HomeMy WebLinkAboutX2022-0723 - Permitswnok City of Newport Beach - Building Division *X2022-0723* COMB Permit: X2022-0723
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0649-2022
W m.. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
r. t* CombinationType - BLDG MECH ELEC Issued Date : /2812022
'°��,.tia YP Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMITqq 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 SunlslrHolidays
Job Address: 427 NEWPORT CENTER DR NB ,,ff ''��.•99>�
Description: COMM REMOVE/REPLACE (E) ROOF MOUNTED A/C UNIT "ULTA"{�
Legal Desc.:
Owner: LIEBERMAN DAVID Contractor: METRO TECH SERVICE LLC Architect: V
Address: 1562 MESA DR Address: 1827 WALDEN OFFICE SQ, STE 304 Address:
NEWPORT BEACH CA 92660
SCHAUMBURG IL 60173
Phone:
Phone:
2241249-3497
Phone:
Applicant:
PINEDA BRANDON
Con State Lic:
1051083
Engineer:
Address:
1390 W 6TH ST#108
Lic Expire:
03/31/2023
Address:
CORONA CA 92882
Bus Lic:
BT30076040
Phone:
951-283-7085
Lic Exp Date:
0713112022
Phone:
Code Edit : 2019
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added/New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $504.00
Plan Check Fee: $438.48
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$16.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $1,115.15
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance Designer:
Carrier: AMERICAN CASUALTY Address:
Policy No: 7018332127
Expire: 03/01/2023 Phone:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
State Lic
TANG KENNETH
1390 W 6TH SREET #106
CORONA CA 92882
951-283-7085 State Lic:C-062650
Rear: / Special Conditions:
Front: /
Left: /
Right: /
klnn Fnaces a Fire Hazard Zone
$0.00
Planning Department -
Fire Department
' 1
$0.00
Plan check Fee : $52.00
Fire Inspection:
$0.00
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans : $0.00
Demolition Fee
$0.00
In -lieu Housing Fee : $0.00
Building Dept Adm
$0.00
$0.00
Public Works Department-
General Service
$0.00
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
$65.97
San Dist: $0.00
$37.70
NMUSD Fee: $0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $538.71 Fee Due at Permit Issuance :
$576.44
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)
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).
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,
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).
7 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 lega11,
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 Professi Code, d my license is in full force
nd effect. License Class License No Date 4 a as Contractor Signature
VORKERS' COMPENSATION DECLARATION If
'ARMI.G: FAILURS 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hnreov 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
brmance a, the wcrk for which this permit is issued. Policy No.
have and V ill 73intain 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' compensa
Ira.,ce camPr and policy number are:
Policy Number
Date
le of Agent Phone #
�crtify that; rn 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
IT I should beeime su ct to the workg ' cor�5 mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iature of Applicant `/d11���`-1f-11�-�/`� Date c 4 1 g. a O
!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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county t enter the ab Identified property for inspection purposes.
nature of Propertv Owner or Authorized Aoent7 �. Print Prooertv Owner's or Authorized Agent's Name JL
ACTION
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY DECLARATION OF II REGULATIONS ARTOMPLIANCE WITH CODE OF 61 OF TITLE 40 AND QMD RULE AL FOR OFFICE USE ONLY
—kZ
I SUBMITTED ASBESTOS NOTIFICATION TO
TION IS NOT APPLICABLE TO