The URL can be used to link to this page

Home My WebLink AboutX2020-2176 - Permitsw,y City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 s Permit Counter Phone (949)644-3288 v - Inspection Requests Phone (949)644-3255 ''iPaau*r Combination Type - BLDG IlllXl�ul0ll�l02l76l111 Project COMB No: e2 mit: X 020-2176 Issued Date: 10/1912020 Inspection Area: 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 1012012023 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 Description: COMM "PALM MESA APARTMENTS" (4) TRASH ENCLOSURES *PHASE 1* Legal Desc.: Owner: PALM MESA LTD Contractor: REFINO INC Architect: WINTERS PATRICK INSPECTOR 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 Address: 1990 S BUNDY #400 LOS ANGELES CA 90067 Phone: 310-626-2100 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $889.00 Plan Check Fee: $773.43 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $12.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 787509 Engineer: Lic Expire: 06/30/2021 Address: Bus Lic:. BT30072366 Lic Exp Date: 07/3112021 Phone: Workers Compensation Insurance Designer: Carrier: STATE FUND Address: Policy No: 9161474 Expire: 06/25/2021 Phone: 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: 25 Front: 20 Left: 5 Right: 5 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 VARELA BEN 6007 WASHINGTON BLVD CULVER CITY CA 90232 424-208-4764 State Lic:S-005714 Special Conditions: REV20-1481 Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PIW Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $185.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: ° 00000° • o 0 0000 000ao eoao o • 0 0 • • 0 0 • � 000aoo 0 0 0 ;o m $1 90!00• ° ° mono $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,052.43 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 tern(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 appficant,¢uir 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 Businessland '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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 nproved for the purpose of sale). - 1, 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). 1 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 legal ell at 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. lignature 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 Secti Iwslon 3 of the Business an (ssfon d I se is in full force nd effect. License Class License No D �'� actor Signat 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 TH DST OF COMPEN%ATION•DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affinn•Srf SPeenalty of perjury one of the following declarations: S•rive and-MIko7aintain 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 tl p Lo_"ance oh"wo*rk for which this permit is issued. Policy No. ve and will maintain 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' compensati( nce carjier andyolicy number are: ) _ 7( )�p Policy Number f1V1�/ � y Expiration Date lame of AgeyP • • Phone # If tertify that inthe 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 agrl 19tp41 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ECARATIOARDING CONSTRUCTION LENDING AGENCY Reby affirm H`ItG penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, Civil Code). Ider'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 applic nd county ordina ces and to aws relating to building construction. I authorize representatives of Ity or county to en e n ed property for inspection purposes. fr nature of Pronertv Owner or th&ized�A�aent �. -� Print Procertv Owner's or Authoriz d Age ' ame ,&I/ tVV� ACTION DATE BY DECLARATION OF II REGULAT ONS PA T061 OF IIT E 40 AND AQMD RULE CE WITH CODE OF RAL FOR OFFICE USE PERMIT EXPIRED i i I LJISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT FINAL '*0' ASBESTOS CRT IFICAT E OSUED - �-Z SIGNATURE: DEMOLITION ION IS NOT APPLICABLE TO