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Home My WebLink AboutX2018-3616 - Permitsw1°as City of Newport Beach - Building Division .100 Civic Center Drive, Newport Beach, CA 92660 5� 'Permit Counter Phone (949)644-3288 v > Inspection Requests Phone (949)644-3255 ar ehH�> Combination Type - SFP PLUM ELEC MECH iiiiiiiiei�sii !! AS BUILT PERMIT EXPOSE ALL STRUCTURAL, COMB Permit: X2018-3616 Project No : 2795-2018 Issued Date : 05/1012019 Inspection Area : 1 on Sundays or Holidays BURGERTHOMAS 315 MARIGOLD CORONA DEL MAR CA 92625 949-376-2126 State Lic:C015902 Phone: 949-376-2126 PERMITS EXPIRE 180 DAY Phone: State Lie: Code Edit: 2016 Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. aSaturday from OC®I�P Type of Construction: V -B Job Address: 359 VIA LIDO SOLID NIB MECHANICAL Policy No: 1300846 Investigation Fee: Description: SFR INT ALT (AS BUILT) RMV FOOD PREP FACILITIES 118-2813 Phone: Added /New sq. ft. Garage: 0 Legal Desc.: TR 907 LOT 922 NWLY 30 FT AND POR ABAND ALLEY No of Stories: 2 Building Setbacks Rear: I Owner: GETZELMAN WILLIAM Contractor: CP MC CLARY CONSTRUCTION INC Architect: Address: 359 VIA LIDO SOLID Address: 1013 LINDEN PLACE Address: $0.00 NEWPORT BEACH, CA 92663 COSTA MESA CA 92627 $1.00 Phone: Phone: 949.642-9264 Phone: Applicant: BURGERTHOMAS Con State Lie: 513053 Engineer: Address: 315 MARIGOLD Lie Expire: .10131/2019 Address: CORONA DEL MAR CA 92625 Bus Lic:.. BT00004228 COMB Permit: X2018-3616 Project No : 2795-2018 Issued Date : 05/1012019 Inspection Area : 1 on Sundays or Holidays BURGERTHOMAS 315 MARIGOLD CORONA DEL MAR CA 92625 949-376-2126 State Lic:C015902 Phone: 949-376-2126 tic Exp Date: 0813112019 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: STATE COMP INS FUND Address: Occupancy Group: R3/U Policy No: 1300846 Investigation Fee: Added /New sq.ft. Bldg: 0 Expire: 0610112019 Phone: Added /New sq. ft. Garage: 0 Energy Compliance: No of Stories: 2 Building Setbacks Rear: I Special Conditions: LIQUEFACTION AREA No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Ham Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: TOTAL FEE: $1,896.33 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $14.56 $8.32 $18.72 Plan Check Fee Planning Department- Construction Valuation: $2,000.00 Building Permit Fee: $104.08. $40.00 Plan Check Fee: $90.48 $1,410.00 .Overtime Plan Ck: $0.00 $0.00 Investigation Fee: $104.00 $0.00 Record Management: $8.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: TOTAL FEE: $1,896.33 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $14.56 $8.32 $18.72 Plan Check Fee Planning Department- Plan check Fee: $40.00 Fair Share [ - $1,410.00 SJH Trans : $0.00 In -lieu Housing Fee : $0.00 Public Works Department - Park Dedication i. $0.00 P/W Plan Check: $41.25 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: $243.09 Fee Due at Permit Issuance 040 Ot P11�3LIC ARKS APPROVAL: PtANC ECK BY: APPROVAL TO ISSUE: L G lV $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,653.24 VYYIYCR'OVILVLR VCVLI•R iIWIY I hereby affirm under penalty of perjury that 1 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 perrnitto 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 provisionsloftheContactors' 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..Ang„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: 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 legally sell 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 Professions 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 Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) Div' ion 3 of the Business and Pr fe s and my license is in full force and effect. License Class License No Date D Contractor Signatu�f WORKERS' COMPENSATION DECLARATION NARNING: 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 the )erfjtmance of the work for which this permit is issued. Policy No. have and wit aintaln 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' compensatio ,ante carrierolicy num6b�er are: n 6 ler s/ n . <7 �1 . 1 Pb1iLM Number Expiration Date ie of Agent ry y b Phone # certify that, in the performance of the work for whit)1this 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 become sub'ec the rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant CLARATION REGA�I � SON LENDING AGENCY Ireby 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, Civil 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county tto en r the above -identified property for inspection purposes. .—{f nature of Prooertv Owner or Authorized Agent V/`0 -.e I Print Pronertv Owner's or Authorized ADent's Nam�C � 0,kcc-t � o _P� 7 J 10' Iq ACTION DATE BY DECOMTX ON OWEUMPQANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMITCANCELLEI PERMIT EXTENDED CERTIFICATE OF OCCUPANCYISSUED SUBMITTED ASBESTOS Y � � A ] fOPO ESTOS PROPOSED DI SIGNATURE: f • ••• IS NOT APPLICABLE TO _19L, •• ••• • • •• •• •••