HomeMy WebLinkAboutXC2023-0476 - Permits (3)SEW PART City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII IIIIIIIIIII II COMB Permit : XC2023-0476
D� e Community Development Department - Building Division X C 2 0 2 3 0 4 7 6
cn 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2854
t n Permit Counter Phone: (949) 71 B-1888 Issued Date : 02/20/2024
}ems 'r
� newponheachca.gov/civic Final Date:
C,G/FppN�P Combination Type - ELEC MECH PLUM Permit Status: Issued
Work Class - Tenant Improvement Inspection Area : 7
PERMV EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONS JCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address-; 3536 Cal
Description COMM
TI 11
Owner: JJLBRADLE1
Address : 34 IA LIDO,
NEWPORT BEi
Phone : (9493-6333
Applicant
Address :
Phone :
HWY E Legal Desc : N TR 323 BLK U LOT 4 TR 323 LOT 4 BLK U ALL -EX HW
R "ROSE BAKERY CAFE" 950 SF
31368 VIAJLOLINAS, t
WESTLAKE VILLAGE,
Owner/Builder:
Address :
Phone:
Code Edition : 2022' `
Type of Construction : V-B
Occupancy Groups: B,U
Bldg Height:
Building Setbacks
Contractor : MONTESANTOS BUILDERS INC
Architect :
ANDREW ERNST ALTHAUS
Address : 220 NEWPORT CENTER DR, 322
Address :
31368 VIA COLINAS, 105 WESTLAKE
92663 NEWPORT BEACH, CA 92660
VILLAGE, CA 91362
Phone : (949) 239-2022
Phone :
(805) 369-1750
Con State Lic : 1077463
State Lic
Lic Expire : 06/3012025
Bus Lic: BT30076141
Engineer:
Bus Lic Expire : 08/31/2024
Address
362
Flood Zone : X
Use Zone : CCgmercial Corridor
PROCESSED BY:
SPECIAL CONDITIONS:
workers' Compensation Insurance
Phone:
carrier: EXEMPT
Policy No: EXEMPT
Designer
W. C. Expire:
Address
Phone:
Fire Sprinklers : NO
Construction Valuation :
$75,000.00
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
No of Units : 0
Alteration sq. ft. Bldg :
950
1
Added/New sq. ft. Garage :
0
No of Stories :
TOTAL sq. ft. :
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State. License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, defoolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to rile a signed statement that no or she is licensed pursuant to the provisions of the Contractors' Stale 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 licansuro and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora 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 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).
El 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 licensors under the Contractors' State, License Law for the following reason:
y 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 lagall•,
sell a structure that I have built as an owner -builder if it has not boon 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:hitp:llvnvvr.leginfo.Ca.gavlcalawfitml,
Signature or Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION ----
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7 0) f Di sion 3 of the Business and P s-Ga my license is In full force
and effect. License Class License No Dat 3 >b Contractor Signatu
WORKERS' COMPENSATION DECLARATION
NARNING, FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS eh DD,0o IN ADOrni To THE
DOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES.
hereby affirm under pem it,+ of perjury one of the following declarations:
-1 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
)erforma..nce 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'
ranee carrier and policy number are:
Policy Number Expiration Date
Agent _ .1k- -
da fy that m the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and ogre
'f 1 hould became
,at.-,, vorkers Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions,
re of Applic _ _ yy
IECLARATfON REG ONSTRUCTIO:N LENDING AGENCY Daj-- I j
hereby affirm unde natty of perjury that there is a construction 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 ordin noes and state laws relating to building construction.
I authorize representatives of this city or comty-ta6VrET'.4eatifled prope, tty for i.isp action purposes. ] ]
oL nature om Property Owner or Authorized Agee.
ACTION I DATE I BY
PERMIT EXPIRED
PERMIT CAfJCElCED
PERaWT EXTENDED
PERMIT FINAL -------
CERTIFICATE OF
OCCUPANCY IESUEO
OF COMPLIANCE WITH CODE OF FEDERAL
PART 51 OF TITLE 40 AND AQMD RULE
I SUBMITTFD ASBESTOS ACTI F,CArICN 1'0 .._
PROPOSED r.
SIGNATURE:
NOI IFICATION 15 NOT APPLICABLE 1�0
Owner's or
FOR OFFICE USE ONLY
Name
T"ONTESAN-Rrs Date
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