HomeMy WebLinkAboutX2021-1795 - PermitsCity of Newport Beach - Building Division *X2021-1795*
100 Civic Center Drive, Newport Beach, CA 92660
- ' Permit Counter Phone (949)644-3288 _
Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC
COMB Permit: X2021-179
Project No : 1548-2021
Issued Date : 09/03/2021
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/03/2024 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
Jab Address: 900 W COAST HWY NB
Description: COMM TI "FERRARI" 700 SF
Legal Desc.: P BK 083 PG 13 PAR 1
Owner: BBB ORANGE COUNTY LLC Contractor:
BALERS LOPEZ CONSTR INC
Architect:
KAZANCHYAN ARMEN
Address: 3120 AIRWAY AVE Address:
26072 MERIT CIR, STE 112
Address:
635 W COLORADO ST, STE 201
COSTA MESA, CA 92626
LAGUNA HILLS CA 92653
GLENDALE CA 91204
Phone: 909-896-5188 Phone:
949-326-0756
Phone:
818-395-2686 State Lic:C034021 ....
Applicant: KAZANCHYAN ARMEN Con State Lie: 736915
Engineer:
Address: 3786 LA CRESCENT AVE STE 201 Lie Expire:
06/3012023
Address:
GLENDALE, CA 91208- Bus Lie:
ST30076500
Phone: 818-395-2686 Lie Exp Date:
09/30/2022
Phone:
State Lie: "
Cade Edit : 2019 Worker's Compensation Insurance
Designer:
'
Type of Construction: V-B-SPR Carrier:
TRAVELERS PROP
Address:
• , ,
' '
Occupancy Group: B Policy No:
UBIP139865
Added /New sq.ft. Bldg: 700 Expire:
0810612022
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1 Building Setbacks
Rear: /
Special Conditions: LIQUEFACTION & LANDSLIDE '
No of Units : 0
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers: Y
Right: /
Flood Zone: X Use Zone:
Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $150,000.00
,
Building Permit Fee: $1,564.00- ' Excise Tax:
$0.00 Planning Department
-
Fire Department -'.
Plan Check Fee: $1,360.68 Additional Fee :
$0.00 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: $58.00 Grading Permit Fee:
$0.00 In -lieu Housing Fee
:
$0.00 Building Dept Adm $26.00
Energy Compliance: $105.00 Grading PC Fee:
$0.00 Public Works Department -
General Service $219.00
CA Seismic Safety: $0.00 WQ Insp. Fee:
$0.00 Park Dedication :
$0.00
Refund Deposit $564.00
Disabled Access : $150.00
PAN Plan Check :
$0.00
Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$409.46 San Dist:
$0.00
- . -
Building Green Fee : $6.00 ' yTvPbchanicaI %:
$0.00 NMUSD Fee:
$0.00
$0.00
-' . -,:_
' - Plumbing %:
$0.00
$0.00
TOTAL FEE: $4,514.14
Plan Check Fee : $1,806.18
Fee Due at Permit Issuance : $2,707.96
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROvAlt T4ISSUE:
6
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)
(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).
I 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 legal)
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 CodD, is av, ilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/caiaw. html.
Signature of Property Owner or Authorized Agent Date
L-CtIJJED CON-, RACTOR'S DECLARATION
I herebv affirm unUl•,r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of Division of the Business and Pro s Io= nd tense is in full force
Sod affect. License Class License No Date Contractor Signature
WORKERS' CON-. ENSATION DECLARATION
WARPING:' FAILURE TJ a'_'W RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO SAND DOLLARS IEt00,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereuy affirm udder oelialty 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
rrma9ce of thq week for which this permit is issued. Policy No.
have 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' compensal
iTanco carrier cnd pc'icy number are:
Policy Number Expiration Date
of Agent
I certify that, in the performance of the worlilifor 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 agree
t, if I should become SuClect t e w ar ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n
.natureofApplicant Daki
CLARATION REG DI CONSTRUC ION LENDING AGENCY
areby 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 3097Code).
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 c rect.
I agree to comply with all applicable city and couu�nIty ordinances an tote laws relating to building construction.
I authorize representatives of this city or coul�ty7to �J the abc�✓E I entifieJ� property for inspection purposes. n � ,� , - 1 , / - I ).s v "
ACTION DATE By, DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ✓\
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITC4NCESUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELL LED EPA
PERMIT EXTENDED AQMD
PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT LICABLE TO
CERTIFICATEOF ZZ G R OSED 0L1
OCCUPANCY ISSUED SIGNATURE: