HomeMy WebLinkAboutX2020-2243 - Permitswa City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - CIP
IIIIIIII�IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII II COMB Permit: X2020-2243
x 2 0 2 0 2 2 4 3 Project No: 1809-2020
Issued Date : 10/28/2020
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012912023 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: 3431 VIA OPORTO NB
Description: COMM TI NEW EXTERIOR DOOR @ REAR OF-SPACE'MARROW'
Legal Desc.: N TR 1235 LOT 1
Owner:
LIDO GROUP RETAIL
Address:
7777 EDINGER AVE STE 103
Record Management:
HUNTINGTON BEACH, CA 92647
Phone:
$0.00
Applicant:
KRUSE RAND
Address:
3404 VIA OPORTO STE 201
Hazardous Mat
NEWPORT BEACH, CA 92663
Phone:
949-500-9416
Code Edit: 2019
Type of Construction: I -A
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation: $
Building Permit Fee: $127.00
Plan Check Fee: $110.49
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$14.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access:
$91.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $389.74
PROCESSED BY: �I°
ZONING APPROVAL: AL
GRADING APPROVAL:
Contractor:
JPS DESIGNS & BUILD
Address:
120 INDUSTRIAL WAY
Fair Share :
COSTA MESA CA 92627
Phone:
949-650-9992
Con State Lic:
986010
Lic Expire:
0813112021
Bus Lic:
BT30071137
Lic Exp Date:
02128/2021
Worker's Compensation Insurance
Carrier: STARNET INS CO
Policy No: BNUWC0149765
Expire: 11/1612020
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: /
3arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee:
Architect:
Address:
c®STC,
Phone:
En
Address:
Phone: SATv�
Designer: KR ND t
Address: 3404 VIA OPORTO STE 201
NEWPORT BEACH, CA 92663
Phone: 949-500-9416
Special Conditions: HIGH DENSITY
Planning Department -
�E
Plan check Fee
$46.25
Fair Share :
$0.00
SJH Trans :
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
e
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Refund Deposit
$0.00
Architect:
Address:
c®STC,
Phone:
En
Address:
Phone: SATv�
Designer: KR ND t
Address: 3404 VIA OPORTO STE 201
NEWPORT BEACH, CA 92663
Phone: 949-500-9416
Special Conditions: HIGH DENSITY
Planning Department -
Fire Department
Plan check Fee
$46.25
Fair Share :
$0.00
SJH Trans :
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$156.74 Fee Due at Permit Issuance : $233.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: V rg-
APPROVAL TO ISSUE:
0 ;o:
Fire Department
$46.25
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
$156.74 Fee Due at Permit Issuance : $233.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: V rg-
APPROVAL TO ISSUE:
0 ;o:
OWNER -BUILDER
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).
I
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do C,) 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 1 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 penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Vision/of the Business and P f ssions Cod n y license is in full force
and effect. License Class License No Dat z Contractor Signatu
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 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.
I hereby affirm under penalty of perjury one of the following declarations:
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
o ance of the work for which this permit is issued. Policy No.
I ave 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' compensatio
insu ance carrier and policy number are:
ier Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the performance the ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation law of California, and agre
that, if I should become bject to o ers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
Signature of Applicant Dat °J
DECLARATION REGARDING bqNk'1`R0QTJbN LENDING AGENCY
I hereby affirm under penalty of prjury that here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county Orth a 4snd state laws relating to building construction.
I authorize representatives of this city or coun t ente -identified property for inspection purposes.
Signature of Propertya Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam I Date
ACTION DATE BY DE LA ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RE LATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 •..
PERMIT EXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO
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PERMIT EMENDED
PERMITFINAL
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PROPOSEDMOUTION
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OCCUPANCYISSUED
SIGNATURE•
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