inspection: Plan Rev olition Fee iilding Dept Adm meral Service :fund Deposit Ping Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $668.92 Fee Due at Permit Issuance : $716.75 _ PUBLIC WORKS APPROVAL: PLAN CHECK BY:� APPROVAL TO ISSUE: P veoos( , • e a m , ° o a m° < mo.aa < osaia :O<tC0 � ° G 0 0 L-rt.4 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 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). 1 1, 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, 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 theprojectswith a licensed Contractor pursuant to the Contractors' State License Law). 7 I 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 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:http://www.leginfo.ca.gov/calaw.htmi. 'signature of Propperty Owner or Authorized Agent Date ICENSED'Cb[WRACTOR'S DECLARATION hereby affirlh'u'nd er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect! o 00 f I isi r 3 of i the Business and Pro s ions C�, n i ense is in full force pdeffect. ;'Item%%Class License No Date ' 1 Contractor Signature. I/ORKERS''COMPENSATION DECLARATION 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 OW OF COMPE#19APM41, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. rhe,e�tepy affirmund& penalty of perjury one of the following declarations: J-I have arRl'tO 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 ej'I'drrpance of trM2 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' carript SO rolicy number are: Policy Number Expiration Date ne of Agent...... rnone v certify that, in the performance of he work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agre !, if I should become s bject t 'th worke ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applica Date 'Zc CLARATION REGA • C NS RUCTI N LENDING AGENCY reby affirm under p natty o rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivi Code). Ider's Name Lender's Address my signature below, I certify to each of the following: I am the properly owner or authorized to act on the property owner's behalf. I have read this application and the information I have prorlded is correct. I agree to comply with all applicable city and coqnty ordin ncey,and state laws relating to building construction. I authorize representatives of this city or cou o enter t e bob -identified properly for inspection purposes. l /t nature of Procertv Owner or Authorized Agent '. Print Property Owner's or Authorized Agent's Name �J �t � L.-E)(L & Dat 2-I 7cl ACTION DATE I BY I I DREEG ATI NS OF CO 1 O TILE 40 AND AQMMPLIANCE WITH CODE F RULE AL I FOR OFFICE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED PERMIT EXTENDED CERTIFICATE OF OCCUPANCYISSUED TO