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Home My WebLink AboutX2020-1598 - Permits1r� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 } Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 �''r+aroa'r Combination Type - GRAD �� III PCOMB loject Per mit: X2020-1598 Issued Date: 07/10/2020 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0711112023 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: 300 E COAST HWY NB Description: COMM - "BAYSIDE VILLAGE MARINA' GRIND 1" OF (E) ASPHALT, INSTALL 1" NEW ASPHALT OVER EXISTING. Legal Desc.: PARCEL MAP 27840 PARS 12 AND 3 Owner: DE ANZA BAYSIDE VILLAGE Address: 300 E COAST HWY Investigation Fee: NEWPORT BEACH CA 92660 Phone: $0.00 Applicant: THOSE JAY Address: 2200 S YALE Disabled Access: SANTA ANA CA 92704 Phone: 714-540-1700 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: , Flood Zone: Building Permit Fee: $652.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $2.00 TOTAL FEE: $931.50 PROCESSED BY: rs \ ZONING APPROVAL: L GRADING APPROVAL: Contractor: BEN'S ASPHALT li MAINTENANCE COMPANY INC Architect: Address: 2200 S YALE AVE Plan check Fee: SANTA ANA, CA 92704 Phone: 714-540-1700 Con State Lie: 868897. Lie Expire: 06130/2022 Bus Lie: BT30031215 Lie Exp Date: 07/30/2021 Worker's Compensation Insurance Carrier: STARR INDEMNITY AND LIABILITY Policy No: 1000003558 Expire: 03/01/2021 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: / 3arkino Spaces $0.00 $236.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lie: State Lie: Special Condition 4g i 0F1 i, Fire Hazard Zone : N I Planning Department - Fire Department Plan check Fee: $41.50 Fair Share : $0.00 SJH Trans : Fire Plan Rev In -lieu Housing Fee $0.00 Public Works Department - Park Dedication: $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 a Few;3ue at Permitalssuance E e $931.50 a s PUBLIC WORKS`APPROVAL: aoa 4` meo c" PLAN CHECK BY: oe o00 o a ccs a a a 0 a U U C APPROVAL TO IS$U�.: a o e o o E 0o Uo�a v U o0 oc r,00 Fire Department $41.50 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 a Few;3ue at Permitalssuance E e $931.50 a s PUBLIC WORKS`APPROVAL: aoa 4` meo c" PLAN CHECK BY: oe o00 o a ccs a a a 0 a U U C APPROVAL TO IS$U�.: a o e o o E 0o Uo�a v U o0 oc r,00 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) 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 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 properly, 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.govlcalaw.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 Sectio 70 o ivi Ion 3 of the Business and Profes 'ons^, en tic R Is ' and effect. License Class License No Dat Contractor Signaturlk INORKERS' 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 HUNDRE 0A 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: 7 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 th, W rmance 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 of Agent Date ❑1 certify that, in the performance of the work for w ' his a it 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, :hat, if I should become subject to ke s' c p arovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican e DECLARATION REG D G NS UC ON LENDING AGENCY hereby affirm under pena t f er ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil 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 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 ordinance d at ws relating to building construction. I authorize representatives of this city or co t to r e -i led roperty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NamDate -• ACTION DATE BV ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V If REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE • 3 PERMITEXPIRED ••• • l4UBIVIITTEF)SBB6TOS NOTIFICATION TO PERMITCANCELLED • • Ep11 PERMITEXTENDED UQMD PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO ; CERTIFICATE OF •�• ••• PROPOSED KlIA6)UJTPN OCCUPANCYISSUED • • SI(`1P�U�E:�