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Home My WebLink AboutX2022-0037 - PermitsCity of Newport Beach - Building Division 'X2022-0037' COMB Permit: X2022-0037 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0047-2022 Permit Counter Phone (949)644-3288 INN Requests Phone (949)644-3255 -LECTOR 1 Inspection Issued Date : /2022 �•i,u Combination Type - CIP ELEC Area : Inspection Area 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/01/2025 OR PERMIT WILL BE INVALID Construction Hours: Monday- Friday7:00 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: 1614 SAN MIGUEL DR NB Description: COMM TI "FRESH BROTHERS" 70 SF FIRE DAMAGE Legal Desc.: IRVINE SUB LOT BLK 93 POR OF BLK (P M 35-1 PAR 2) ' Owner: IRVINE CO MACYS CA INC Address: PO BOX 2450 NEWPORT BEACH, CA 62658 Phone Applicant: WRIGHT CARRIE Address: 17800 MITCHELL NORTH IRVINE CA 92614 Phone: 949-683-3984 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Valuation: $10,000.00 Building Permit Fee: $249.00 Plan Check Fee: $216.63 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: $658.49 PROCESSED BY: ZONING APPROVAL: Contractor: MITCHELL GC INC Address: 52 TESLA IRVINE CA 92618 Phone: 949-554-9432 Con State Lic: 831334 Lic Expire: 0513112022 Bus Lic: BT30075368 Lic Exp Date: 05/31/2022 Worker's Compensation Insurance Carrier: INS OF THE WEST Policy No: WSD504010803 Expire: 03108/2022 Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: I rking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.86 $0.00 $0.00 0 Architect: BAGLEY AMY STEINER Address: 17800 MITCHELL NORTH IRVINE CA 92614 Phone: 714-299-5957 State Lic:C030804 , Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: Hazard Zone : Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $268.63 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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.00 Fee Due at Permit Issuance : $389.86 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: T 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 ar3 ro' 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 forthe o-i,pose of sale). Q. I a.F owner c` the Froperty, 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 or property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). Q, 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature hPlnw 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 Iegalh sell a structure :hat I hLve 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://www.leginfo.ca.gov/calaw.htm]. Signature of Prnpe�ty Owner or Authorized Agent Date LICENGED CONTRACTOR'S DECLARATION hereby affirm unbar penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7/� ) of Divi ion 3 of the Business and Professions ode, an y license is in full force Find efte ;t. Licerse Class License No Date ZZ Contractor Signature ^^�^ WORKERS' CCNIPENSATION DECLARATION A.ARNING. FAILURE .0 SEZ; RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU D DOLLARS ($100,000), IN ADDITION TO THE CGS l Jr COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 Derformance of the work 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' rance Carrier and policy number are: is of Agent :;?' ,<, I-y a ✓ I certify that, in the performance of the , if I should become subject (b the wo of Policy Number Date for 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. P CLARATION REGARDING WONSTRUCTION LENDING AGENCY ireby affirm under penalty erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder's Name it Lender's Address my signature below, I certi 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 ordinpnces and ate laws relating to building construction. I authorize representatives of this city or county to enter a abovelentifled property for inspection purposes. O� r nature of Property Owner or Authorized Agent is �6� Print Property Owner's or Authorized Agent's Name l� 1 PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL 'Lf�72 a GrrCS CERTIFICATE OF OCCUPANCY ISSUED c% OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO SIGNATURE: APPLICABLE TO K -7