The URL can be used to link to this page

Home My WebLink AboutX2020-0515 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 4 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�II COMB Permit: X2020-0515 x 2 0 2 0 0 5 1 5 Project No : 0408-2020 Issued Date : 0810412021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810412024 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: 3629 E COAST HWY NB Description: COMM TI -'9 ROUND' FITNESS STUDIO 1,538 SF Legal Desc.: N TR 323 BLK AA LOT 3 Owner: NELSHABOURI JALAL Address: 330 ORCHID AVE CORONA DEL MAR, CA 92625 Phone: Applicant: ZOU QUAN Address: 132 CARROTWOOD IRVINE CA 92618 Phone: 626-267-6276 Code Edit : 2019 Type of Construction: VB Occupancy Group: B Added /New sq.ft. Bldg: 1538 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $20,000.00 Building Permit Fee: $419.00 Plan Check Fee: $432.53 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $14.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $91.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $1,696.93 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: TIMES GROUP USA INC Address: 17971 SKY PARK CIR UNIT H IRVINE CA 92614 Phone: 949-852-0168 Con State Lic: 935398 Lic Expire: 07/31/2023 Bus Lic: BT30076171 Lic Exp Date: 08/31/2022 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: TIWC258364 Expire: 0710712022 Building Setbacks Rear: / Front: / Left: / Right: / Architect Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: HIGH DENSITY use /one ParKing spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $421.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check, $0.00 Grading Bond: $0.00 Electrical %: $109.69 San Dist: $0.00 Mechanical %: $86.19 NMUSD Fee: $0.00 $0.00 Plumbing %: $70.52 $0.00 Plan Check Fee : $938.99 Fee Due at Permit Issuance: $757.94 ` f UJLIC WORKS APPROVAL: PLAN CHECK BY: APrROVAL TO ISSUE: 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 :he 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 (_) 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 legally 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://wwv.leginfo.ca.gov/calaw,htmi. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o Divisio 3 of the Business and Profassi ns CDC I I u orce and effect. License Class License No Date M, ( 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 ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty 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 th ceiforfriance, of the work for which this permit is issued. Policy No. of 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' compensation Carr r and pol Cy umber are: p /ter 1 1 7 -fj, qV, L �a7� Number � 1& 2S03o t' Expiration Date/ r77 �� 7 DZrc�— ,• , Phone# h24— L certify that, in the performance of the work for which I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and lat, if I should become s Inject to the�wts`krss'' co/ins 16 vI s of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions ignature of Applicant iECLARATION REGA II CONSTR TI V LED AGENCY hereby affirm under penalty of perjury that there is a c nstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address 'y 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 ordinanc and a la re Ing to building construction. I authorize representatives of this city or county to enterrt - ab ..'e Orly for inspection purposes. // iianature of Prooerty Owner or Authorized Agel j � /� Print Property Owner's or Authorized Agent's Name / /l///��0 a-C' Date 2 �f 2G ACTION DATE BY DECLARATION OF COf ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONSPART 1 OFTITLE40ANDAQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED ASBESTOS NOTIF,CA ViGN 10 NOTIFICATION 15 NOT APPLICABZE TO