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Home My WebLink AboutX2022-1713 - Permitsw vj City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 v Permit Counter Phone-(949)644"3288 .. ,. Inspection Requests Phone (949)644-3255 Combination Type - BLDG *X2022-1713* COMB Permit: X2022-1713 Project No : 3031-2021 Issued Date : 0612012022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 5930 W COAST HWY NB Description: COMM INSTALL TEMPORARY CANOPY 800 SF "CAPPY'S CAFE" (PERMIT EXPIRES 12/2012022) Legal Desc.. RIVER SECTION BLK 159 LOT 5 AND POR OF LOT 4 �� Owner: 5930 COAST HIGHWAY LLC Contractor: OWNERIBLDR Architect: �� Address: 5149 E GREENS BORO LANE ANAHEIM, CA 92807 Address: CAMPBELL TIM Address: 6�I® Phone: Phone: 949/877-2392 Phone: State Lic: Applicant: CAMPBEN JIM Con State Lic: OIB Engineer: Address: 6108 SAN JOAQUIN PLAZA Lic Expire: - Address: a NEWPORT BEACH, CA 92660 Bus Lic: Phone: 949-877-2392 Lic Exp Date: Phone: State Lic: .... • ° a :' e . a a° a 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: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $130.00 Plan Check Fee: $113.10 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.50 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $395.85 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: 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: I Left: / Right: / 3arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Designer: MIRZAKHANAIAN ALMARA Address: 6108 SAN JOAQUIN PLAZA NEWPORT BEACH, CA 92660 Phone: 747-344-4787 Special Conditions: HIGH DENSITY AREA CDP2021-036 0 Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $50.75 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Band: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $48.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $395.85 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) I have placed next to the applicable item(s) ction 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 Tssuance, also requires the applicant for 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 �fessions 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 more than five hundred dollars ($500). i J I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions o usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, througl nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cor nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contract I 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 ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I I Irofessions Code, is available upon request when thi pplic n i to a following Web site:http://www.leg signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm untle►penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) nd effect. Licenee.Glass License No Date 2KiRS' COt41PENSATION DECLARATION ING•FAILURPTO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEf• OP �OMPENSATPN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'bS affirm under Repalty of perjury one of the following declarations: have and well+maintain a certificate of consent to self -insure for workers' compensation, issued by the Director rmance of tlhe v"k for which this permit is issued. Policy No. 1K6 and wil ! e htain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the ante carrier and policy number are: the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the pletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion of the improvements covered by this permit, I cannot legal Tderstand that a copy of the applicable law, Section 7044 of the Business and ifo.ca.gov/calaw.html. Date Ip (c� / /n- /n sa cc-- Division 3 of the Business and Professions Code, and my license is in full force Contractor Signature AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE Industrial Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Pier • • • Policy Number Expiration Date �eo�Agent •• Phone# cerdy that, h tha performance of the work for which this permit is issued, I shall not employ any person in any mann�r so as to become subject to the workers' compensation laws of California, and agree if I should beScbme%ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall f0rthwlth comply with those provisions. iature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whi'I h 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 state laws relating to building construction. I authorize representatives of this city or county to e r the Ide d property for inspection purposes. �. nature of Prooertv Owner or Authorized ADent Print Property Owners or Authorized Agent's Name ACTION DATE BY < DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF _-+ PROPOSED DEMOLITION OCCUPANCY ISSUED l�� u' • \I SIGNATr1RE-