HomeMy WebLinkAboutX2022-0208 - Permitstµw,:•�,�; City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
xT. ";r Inspection Requests Phone (949)644-3255
t:4ir�.:.. „> Combination Type - CIP
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IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII COMB Permit: X2022-0208
Project No : 0192-2022
Issued Date : 01/24/2022
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112412025 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: 630 LIDO PARK DR NB
01
Description: COMM STRUCTURAL INTERIOR AND EXTERIOR WALL REPAIR @ KITCHEN "BLUE WATER GRILL" A
Legal Desc.: TR 015 LOT 11 ALL -EX WATERWAY -(AND ALL -EX WATERWAY- LOTS 12 & 14 TO
Owner: BLUE LIDO REAL ESTATE
Address: 25 CAMBRIA DR
CORONA DEL MAR CA 92625
Phone:
Applicant: SOMERS JOHN
Address: 101 SHIPYARD WAY
NEWPORT BEACH CA 92663
Phone: 9491795-7564
Code Edit : 2019
Type of Construction: V-A- SPR
Occupancy Group: A-2
Added /New sq.ft. Bldg: 1500
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units: 0
Bldg Height: 0
Bldg Sprinklers: Y
Construction Valuation:
Building Permit Fee: $334.00
Plan Check Fee: $290.58
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$8.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access:
$0.00
Hazardous Mat $0.00
Building Green Fee : $1.00
TOTAL FEE: $685.58
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: D B A C INC Architect:
Address: 101 SHIPYARD WAY#A Address: ,6
NEWPORT BEACH CA 92663
Phone: 949-723-0147 Phone: State Lie:
Con State Lie: 637651 Engineer: BISHOFF RYAN WILLIAM
Lie Expire: 02/28/2024 Address: 3300 IRVINE AVE #245 -
Bus Lie: BT00016282 NEWPORT BEACH CA 92660
Lie Exp Date: 10131/2022 Phone: 949-862-8510 State Lic:S-006250
Worker's Compensation Insurance Designer:
Carrier: INS OF THE WEST Address:
Policy No: WSD505182800
Expire: 1111112022 Phone:
Building Setbacks Rear: / Special Conditions:
Front: I ;
Left: I
Right: /
Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Excise Tax: $0.00 Planning Department - Fire Department
Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00
Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev -$0.00
Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee
Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00
Grading PC Fee: $0.00 Public Works Department - General Service $0.00
WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00
PIW Plan Check: $0.00 Grading Bond: $0.00
Electrical W $0.00 San Dist: $0.00
Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00
Plumbing %: $0.00 $0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $685.58
IA/ PUBLIC WORKS APPROVAL:
F' 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
to 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Usiness 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).
11, 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).
I 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.govicalaw.html.
lignature of Property Owner or Authorized Agent D e
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess) s de, my license is in full force
nd effect. License Class License No Contractor Signat
R'
VORKERS' COMPENSATION DECLARATION
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 COMPENSA'I IUN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm unuer penalty of perjury one of the following declarations:
J I hava and wiJ r„Li;.tam 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 the
e:fopKa_nce 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'
came. and pclicy number are: ''
Policy Number u%�� e�O r�_ j M7 UZ Expiration Date
of Agent _ -
certify that, in the performance
if I rhould beoom= sgAject-M I
of Applicant
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
npensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date
CLARATION REGfr:DING CONSTRUCTION LENDING AGENCY
!reby affirm unjor pc nalty 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).
lder'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 prope owners behalf.
have read this application and the information I have pr v" a correct.
I agree to comply with all applicable city and c sad state laws relating to building construction.
authorize representatives of this city or coun to a to e a ve-identified property for inspection purposes.
ACTION
PERMIT CANCELLED
PERMIT EXTENDED
CERTIFICATE OF
OCCUPANCYISSUED
or Authorized AgW Ns Print Property Owner's or Authorized Agent's Name Jd
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
3 J ¢ IV.A BESTOSNO)I
TO
Date