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Home My WebLink AboutX2021-3460 - Permitst1xr�E City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 I ) Permit Counter Phone (949)644-3288 ,3 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPE Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. Job Address: 5930 W COAST HWY NB Description: COMM INSTALL CANOPY 800 SF "CAPPY'S CAFE" - Legal Desc.: RIVER SECTION BLK 159 LOT 5 AND POR OF LOT 4 Owner: 5930 W COAST HIGHWAY LLC Address: 5149 E GREENS BORO LANE ANAHEIM, CA 92807 Phone: Applicant: CAMPBEN JIM Address: 6108 SAN JQA Phone: Code Edit : i Type of Construction: Occupancy Group: Added /New sq ft. Bldg: Added /New sq. ft. Gar[ No of Stories: No of Units : Bldg Height: Bldg Sprinklers: CA 019 u A I\ Con Carrier', v,C30�E}rp Poli1A F e a wld`8�{y.,.,..tb ks Rear: / st..y Front: / Left: I Righie, / IiUIIMIULIIVu voluauuii. aC�� %� n Building Permit Fee: f E1`CF\$0.00 Plan Check Fee: $113.Aitn,�e'e' ��Fi $0.00 Overtime Plan Ck: Grp Bond.A,FEe; � $0.00 Investigation Fee: rading D sultant: $0.0 Record Management :Grading�ermit Fee: .00 Energy Compliance: Grading PC Fee: $0.00 CA Seismic Safety : WQ Insp. Fee $ Disabled Access : sp' ° Hazardous Mat �(CK-d`frical * .00 Building Green Fee : $1.00 Mechanda ° . $0.00 Plu a 0 $0.00 TOTAL FEE : $349.35 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: CTION. PRO MUST BE COMPLETED BY 1 Zr and day fro rll _up a.m. to 6:00G� % aVV 01001 0C JOHN C `j Archit VUT STR ress: ',1%EACH CA 92683't0 68 'eV0 W' Phone: { Engineer: Address: Phone: Designer: Address:t F�snecw mot V, Fair MTh - using Fee : pArffi—c Works Department - Park Dedication : $0.00 PAN Plan Check: $50.75 San Dist: $0.00 NMUSD Fee: $0.00 COMB Permit: X2021-3460 Project No : 3031-2021 Issued Date : 1212312021 Inspection Area : 7 4 OR PERMIT WILL BE INVALID on Sundays or Holidays \ltA AUCl) .d® 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 Bond: Y Plan Check Fee : $215.85 Fee Due at Permit Issuance PYBLIC WCRKS APPROVAL: G I1 L- PLAN CHECK BY: APr RO'1.1Z T :'ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $133.50 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) action 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (corpwwith Section 7000) of Division 3 of the Business and Ifessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 applicant or ape subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or Q of the work, and the structure is of intended or offered for sale (Section 7044, siness and Professions Code: The Contractors' State License Law does not apply to an owner of pr o, through employees' or personal effort, uilds or improves the property, provided that the )rovements are not intended or offered for sale. If, however, the building or improvement i hin one year f q lion, the O�n a CBLgldeq�jlI h ve the burden of proving that it was not built or )roved for the purpose of sale). - aa�1J ;�(� o e\\1U?�� I, as owner of the property, am exclusively contracting with license ¢ ctors to construct the projef(Section 7044, B sl e�9ldYfd Professions Cod The Contractors' State License Law does not fly to an owner of property who builds or improves thereon o contracts for the projec it h a licens d,Cfl1f➢��lQ' p rsuant to the Contractors' to License Law). I am exempt from licensure under the Contra ate Lic se aw for the f g reason: my signature below I acknowledge th pt to pso side which I must a sided for at least one pri ompletion of the impr ements covered by this permit, cannot legalll I a structure that I have buil wner- it r' h s t constructed e y II ; nsed contra rs and that a copy of the applica law, Section 7044 of the Business and dessions Code, is a upon request a cation is submi d - f FoNt - site ttji•�eginfo.ca.gov/calaw.html. nature of Property wner or Auth,�prized Date ,hereby affirm under p alt, nd effect. License C. VORKERS' COMPEW P 'ARNING: FAILURE TO SECUR OST OF COMPENSATION, DAM hereby affirm under penalt I have and will maintain erfo ante of the work for, -lhe and will maintain i is of Agent certify that, in the p if I should become iature of Applicant perjury that I am DEC 6reby affirm under penalty of perjur)�ht ider's Name A my signature below, I certify to each If am the property owner or authorize I have read this application and the in I agree to comply with all applicable c I authorize representatives of this city 70 ) of Divis11on 3 of the Business and 2.21 Contractor Signa 'ION COtlERAGE Is UNLAWFUL S1ilYLL�SEIRJ AN,eMPLOY -_ IMINAL PENALTIES AND CIVIL FINES UP O ONE IN SECTION 3706 OF TH A E D S. }'0 le follo a ns ` ` '4� ylsent ms '� rkers' mpensation, issued by the Directo�D I bo as proe V' sue alit �Fs�',, q,�; }q,i\` n ins ce, as required by Section 3700 of the abor odw t perfgf�Stallj work for w Policy r iL' — kpo �Q1 t Expiratio e _ one # _ not 3700 as my license is in full force \Np DOLLARS ($100,000), IN ADDITION TO THE 3700 of the Labor Code, for My workers' compensation laws of California, and eared Date, / '2 L3 2.1 is a constrl�{QRdin cy for the perform the which this permit is issued (Section 3097, Civil Code). the property ow ehalf, I hav I ed' �nty o sand state laws relating to building construction. nter aye -identified property for inspection purposes. �f Print Prooertv Owner's or J (a'1,) 'J, z-7 zl 1 ACTION DATE BY DECLARATION OIF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LZ Lil SUBMITTED ASBESTOS NOTIRCATIO'A TO PERMITCANCELLED LIEPA PERMIT EXTENDED QM D PERMITFINAL 0 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION - OCCUPANCYISSUED SIGNATURE: