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HomeMy WebLinkAboutX2020-1731 - PermitsN�r,7 City of Newport Beach - Building Division �§ s 100 Civic Center Drive, Newport Beach, CA 92660 H rg �n Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `a ra,us` Combination Type - CIP COMB Permit: X2020-1731 X 2 0 2 0 1 7 3 1�� II Project No: 1375-2020 Issued Date : 10/29/2020 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/30/2023 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: 2751 W COAST HWY NB Description: COMM TI - 2200 SF. R/R WINDOWS, BALCONY GUARDRAIL, INT DEMO, ADD NEW WINDOWS, ADA UPGRADES TO RESTROOMS Legal Desc.: TR 919 LOTH SELY 100 FT NWLY 250 FT Owner: 2751/2801 PCH ILL Contractor: OWNERIBLDR Architect: LUSHBAUGH WILLIAM Address: 1111 BAYSIDE DR STE 120 Address: TETZLAFF BRYAN Address: 17191 CITRON NEWPORT BEACH CA 92625 IRVINE, CA 92612 Phone: 949-945-2645 Phone: 626-905-2181 Phone: 949-584-2166 State Lic:CO24887 Applicant: LUSHBAUGH WILLIAM Con State Lic: OIB Engineer: NELSON DAVID Address: 17191 CITRON Lic Expire: Address: 43180 BUSINESS PARK DR STE 200 IRVINE, CA 92612 Bus Lic: TEMECULA CA 92590 Phone: 949-584-2166 Lic Exp Date: Phone: 951-695-7101 State Lic:C-076318 Code Edit: 2019 Workers Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: Address: Occupancy Group: B Policy No: Added /New sq.ft. Bldg: 2200 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 0' Special Conditions: LIQUEFACTION AREA No of Units: 0 Front: 0' Bldg Height: 0 Left: 0' Bldg Sprinklers: Y Right: 0' Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N 7 �" =n Construction Valuation: $98.000.00 as e � I Building Permit Fee: $1,193.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,037.91 Additional Fee : $335.00 Plan check Fee : $46.25 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: $28.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $68.60 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $98.00 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $4.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $2,810.76 PROCESSED BY: ZONING APPROVAL: Plan Check Fee $1,913.89 Fee Due at Permit Issuance : $896.87 PUBLIC WORKS APPROVAL: Qy PLAN CHECK BY: �+ GRADING APPROVAL: 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 a ly 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). am exempt from licensure under the Contractors' State License Law for the following reason: By signature below I acknowledge that, except for my personal residence in which ust have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal! sell structure that I have built as an owner -build r if it has no been c tru d Its nbret by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when is a pl tion is mi do a e 'ng Web site:http://www.leginfo.ca.gov/calaw.htmi.2-=20 Signature of Property Owner or Authorized Age Da LICENSED CONTRACTOR'S DECLARATIO I hereby affirm under penalty of perjury that I am licensed under provisions of Cha (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NANNING: 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 COST 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: 1 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 Dertormance of the work for which this permit is issued. Policy No. :1I have 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' compensatiol nsurance carrier and policy number are: Carrier Policy Number Expiration Date a e of Agent Phone # �I rtify that, in the performance of the work for ich t ' rmit is ' sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre :hat, f I should become subject to the orke c 'pen ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� / ature of Applicant Date V "10 DECLARATION REGAR61hP COMSTRU&ION LENDI GENCY l_V_ hereby affirm under penalty of perjury that there is a co struction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lenders Address 3y 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 an tat relaf uilding construction. I authorize representatives of this city or county to t e ab -Ide if pr for inspection purposes. 31nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam 1 iP 5h ' "�Z'�G Date I U'Z`1 -Zuz ACTION DATE BY DECLARATION OF OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO - PERMITCANCELLED EPA PERMIT EXTENDED K e _ QMD PERMIT FINAL ASBESTOS NOTIFICATION 15 T PU TO CERTIFICATEOF PROPOSED DEMO T OCCUPANCYISSUED SIGNATURE: rn F m z co U ao N d) F Vo MWM 0M F� W ) CO C� O o m 0) Qz > W rhh aO O V � U L ra x ° W ca m 9z C� 0 0 > d m F > c m Fc U O U 6 0 0 Z,EACIy �P y0 h LID N co 6) r U 2 w W Z O } r W a O a O W U F O Z O c L a) (D C N 0) T N N --a w a a) a) N N p) a) T U L L a) 0) O C= . c _ N O « m a "O N O C .0 C ca N (D '� w C _ O C (a L C .O O C 'p T o� moo (o`oa)o- o a) >, Eo ° �0cO ��.0 0E a`) N c N333 = o a Urn '3 o a) Eo C +.. 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