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Home My WebLink AboutX2020-0525 - PermitswPoe City of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 m? Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC MECH IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�II II COMB Permit: X2020-0525 Project No : 0417-2020 Issued Date : 02/27/2020 Inspection Area : 7 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: 21113 NEWPORT COAST DR NB - Description: COMM REMOVEIREPLACE (E) ROOFTOP PACKAGE UNIT Legal Desc.: P BK 318 PG 27 PAR 2 _ Owner: IRVINE COMF Address: PO BOX 2450 NEWPORT BE Phone: Applicant: JASSO LUCA Address: 1019 E LACY, ANAHEIM CA Phone: 714-628-1308 Code Edit : Type of Construction: Occupancy Group: Added /New sq ft. Bldg: Added/New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: Plan Check Fee: $29 Overtime Plan Ck: Investigation Fee: Record Management: Energy Compliance: CA Seismic Safety: Disabled Access: Hazardous Mat Building Green Fee: PROCESSED BY: M3 MECHANICAL i, fj92660 ORANGE CA 92865 sated 3.13 i ^ 714-628-1308 Con State Lic: 786760 :, �4s�Explf � 1 20 15 1sB11s Ligrt� �> ot ` f41zi„„,,��l i 1130/2w �Alkers'mpen on Mam Carrier: INS OF THE WEST P i o WSA5049358 O Pi bye:Em`p� all S" Sacks an Left: I Right: I 1'7 000 0 oe ' y >. tan 44.00 Excise Tax: a, . $0.00 (WA4'itQF00'cu $0.00 $0.00 Grading Bonds Fee: $0-.00. 004 Grading PC Consultant: $0:0o d&ote: Grading Permit Fee: $0.00 56.00 Gra mg ee"""-'-"---$O:eG� $0.00 WQ Insp. Fee: $0.00 $1.00 Mechanical %: $25.73 Plumbing %: $0.00 TOTAL FEE: $821.04 ZONING APPROVAL: GRADING APPROVAL: Architect: If ypplcable State Lic: Engineer. ddres�s-I., ❑ ,%'r I_J IOC % Phone: State Lic: to irafhop"Igner: JASSO LUCA Address:-i'df9'nACY AVE ANAHEIM CA 92805 Phone: 714.628.1308 Special Conditions: li!:.,sil anntrtifDe`Peln0l I . ,? Fire Department Playys� check Fee i 00 Fire Inspection: Fait aieNfork sic�C�E°d�$0.00 Fire Plan Rev SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm enc %kxrks Department - General Service Park Dedication : $0.00 _ Refund!Deposit PAN Plan Checy $QOtage.Z-dmg-Bond: nDist: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $821.04 e o e e o e PI)BLIC,WORKS APPROVAL: c � m mca a a PLAN CHECK BY: 11, �PPRWVAL TO ISSUE: 0 0` as �a v aoc ma om � m oo° occ 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 is 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 Iicensure 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). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 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). I am exempt from Iicensure 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 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 Section 700 ) of Division 3 of the Business and Prof ss' ns Code and my license in full force nd effect. License Class License No Date Contractor Signature IIORKERS' 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 HUNDR D THOUSAND DOLLARS ($10D,00D), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 the ee ormance of the work for which this permit is issued. Policy No. I have and will��rr[[��aintain 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' compensatior Isurance carrier a�dfiiolicy numibe{arq: n Number of Agent Date :1I 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 agree tat, if I should become s�ubj/eyt to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ! -1 lignature of Applicant X � Da � / a )ECLARATION REGARDING CONSTRUCTION LENDING AGENCY ��/// "` hereby 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). 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 and state laws relating to building construction. I authorize representatives of this city or county to grater the, alcove -identified property for inspection purposes. ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1 nz • .•• • •. ••• PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED NOTIFICATION IS NOTAPPLICABLE TO 'MOUTION • .•� ••• ••. �:• Oil •