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HomeMy WebLinkAboutX2022-0300 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 ':- Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0300 x 2 6 2 2 0 3 0 0 Project No : 0272-2022 Issued Date: 0212412022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0212412025 OR PERMIT WILL BE INV, 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: 3431 VIA OPORTO NB Description: COMM TI "THE GREAT' 1105 SF Legal Desc.: N TR 1236 LOT 1 Owner: LIDO GROUP RETAIL LLC Contractor: L E I GENERAL CONTRACTOR Architect: SHEFT ALEXANDER FRANKLIN Address: 7777 EDINGER AVE, STE 103 Address: 160 W FOOTHILL PKWY STE 105-184 Address: 1140 ROCKDALE AVE HUNTINGTON BEACH CA 92647 CORONA CA 92882 LOS ANGELES CA 90041 Phone: 714/369-9846 Phone: 951-316-6721 Phone: State Lic:C036534 /y ,r Applicant: KRUSE RAND Con State Lic: 386160 Engineer: r Ff(-) Address:. 3404 VIA OPORTO, STE 201 NEWPORT BEACH CA 92663 Lic Expire: Bus Lic: 03131120031311223 BT30078063 Address: �s9 lv a rr ° I`ki N. Phone: 9491500-9416 Lic Exp Date: 02128/2023 Phone: r Staff"e'Licd Aej Code Edit : 2019 Worker's Compensation Insurance Designer: .-„� Type of Construction: II-B Carrier: STATE COMP INS FUND Address: p 1J Occupancy Group: M Policy No: 9048641 - Added /New sq.ft. Bldg: 1105 Expire: 03114/2023 Phone:P Yr �Q "8 Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: I Special Conditions: HIGH DENSITY No of Units : 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / n� "'`®5suR, Flood Zone: X Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N y S ""''"'"P ` i Construction Valuation: $24,000.00 Building Permit Fee: $487.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $423.69 Additional Fee : $0.00 Plan check Fee: $62.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $74.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $91.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $127.50 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $100.18 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,4117 �N ... Plan Check Fee : $1,417.37 Fee Due at Permit Issuance: $0.00 ®e UO( PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: NI YN PLAN CHECK BY: rr'1 r QD c. oa.. GRADING APPROVAL: , ° G° F °• APPROVAL TO ISSUE: LL L,GG C 4 ° G 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 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 nproved 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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.html. 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 Section 7000) of Di ' ' n 3 of the Business and Professions Cosl�e�rr my license is in full force nd effect. License Class A -/ License No 3rs E / 6 o Date Contractor Signature //- VORKERS' COMPENSATION DECLARATION j 3Z DARNING: 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 DST 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 thf e ormance 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 Date Tie of Agent Nnone s certify that, in the performance of the w k 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 agret I, if I should become subject to the r . compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant -/, /J/I /u/� Date/ h'�j 1 CLARATION REGAR NIS CONSTRUCTION LENDING AGENCY / :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C it 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 provided is correct. I agree to comply with all applicable city and county or ances and state laws relating to building construction. I authorize representatives of this city or coun to r the above -identified property for inspection purposes. 1/ nature of Prooertv Owner or Authorizi Print Property Owner's or Authorized Agent's Name �l l�ETG L t A Pd �6 4>5 Date 9- 7 H L' 1 ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EMENDED CERTIFICATE OF OCCUPANCYISSUED DATE BY \ REGULAT ONS PART 610 TCOMPLIAIIT E 40 AND AQMD RULECE WITH CODE OF FOR OFFICE USE ONLY NOTIFICATION TO NOTIFICATION 52NOT APPLICABLE TO • • ••• • • • • • • • • •;• •• •. .