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Home My WebLink AboutX2019-3771 - Permitsno City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-3771 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 7 7 1 Project No : 2602-2019 r. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MIFF MECH ELEC PLUM Issued Date: 07/08/2020 Inspection Area : 8 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0710912023 OR PERMIT WILL BE (NVALltT 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: 1561 MESA DR NBF, W F s /ate Description: MFR BLDG R2 (UNITS 3740) REMODEL 2,400 SF I t Legal Desc.: ToOwner: PALM MESA LTD Contractor: REFINO INC Architect: WINTERS PATRICK Address: 12121 WILSHIRE BLVD #700 Address: 9706 4TH AVE N E #401 Address: 1990 S BUNDY #400 LOS ANGLES CA 90025 SEATTLE, WA 98115 LOS ANGELES CA 90067 Phone: Phone: 206.260-1509 Phone: 310.626-2100 State Lic:CO22032. Applicant: PADDOCK STEVE Con State Lic: 787509 Engineer: VARELA BEN Address: 1990 S BUNDY #400 Lic Expire: 06/3012021 Address: 6007 WASHINGTON BLVD LOS ANGELES CA 90067 Bus Lic: BT30072366 CULVER CITY CA 90232 Phone: 310-626-2100 Lic Exp Date: 07/31/2021 Phone: 424-2084764 State Lic:S-005714 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE FUND Address: Occupancy Group: R211.1 Policy No: 9161474 Added /New sq.ft. Bldg: 0 Expire: 0612512021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 4 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $72.500.00 Building Permit Fee: $973.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $846.51 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 $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $68.11 San Dist: $0.00 Building Green Fee: $3.00 Mechanical %: $38.92 NMUSD Fee: $0.00 $0.00 Plumbing %: $87.57 $0.00 TOTAL FEE: $2,017.11 Plan Check Fee PROCESSED BY: ZONING APPROVAL: WWI.-�I M/� GRADING APPROVAL: `. $803.88 Fee Due at Permit Issuance : $1,213.23 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) lection 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 '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 of more than five hundred dollars ($500). 7 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, 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 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 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). 7 I am exempt from licensure 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 legall) 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 Section 7000) of Division 3 of the Busine and Profession od d y ' e is in full force nd effect. License Class License No VORKERS' COMPENSATION DECLARATION IARNING: 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 the p�p��orrr.mance of the work foewhich �ermit is issued. Policy No. In 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 policyare: :arrier Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the performance of the wo r 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 rat, if I should become subject to the am' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ D 'signature of Appli IECLARATION R�ARDING C STRU ION ENDING AGENCY hereby affirm under penalty of edury 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 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 a ale laws relatin , uRy ild ons_truction. I authorize representatives of this cit r county to enter th ove-i y or Inspection p�ul�s / /�✓�� lianalure of Prooertv Owner or Auth ed Agent Print Property Owne or Authorized Agent'l Ity9me f%//f7�%� I/✓�✓�'�)ate ACTION DATE P BY REfl4LATION9 PART OF TNTLE 40 AND, RU ECE WITH CODE OF RAL I FOR CITE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EMENDED PERMIT FINALSBESTOS NOTIFICATION CERTIFICATE OF -I �'� PROPOSED DEMOLITpy OCCUPANCY ISSUED SIGNATURE: Z /_/