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Home My WebLink AboutX2019-1872 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIII�III�IIIIIIIIIIIIIIIIILII 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 h Permit Counter Phone (949)644-3288 c") Inspection Requests Phone (949)644-3255 Combination Type - CIP MECH ELEC 8 7 2 COMB Permit: X2019-1872 Project No : 1351-2019 Issued Date : 0 611 912 01 9 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 3152 W BALBOA BLVD NB Description: COMM CHANGE OUT (E) ROOFTOP PACKAGE UNIT Legal Desc.: Owner: JPMC. Contractor: M3 MECHANICAL Architect Address: 201 NORTH CENTRAL AVE FL 25 Address: 600 A WEST TAFT AVENUE Address:+°s° PHOENIX AZ 85004 - ORANGE CA 92865 Phone: Phone: 714-628.1308 Phone: State Lie: Applicant:. JASSO JOSE Con State Lie: 786760 - Engineer: NAGARAJAN SIVARAM Address: 600A W TAFT AVE Lie Expire: 10/3112020 Address: 167 MATISSE CIRCLE ORANGE CA 92865 Bus Lie: Phone: 714.604-7613 Lie Exp Date: BT30056206 09/3012019 Phone: ALISO VIEJO CA 92656 714-444-2422 State Lic:S-006349 Code Edit: 2016 Worker's Compensation Insurance Designer: JASSO JOSE Type of Construction: - Carrier: CYPRESS INS COM Address: 600 A W TAFT AVE Occupancy Group: U Policy No: MIWC919676 ORANGE CA 92865 (; Added /New sq.ft. Bldg: 0 Expire: 07/01/2019 Phone: 714-628-1308 " Added /New sq. 8. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: LIQUEFACTION AREA No of Units : 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $15,000.00 Building Permit Feer $312.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $271.44 Additional Fee : $0.00 Plan check Fee: $40.00 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: $12.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance:. $56.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety : $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $0.00 . Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $81.68 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $64.18 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $838.30 Plan Check Fee : $310.40 Fee Due at Permit Issuance : $527.90 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: i 6Y 006Llt'VORKS APPROVAL: PZ.AN+CIIECK 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) - 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 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 n 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 Ip 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 legalh ,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://w .leginfo.ca.gov/calaw.htmi. 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 Section 7000) of Diyy�L'sior,of the Business and Profess' ns Co d license is in full force Ind effect. License Class License No Date (M ' /•7 Contractor Signatu r VORKERS' COMPENSATION DECLARATION /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: I 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 ertWnance of the work for which this permit is issued. Policy No. have and willr Intain 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 ank delicv number are'. n _ Date me of Agent C - 2`441ZLe—' F'�•�' U • Phone # 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 t, if I should become a ject t h�)wo ers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Os nature of Applicant Da>A �9 % ' P CLARATION REGARDING CO T TION LENDING AGENCY �\ Ireby affirm under penalty 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). Idler'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 ordinances and state laws relating to building construction. I authorize representatives of this city or coucy tyen ' ove-idle d property for inspection purposes. C�► nature of Prooertv Owner or Authorized Acent y t Print ProDertv Owner's or Authorized AGent's Names ACTION DATE BY /I CLARA �OPA OFF ICOMPLIANCE0 H CODE OF RUDERAL I FOR OFFICE USE ONLY REONS PERMIT EXPIRED I U I suBNXiTTED ASBESTOS NOTIFICATION TO •• a ° •`• •- • _ PERMITCANCELLED UEPA •• ° ` PERMIT EXTENDED UAQM• • . • ° • • • • ` PERMITFINAL 1j I SBEST S NOTIFICATION IS NOT*APPLICABLE TO CERTIFICATE OF ROPOSE D OCCUPANCYISSUED SIGNAT • • •••