HomeMy WebLinkAboutX2021-2037 - Permits�t'ayr City of Newport Beach - Building Division COMB Permit: X2021-2037
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1770-2021
Permit Counter Phone (949)644-3288
F
., Inspection Requests Phone (949)644-3255
4xr�rnx�"� Combination Type - CIP
Issued Date : 0812712021
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR12712024 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:
2601 W COAST HWY NB
Description:
COMM TI "THE HOUSE" REMOVE (E) WALL AND REMODEL
BAR
Pvsp
Legal Desc.:
TR 919 LOTH NWLY 50 FT SELY 1300 FT
�^
Owner:
THE HOUSE NEWPORT BEACH Contractor:
PLATINUM X CONST Architect: DEDMON BRANDON Ay YV
a
Address:
2601 WEST COAST HWY Address:
15791 RICKFIELD #C Address: 9 RIVERSTONE
NEWPORT BEACH, CA 92663
IRVINE CA 92618 IRVINE CA 92606
Phone:
949-689-5186 Phone:
949-382-6292 Phone: State Lic:C037432
Applicant: NUNEZJOEY
Address: 18004 SKY PARK CIR STE 200
IRVINE, CA 92614
Phone: 949-757-3240
Code Edit : 2019
Type of Construction: V-B-SPR
Occupancy Group: A2
Added /New sq.ft. Bldg: 4027
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Construction Valuation:
Building Permit Fee: $986.00
Plan Check Fee: $857.82
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access:
$91.00
Hazardous Mat
$0.00
Building Green Fee:
$3.00
TOTAL FEE: $1,989.82
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
982426
Lic Expire:
0413012023
Bus Lic:
BT30053914
Lic Exp Date:
1113012021
Worker's Compensation Insurance
Carrier: NATIONAL AMERICAN INS
Policy No: ACP3100064200
Expire: 0412612022
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee :
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions: NO EMP
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $1,000.82
State Lic:
Fire Department
$62.00
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
$0.00
Fee Due at Permit Issuance : $989.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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
?rofessions 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
iot more than five hundred dollars ($500).
LJ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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).
❑ 1, 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 Iegall)
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://www.ieginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm order penalty of p, jury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Division 3 of the Business and Professions C a; eadmy license is in full force
and effect. Licence .;lass License No Q ��/z Date —2% Contractor Signature
VVORKERS' CCIViPENSATION DECLARATION
✓dARNI IG: 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
COST OF COMPENSA-ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I here,by affirm under, penalty of perjury one of the following declarations:
JJ ' 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(
performance m the wcrk for which this permit is issued. Policy No.
yt1`Y�ave 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' compensatioi
( urrrce carrier and policy number are:
Policy Number
h.r.l.: of Agent
Date
Certify thai,'16 trce'cerformance 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 ag
t, if I should become subjec o the kern' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Da / 1 2
nature of Applicant n i/ 1nD/
CLARATION REGAzRDING C0N7TIJZNTION LENDING AGENCY
)reby affirm under penalty of perjury t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 correct.
I agree to comply with all applicable city and county ordinaAes and state laws relating to building construction.
I authorize representatives of this city or coun o enter t bove-identified property for inspection purposes.
nature of Prooertv Owner or Authorized Ao t Print Property Owner's or Authorized Agent's Nam /I Cc" Dat
ACTION DATE 9Y DECLAIIAT4B OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 610E TITLE 40 AND ACIMD RULE
1403
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EMENDED
qM D
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
1
BESTOS NOTIFICATIO NOT APPLICABLE TO
ROPOSEO EMOLITION
SIG NATURE: