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Home My WebLink AboutX2020-0146 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2020-0146 (1) 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 0 1 4 6 4 Project ND : 0118-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH PLUM Issued Date : 09/23/2020 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0912412023 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: 3377 VIA LIDO NB Description: COMM TI "SEAVEES" 2219 SF Legal Desc.: TR 1117 LOT 4 AND 5 ALL -INC POR OF ALLEY ADJ- Owner: FAINBARG ALLAN Contractor: GLOWACZ CUSTOM BLDRS Address: 129 W WILSON STE 200 Address: 412 OLIVE AVE, #537 COSTA MESA, CA 92627 HUNTINGTON BEACH CA 92648 Phone: Phone: 714-322-9303 Applicant: BROWN LANCE G Con State Lic: 652767 Address: 2901 W MACARTHUR BLVD #101 Lic Expire: 06/30/2021 SANTA ANA CA 92704 Bus Lic: BT30073008 Phone: 714-427-0370 Lic Exp Date: 09130/2021 Code Edit: 2019 Type of Construction: V-B Occupancy Group: M Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $1,193.00 Plan Check Fee: $1,103.91 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $62.00 Energy Compliance: $68.35 CA Seismic Safety : $0.00 Disabled Access: $97.64 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE: $3,151.82 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier. STATE FUND Policy No: 9052041 Expire: 01101/2021 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: I Right: / Parkina Spaces $0.00 ($181.84) $0.00 $0.00 $0.00 $0.00 $0.00 $312.33 $245.40 $200.78 Plan Check Fee Architect: BROWN LANCE G Address: 2901 W MACARTHUR BLVD #101 SANTA ANA CA 92704 Phone: 714-427-0370 State LiaC01969n Engineer: STANGER CRAIG Address: 2014 E WESTPORT DR #A ANAHEIM CA 92806 Phone: 714-778-6691 State Lic:S-0038�3 Designer: Address: 1, Phone: ^® Special Conditions: Sat noise form sig /'+ pr �I Liquefaction ar@ Fire Hazard Zone : N 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 4rl\V� Fire Department Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demol" " Py5' $0.00 p Adm $0.00 Oneral Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $1,487.20 Fee Due at Permit Issuance : $1 664.62 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 1Im V - APPROVAL TO ISSUE: OWE ER -BUILDER DECLARATION I here my 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: 031.5, 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 perm: to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing veth Section 7000) of Maslen 3 of the Business and Professic :s Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Anyvlolation of Section 703t.5 by any applicant for a permit subjects the applicant to a civil penalty of tot more nan five hundred dollars ($500). 11, as . wner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the Work, and the structure is not Intended or offered for sale (Section 7044, 3Llsdness and Professions Cade: 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 mproven ants are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner-BuNder will have the burden of proving that it was not buitf or myoroved or the purpose of sale). J 1, as ! -liner of the property, am exclusively contracting Mh licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ippiy to z , 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 ..tempt from fioensure under the Contractors' State License Law for the following reason: 3y my sic, :ature below I acknowledge that, except for my personal residence In which t must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally *11 a sitri .cure that I have built as an owner -builder if it ties not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rrofessios Code, Is available upon request when this application Is submitted or at the following Web sfte:httplAiww.4eginfo.ca.govlcalaw.html. 3lgnaturt of Property Owner orAuihonzed Agent DaLfi -ICENS-D CONTRACTOR'S DECLARATION hereby:. fine under penalty of perjury that I am licensed underprovisions of Chapter 9 (commencing with Section 7000) of DJvision 3 of the Business and Profe ions a and my license is in full force Ind effec. License Class License No Date Confractor Signatu VORKEi S' COMPENSATION DECLARATION IARNING:.- •XURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNa FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS100,0DDI, iN ADDITION TO THE *STOFC•_MPENSATIO GES AS PROVIDED FOR R46ECMNU460FTHE LABOR COBS, INTEREST, ANOATTORNEVS FEES hereby z..:ir Ily of perjury one of the following declarations: RiMfinlaln 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 work for which this permit is issued. Policy No. have ...nd 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' rancP :airier and policy number are: Policy NUmber of. dent Dale I certih !hat, in the perfo ca KArknirs'Compensalhan rk frwhich this permit is issued, I shall not employ any person in any manner so as to become subjectto trite Workers' compensation laws of California, and afire t, h 1 s! ]Udd become sub! tto provisions of Section 3700 of Ole Labor Code, I shall forthwith comply with those provisions. nature dAppticart< \ ��_ f DaF °PJ2�/Zt"� CLAR:'-TION REG'A'R IN— STRUC7R3N LENO1NGAGENCY areby i:um 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, Chit Codel. ider's !, ame Lender's Address my sic:.r afure below, I ceihfy to each of the following: lama properly owner or authorized to act on the property owner's behalf. I nevi: read this application and the information h e provld is correct I agre: to complywith all applicable city and co ty Irian antl state laws relating to building construction. I auft._rize representatives of this city or coon rife eddentiii property for inspection purposes. �i.X�-tom_ nature -,I Property Owner or Authorized Agent Print Property Owner's or Authorized Acent s Na a BY CERTIFlCA`-Of OCCUPA.N r e ISSUED C PART 610F TITLE40 ANDACINID RULE TO ISNOTAPPLICABLE TO E > -0 0) L LLJq \\ /\\00o . kn �� c0 w� .0o 0_0 o CD_ . R \ e/ §k sane%r \ \ * § » § # § £ c — U 2 { � \ � \ � k < . . W 94 I \ %E %� C: am) 'No 0 = n a = 5 /\\\ \ /I \ cOD . . . . . _ _ _ n � \/{ƒ / � \z \ee 09«§ o \2 ¥ \ #=o/ & / ® )6\) (m0DQ) 4 »Rcz oz 03®_—ram J /\}\ � $ c :3 \/ / i s y! Q■ g o >: 0 0 ¥ o = °°»5=0 2 )\7/&/ / / ƒ �= 2 u< / » 5 5 @ 7 C\J \ M C)CO z _ c Rc�\�c� ) \ \ k ±' § 3\ j\\ k 2 f t 2 c = 6 E ' \ : _ « k S / 2 2 2 $ / E \ £ d d v £