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Home My WebLink AboutX2021-3173 - Permits (3),�wrr �� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 *X2021 ~r.1 c4n �' �' `� � COMB Permit: X2021-3173 p �� IN Project No : 2753-2021 w "',••..'�.. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 +crsnir-�'' Combination Type - CIP ELEC MECH Issued Date : 02/22/2022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/22/2025 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: 810 AVOCADO AVE NB • • • e Description: COMM "BRISTOL FARMS" NEW REFRIGERATION RACKS AND CONDENSING UNIT ON ROOF • ® ® ®•, o 0 0 Legal Desc.: P.M. 270-15 PAR 1 POR PAR • . . o •• o 0 Owner: IRVINE CO Contractor: HARCO GROUP INC Architect: WILLIAMS JAMES • • • o ° o Address: 550 NEWPORT CENTER DR Address: 1495 COLUMBIA AVE #2 Address: 245 E 3RD STREET ° • ° o ° • • e NEWPORT BEACH, CA 92660 RIVERSIDE CA 92507 LONG BEACH CA 90802 • • e • e e ss a Phone: Phone: 951-684-1909 Phone: 916-340-4299 State Lic:C030604 •• o • • ••ooa Applicant: TODD TERYY Con State Lic: 842851 Engineer: BAROONIAN ARMEN ` • • • • o 0 0 Address: 245 EAST 3RD ST Lic Expire: 07/31/2022 Address: 867 N. FAIR OAKS AVE #110 • • • • o ° o LONG BEACH, CA 90802 Bus Lie: BT30039326 PASADENA CA 91103 0 • • a • m m ° o m o Phone: 562-628-8000 Lic Exp Date: 05/31/2022 Phone: 626-204-1088 State Lic:S-004227 ° ° ° . • e o 00 mm o 0 0 Code Edit: 2019 Worker's Compensation Insurance Designer: o •,•° °'0O Type of Construction: V-B-SPR Carrier: EVEREST NATIONAL CO Address: Occupancy Group: M Policy No: CA10001959211 Added /New sq.ft. Bldg: 0 Expire: 04/01/2022 Phone: Added/New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: - 0 Fire Hazard Zone : N Construction Valuation: $100,000.00 Building Permit Fee: $1,226.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,066.62 Additional Fee : $0.00 Plan check Fee : $52.00 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: $56.00 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 PAN Plan Check : $0.00 Grading Bond: $0.00. Hazardous Mat $0.00 Electrical %: $320.97 San Dist : $0.00 Building Green Fee : $4.00 Mechanical %: $252.19 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $2,977.78 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $1,600.00 Fee Due at Permit Issuance : $1,377.78 _ PUBLIC WORKS APPROVAL: _ PLAN CHECK BY: 1� 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 the 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 Professions 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 not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements pfer"intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Improved for the•pwpose of sale). •• f,*a; ownerQF the groperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not airply to an ownenol p$operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). • 1 iM exempt from licensure under the Contractors' State License Law for the following reason: By my signature.belolLr l 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 A9 a structure tD@t!l *ve 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 ProitSsions Cole, is. vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. 9iglreture of P'oppeliytwner or Authorized Agent Date IllCfitlSED CATFtACTOR'S DECLARATION I.he$eby affirm unifier penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectionJ�f 7'�Toiv n 3 of the BLa10ass and Pro��f��f,,,,,,ssi l de, and my license is in full force anfl effDct. LiFBnse%llass License No Date Contractor Slgnatur WORKERS' COMPENSATION DECLARATION - — - -- '��'.� - - -- - ✓dAtr W8: FAILUg?TC6ftURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE COST OF COMPENSPHION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 performance of the work for which this permit is issued. Policy No. wave 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' compensatiol I surance carrier and policy number are: me of Agent I certify that, in the pl it, if I should become mature of Aoolicant / Policy Number Date 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' Zompeion laws of California, and agre �a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Da —,7 7 _ _-IS DNGAGENCY ;reby 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). 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 applicable city and cou rdinances and state laws relating to building construction. I authorize representatives of this city or cqurdty t ent he nspection purposes. ACTION DATE Bf DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED AQM D SBESTO NO N IS NOT APPLICABLE TO ROPOSED / 1 10 PERMITFINAL CERTIFICATE OF L, �3 OCCUPANCYISSUED I SIGNATURE: