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Home My WebLink AboutX2022-1153 - PermitsCity of Newport Beach - Building Division G,p 100 Civic Center Drive, Newport Beach, CA 92660 F,�ti v Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP cote 61/6 `X2022--1153` COMB Permit: X2022-1153 Project No : 1059-2022 Issued Date : 0412212022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE CUMPLE I EU BY MZIJZUz3 UK rcrcrvu r Yvu 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 Job Address: 3400 VIA OPORTO NB St: 1 Ft: 1 Unit: 104 Description: COMM TI SPEC SUITE 1,254 SF Legal Desc.: PM 59-17 PAR 1 FOR OF PAR - Owner: DJM AR LIDO LLC Address: 60 S MARKET ST #1120 SAN JOSE CA 95113 Phone: Applicant: RAND KRUSE/BELAIR SCOTT Address: 505 S OHIO ST ANAHEIM CA 92805 Phone: 949-681-8152 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: 2 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Valuation: $8.000.00 Building Permit Fee: $215.00 Plan Check Fee: $187.05 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $91.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $552.05 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: PMC CONTRACTORS INC Architect: BELAIR SCOTT Address: 2102 BUSINESS CENTER DR #230 Address: 505 S OHIO ST IRVINE CA 92612 ANAHEIM CA 92805 Phone: 949-681-8152 Phone: 714-774-5605 State Lic:C019699 Con State Lie: 968070 Engineer: Lie Expire: 12/3112023 Address: Bus Lic: BT30046523 Lic Exp Date: 04/30/2023 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP. INS Address: Policy No: 9233491 Expire: 06/16/2022 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bands Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical W Mechanical %: Plumbing %: Rear: I Front: I Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 INVALID State Lic: Special Conditions: LIQUEFACTION & HIGH DENSITY Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 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 $0.00 Plan Check Fee : $187.05 Fee Due at Permit Issuance : $365.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL 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) ction 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 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 fessions 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 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, uness 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 �rovements 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 ,roved 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 ,ly 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).r LJ 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 improveme s cov red by this permit, I cannot legE 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, Sectio 7 4 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.html. Signature of Property Owner or Authorized Agent a e LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700gyof Diyision 3 of the Business and Pr sio license is in full force and effect. License Class License No Date,,,�'411Z 1 22 Contractor Signatufe I'VORIFERS' COMPENSATION DECLARATION I NARNIN(: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUMOR THOUS ND LLARS $10D,000), IN ADDITION TO THE COST nF COMPENSA,'IJI., 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: I ,lave 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, forth aelirmance of ire work for which this permit is issued. Policy No. and'Nill ,naintain 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' compensatiol ,+ urdhce carrier and poliQy numb"rare: ie of Agent certify that; in the pI if I should, beuor,Ie of Policy Number Expiration Date 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 agree kers' c nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. — Date ��{ 2.L1 27— IEGLARATION REUARDINGIONSTRU TION LENDING AGENCY hereby affirm under penalty of per tha 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 Iy my signature below, I certify toe o he following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. \, I 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 to enter the above-identifed property for inspection purposes. Date,-,',, ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY s REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ ISEPAITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED PERMIT EXTENDED QMD PERMIT FINAL CERTIFICATE OF I- lS �j/ / (� ESTOSF gTIQNI OT APPLIC TO OSED M TI ',tll'It�111\\\11 OCCUPANCYISSUED SIGNATURE: