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Home My WebLink AboutX2021-0332 - Permits1r'r� City of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 i... XC Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC Ill lllll�ll�ll0l 1lll�l��lllu�ll�� I� eO oee o n o 0 0 oe o 0 • . o 0 0 o m m COMB Permit: X2021-0332 Project No: 2837-2019 Issued Date : 04/2712021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROD C S UST°8k dOMRLESEL5 SkiT4E2712024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7.00 a.m. to 6:30 p.m. and Saturday tohi8:00 a.tn. tlt 6:00 p°m. Nd work on Sundays or Holidays Job Address: 1011 CAMELBACK ST NB • ® • ° ° ° ®' Description: COMM'ADD'L SCOPE` REMODEL LOBBY (1776 SF) INS i�� tl Legal Desc.: TR 6680 LOT 2 POR OF LOT 2 AND POR OF LOT 3 Owner: BAT YAHM TEMPLE Address: 1011 CAMELBACK ST NEWPORT BEACH CA 92660 Phone Applicant: JEANNETTE BRION S Address: 470 OLD NEWPORT BLVD NEWPORT BEACH CA 92663 Phone: 949-645-5854 Code Edit: 2019 Type of Construction: V-A- SPR Occupancy Group: B Added /New sq.ft. Bldg: 1720 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X 11 Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Plan Check Fee: $140.07 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $24.00 Energy Compliance: $61.00 CA Seismic Safety: $0.00 Disabled Access : $91.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE : $821.47 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: KRAUS CONSTRUCTION INC Address: 18265 MOUNT BALDY CIR FOUNTAIN VALLEY CA 92708 Phone: 714-536.1429 Con State Lie: 377814 Lie Expire: 07/31/2021 Bus Lic: BT30036947 Lie Exp Date: 09130/2021 Worker's Compensation Insurance Carrier: EVEREST NATIONAL Policy No: 7600011706201 Expire: 07101/2021 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: / Front: / Left: / Right: I �arkino Soaces $0.00 $255.00 $0.00 $0.00 $0.00 $0.00 $0.00 $42.15 $0.00 $0.00 Plan Check Fee Architect: JEANNETTE BRION S Address: 470 OLD NEWPORT BLVD NEWPORT BEACH CA 92663 Phone: 949-645-5854 State Lic:0008012 Engineer: MANSHADI FARHAD Address: 1800 E 16TH ST UNIT B SANTA ANA CA 92701 Phone: 714.835-2800 State Lic:C-036840 Designer: Address: Phone: Special Conditions: REV21-0196, DELTA 1 Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 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 $362.25 Fee Due at Permit Issuance : $459.22 PUBLIC WORKS APPROVAL: PLAN CHECK BY: M APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION •• ... .. .. ... I hereby affirm under penalty of perjury that I am exem4 from floc Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) iection 7031.5, Business and Professions Code: Any city or sount�thtt rogfres a;permitlo construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is Iicensetl%f suit t0 the provisions Othe 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 solo compensation, Will do7(•) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness and Professions Code: The Contractors' State License I-aw does pot applyio Ip bwbe ;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, hovj4Ver,44E:buildingpr "I roven:ent is pilrd within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved for the purpose of sale). 1, 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: Iy 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.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perju that I am licensed under provisions of Chapter 9 (cyym encing with Season 7000 of Divisio 3 of �e Business and Profession ode, and r icense is in full force nd effect. License Class � License No �% X� ,bate /Contractor Signature. IIORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND LLARS ($100,000), IN ADDITION TO THE DST 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: ] 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 IN erf_orn-4cWf the work for which this permit is issued. Policy No. 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 Expiration Date of Agent certify that, in the performance of the work for 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 agrer , if I should become subject o he workers' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,`r 1T iature of Applicant , � �� ( D/e— q _M—A hereby affirm under penalty of perjury6l at 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 y 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 to en'e he above id ti. ied property for inspection purposes. of Prooertv Owner or Authorized ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED I DATE I )�Vdil A I Print Property Owner's or Authorized A DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND, RULE NOTIFICATION TO )S NOTIFICATION IS NOT APPLICABLE TO DEMOLITION