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Home My WebLink AboutX2022-0571 - Permits (3)11110000.160 gwroCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ug'.01 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM IIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II COMB Permit: X2022-0571 X 2 9 2 2 8 5 7 1 Project No : 0508-2022 Issued Date: 04/20/2022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/20/2025 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: 4255 MARTINGALE WAY NB Description: DEMO BLDG 5 5599 SF SINGLE STORY RETAIL BUILDING Legal Desc.: N TR 7770 LOT 1 Owner: ARYABHATA GROUP LLC Contractor: A M P C O CONTRACTING INC Architect: Address: 520 NEWPORT CENTER DR #480 Address: 17991 COWAN Address: NEWPORT BEACH CA 92660 IRVINE CA 92614 ' Phone: Phone: 949-955-2255 Phone: State Lic: Applicant: AO/KARA Con State Lic: 851752 Engineer: AU TERRY P Address: 2923 SATURN ST, STE H Lic Expire: 1213112022 Address: 2923 SATURN ST, STE H BREA CA 92821 Bus Lic: BT30078474 BREA CA 92821 Phone: 7141639-9860 Lic Exp Date: 0413012023 Phone: 949-727-9095 State Lic:C-068466 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: EMPLOYEE SVC GROUP Address: Occupancy Group: B Policy No: C69964874 Added /New sq.ft. Bldg: 0 Expire: 07/01/2022 Phone: Added /New sq. ft. Garage: 0 .g^^ No of Stories: 0 Building Setbacks Rear: / Special Conditions: t , r- No of Units : 0 Front: / NA Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $22,396.00 Building Permit Fee: $470.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $408.90 Additional Fee : $0.00 Plan check Fee : $0.00� 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $42.30 $0.00 TOTAL FEE : $2,906.20 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,906.20 PROCESSED BY: hUBUC VNOPK,� APPROVAL: VVIIA � y, dD J� PAZ- ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: ly+. APPROV41-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 ie 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 Irofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from icensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered, by this permit, I cannot legalll ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 'signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectiggqq 7000) of Division 3 of the Business and Pr�if$�ssions Code, andQQ�� nse is in full force nd effect. License Class License No D3tew 1 7`- Contractor Signatu a �/��7 VORKERS' COMPENSATION DECLARATION VV 'ARNING: 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 ($100,000(, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 14 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 IN rmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date of Agent JI certify that, in the performance of the work 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 agre iat, if I should become subject to the workers' compensetn ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant r / ��'�j IECLARATION REGARDING CONSTRUCTfOT4 LEND9G AGENCY hereby affirm under penalty of perjury that there is a construction lending-ncy for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address ly 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county 9 enter the abov 'ed property for inspection purposes. 'signature of Property Owner or Authorized Anent V / Print Prooertv Owner's or Authorized Aaent'c Namw/\/ ACTION I DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 14U3 PERMITEXPIRED _ U I SUBMITTED ASBESTOS NOTI 1C TION TO PERMITCANCELLED EPA ——J--- PERMIT EXTENDED QMD PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF F PROPOSED QEf4OUTION OCCUPANCYISSUED 'V1 SIGNATURE•( FOR OFFICE USE ONLY