The URL can be used to link to this page

Home My WebLink AboutX2019-2613 - Permitstt City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II COMB Permit: X2019-2613 100 Civic Center Drive, _Newport Beach, CA 92660 x 2 0 1 9 2 6 1 3 Project NO.: 1868-2019 H Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 "f•..,Dwr� Combination Type - CIP ELEC MECH PLUM Issued Date : 09/13/2019 9 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 177 RIVERSIDE AVE NB St: 1 FL 1 OUB - 1 44, I PECT®R Description: COMM TI -1815 SF'THE BAR METHOD' STUDIO - Legal Desc.: TR 919 LOT F POR OF. LOT Owner: MARINERS LLC Contractor: PDC INC Architect: SPON GREGORY MICHAEL Address: 456 MONTGOMERY ST #17TH Address: 1010 S HATHAWAY ST UNIT C Address: 1242 WREN GLEN SAN FRANCISCO. CA SANTA ANA CA 92705 ESCONDIDO CA 92026 Phone: Applicant: RODRIGUEZJANEL Address: 160 W FOOTHILL PKWY #105-243 CORONA CA 92882 Phone: 909-203-8642 Code Edit: 2016 Type of Construction: V -B Occupancy Group: B Added /New sq.ft. Bldg: 1915 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $1,468.00 Plan Check Fee: $1,277.16 Overtime Plan Ck $0.00 Investigation Fee: $0.00 Record Management : $60.00 Energy Compliance: $105.00 CA Seismic Safety: $0.00 Disabled Access : .$150.00 Hazardous Mat $0.00 Building Green Fee : $6.0.0 PROCESSED BY: Phone: (714)664-0477 Con State Lie: 988559 Lie Expire: 11130/2019. Bus Lie: BT30055261 Lie Exp Date: 06130/2020 Worker's Compensation Insurance Carrier EVEREST PREMIER INS CO Policy No: 7600020452191 Expire: 05/2912020 Building Setbacks Rear: I Front: I Left: / Right: / Use Zone: Parkina Spaces: 0 Phone: Engineer: Address: Phone: Designer. Address: 760-214-6129 Siate'Lic:C035784 Phone: Special Conditions: Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Inspection: Additional Fee ; $0.00 Plan check Fee Demolition Fee Grading Bonds Fee: $0.00 Fair Share :. General Service Grading PC Consultant : $0.00. SJH Trans Grading Bond: Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department- WO Insp. Fee: $0.00 Park Dedication : $0.00 P/W Plan Check: $0.00 Electrical %: $384.32 San Dist :. $0,00 Mechanical W $301.97 NMUSD Fee: $0.00 Plumbing %: $247.06 TOTAL FEE: $4,824.51 ZONING APPROVAL: Plan Check Fee : $1,711.39 PUBLIC WORKS PLAN CHECK GRADING APPROVAL: y I APPROVAL TO State Lic;. momo �vmmom b mm oocmmm 0 o m comoco o m O P ryLm6G o � Dm OmOt� Q 9 O m mm c .. c as u oemc< aomo• 000 moi. • avc' Q CU G mcmm $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $3,113,12 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: momo �vmmom b mm oocmmm 0 o m comoco o m O P ryLm6G o � Dm OmOt� Q 9 O m mm c .. c as u oemc< aomo• 000 moi. • avc' Q CU G mcmm $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $3,113,12 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) 1 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). ❑ 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 improved 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 ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 s' 3 of the Business and Pr Be de, ' ense is in full f rce and effect. License Class License No Contractor Signatu — - WORKERS' Cs U0l!NSATION DECLARATION MRNING:FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T1 CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CbSYOPOOMPENSA TION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under;mnalty of perjury one of the following declarations: 1°6ave 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 IN T��njance of tro ppllsfor which this permit is issued. PolicyNo. sand 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' compensatior e carneg°aild f?dicy number are: "rilar.° °f Policy Number Expiration Date �I certify that, ifi'tITO pQrfor anIfaworJfoich is 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 agree ; i} t3�hould beiome� u e tork e sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. \ Signature of Apfilice11 )ECLARATION REGSTRU ION LENDING AGENCY / hereby affirm under =f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the pronarty owner's behalf. I have read this application and the information I he pro 'ded is c r c I agree to comply with all applicable city and coun rdina ces an s e Is relating to building construction. I authorize representatives of this city or count a ter a abov i tifi pro arty r inspection purposes. 3i nature of PropertyOwner or Authorized A Print Property Owner's or Authorized A ant's Nam D ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED TO PERMITFINAL %- % . Z,Q ` , UASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: