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Home My WebLink AboutX2019-3766 - Permits�`�` City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-3766 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 7 6 6 Project No: 2602-2019 ' Permit Counter Phone (949)644-3288 it ;+4 Inspection Requests Phone (949)644-3255 �ar,r k�k3 Combination Type - MFP MECH ELEC PLUM Issued Date : 07108/2020 0 Inspection Area : 8 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/09/2023 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: 1561 MESA DR NB St: 1 FI: 1 Unit: B R1-4 Description: MFR BLDG R1.4 (UNITS 14) REMODEL 2535 SFpY°rmtt. Legal Desc : Owner: PALM MESA LTD Contractor: REFINO INC Architect: WINTERS PATRICK "'^'0n Address: 12121 WILSHIRE BLVD #700 Address: 9706 4TH AVE N E 9401 Address: 1990 S BUNDY #400 Code Edit: LOS ANGLES CA 90025 Type of Construction: SEATTLE, WA 98115 Occupancy Group: LOS ANGELES CA 90067 Phone: $0.00 Phone: 206-260-1509 Phone: 310-626-2100 State Lic:CO22032 4 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: 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 Type of Construction: VB Occupancy Group: R21U Added /New sq.ft. Bldg: $0.00 Added /New sq. ft. Garage: No of Stories: 1 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $68.000.00 Building Permit Fee: $933.00 Plan Check Fee: $811.71 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $3.00 TOTAL FEE: $1,934.31 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9161474 Expire: 06/25/2021 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: I Front: / Left: / Right: / 3arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $65.31 $37.32 $83.97 Plan Check Fee Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee $0.00 Fair Share $0.00 SJH Trans Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fee Due at Permit Issuance : $1,934.31 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond:. $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,934.31 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 items) 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 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 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 nproved 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: sy 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 legally 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.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 Sec io 000 0® ivision 3 of the siness and Pr' iol dere riiiy license is in full force nd effect. License Class License No e _ - clor Signatu t. 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 ($700,000), 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 ormance of the work for whj6h this permit is issued. Policy No. Norkers' 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' number are: is of Agent certify that, in the performance of the if I should become subject to theya9 Policy Number Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. hereby affirm under penalty4f 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 3y 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 correc I agree to comply with all applicable city and county ordinances n state laws lating to building construction. I authorize representatives of this city o co my toe a �d rty for inspection purposes. Signature of Property Owner or Authorized M Print Property Owner's or Authorized Agent' me ACTION DATE 1 BY DEC ATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PERMIT CANCELLED PERMIT FINAL CERTIFICATE OF �I OCCUPANCYISSUED 1403 UBMITTED ASBESTOS NOTIFICATION TO EPA AQMD SBESTOS NOTIFICATION IPIW-OP Al PROPOSED DEMOUTIO SIGNATURE: