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Home My WebLink Aboutx2021-3355 - Permitsa'r r City of Newport Beach - Building Division IIII'IIIII�IIIIIII�IIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3355 �� - 100 Civic Center Drive, Newport Beach,. CA 92660 X 2 0 2 1 3 3 5 5 Project No : 2917-2021 - 'w s Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 `��iaae�` Combination Typ0e - CIP ELEC MECH PLUM Issued Date : 12122/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/22/2024 OR PERMIT VWLL 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: 3800 E COAST HWY NB St: 1 Ft: 3 Unit: 6 Description: COMMTI "HERDMAN ARCHITECTURE & DESIGN" 1032 SF Legal Desc.: TR 673 LOT 50 ELK BALL -INC POR ABAN ALLEY ADJ- -EX HWY-(AND ALL Owner: 30 BEACH VIEW LLC Contractor: KRS DEVELOPMENT Architect: HERDMAN BRIDGET IRENE Address: 3800E COAST HWY Address: 2941 GRACE LN STE C Address: 16201 SCIENTIFIC WAY NEWPORT BEACH, CA 92625 COSTA MESA, CA 92626 IRVINE CA 92618 Phone: Phone: 949-290-6500 Ph e)XSt:;49-838-5204 State Lio:C032810 ApplicanHERDMAN BRIDGET Con State Lie, 912477 Address: 1 2011 SCIENTIFIC WAY Lie Expire. j��IFFIC 051 112023 �� Address: IRVINE, CA 92618 Bus Lie: ��,� BT300 W" Phone: 949.838-5204 Lie Exp Date: olwvPhone, State Lie, '� Code Edit: 2019 Worker's Compensation Insurance e Type of Construction: V-B Carrier: STATE COMP FFUND Address: -. Occupancy GroupB Policy No 9129520 _ Added /New sq.ft..Bldg: 0 Expire: 0410312022 OXOAe Phone: Added lNew sq. ft. Garage: 0 No of Building Setbacks Building R / Special Conditions:No a of Units:U lf�,J' I Bldg Le Bldg Sprinklers: N Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $419.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $364.53 Additional Fee : $357.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $36.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $91.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $109.69 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $86.19 NMUSD Fee: $0.00 $0.00 Plumbing %: $70.52 $0.00 TOTAL FEE : $1,647.93 Plan Check Fee: $1,049.47 Fee Due at Permit Issuance : $598.46 PROCESSED BY: °PU$LIC WORKS Ao PROV..AL: ZONING APPROVAL: a PLAN CHECK BY: GRADING APPROVAL: ,XpPROYALITo01S5U E:•a ov• OWNER -BUILDER DECLARA 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, as owner of the property, or my employees with wages as their sole compensation, will do U 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 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 legall, 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.html. 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 70 of Division 3 of the Business and Profession o and y license i II -force and effect. License Class License No Date -Z ��i Contractor Signature/ WORKERS' COMPENSATION DECLARATION �� WARNING: 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 ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: aave 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 pe for ante of the work for which this permit is issued. Policy No. ❑I ve 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' compensatiol nce carrier and policy number are: ie of Agent certify that, in the performance of the , if I should become subject to the wo Policy Number Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and lions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant 4 �`�l`� 1 Date CLARATION REGARDI�O SNSTRUCTION L NCY :reby 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 s ws relating to building construction. I authorize representatives of this city or unty to enter t b -id ' Ed property for inspection purposes. signature of Property Owner or Authorized Age Print Property Owner's or Authorized Ag ACTION DATE REDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED 1 I 1 LJISUBMf[TED ASBESTOS yOTIFICATAON T6 PERMIT CANCELLED / EPA- e : • r-• PERMIT FINAL F"BESTOS NOTIFICATI NI$ T_PPLICABLE TO CERTIFICATE OF �jr ROPOSI;EMGLITI • •" •• OCCUPANCYISSUED SIGNATUR^J. • • a • • ee • aee ea ees ea* e• Date