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HomeMy WebLinkAboutX2022-0720 - Permits(ID City of Newport Beach - Building Division *X2022-0720* COMB Permit: X2022-0720 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0646-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255Combination Type -BLDG MECH ELEC Issued Date : rea : 2oz2 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/10/2025 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: 680 NEWPORT CENTER DR NB Description: COMM REMOVE/REPLACE (E) ROOF MOUNTED A/C PACKAGE Legal Desc.: P.M. 295-33 PAR 7 AND POR PAR 6 Owner: IRVINE CO Contractor: SOUTH COAST MECHANICAL INC Architect: ; • �''� Address: PO BOX 2450 Address: 800 E ORANGETHORPE AVE Address: NEWPORT BEACH, CA 92660 ANAHEIM, CA 92801 Phone: Phone: 714-982-9640 Phone: State Lic: Applicant: BERNAK TOMAS Address: 800 E ORANGETHORPE AVE ANAHEIM CA 92801 Phone: 714-720-8890 Code Edit: 2019 Type of Construction: 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: Flood Zone: Construction Valuation: $30 000.00 Building Permit Fee: $570.00 Plan Check Fee: $495.90 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $18.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,255.15 PROCESSED BY: ZONING APPROVAL: Con State Lic: 857144 Lic Expire: 0413012023 Bus Lic: BT30073043 Lic Exp Date: 09/30/2022 Worker's Compensation Insurance Carrier: XL INSURANCE Policy No: RWD300147602 Expire: 05/01/2022 Building Setbacks Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: L Rear: / Front: / Left: / Right: I larkinc Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $74.61 $42.64 $0.00 Plan Check Fee Engineer: YOUSSEF NABIH F. Address: 550 S HOPE ST #1700 LOS ANGELES CA 90071 Phone: 213-362-0707 State Lic:S-002026 Designer: Address: Phone: Special Conditions: 0 Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Zone :N Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: -$0.00> '$O.PIO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,255.15 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: L 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 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 improved 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 apply 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 licensure under the Contractors' State License Law for the following reason: By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of ivis n 3 of the Business and Professions �— nd+Ry lice a is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILUPE TO SE :URE 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 COST OF COMPEW A; IJ,1, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hJ. abl affirm under penalty of perjury one of the following declarations: n 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 the or\fprrnance of the work for which this permit is issued. Policy No. have and -v:11 m; utain 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' 'ence carrier and policy number are: c of Agent u66 ify that, in the nt if; should bec,mi of Policy Number Date ante 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' compensgtion laws of California, and agree ct tooth wor rs' cam nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Date_ % DECLARATION PEGCRDING CONCWCCTION LENDING AGENCY I 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 Cade). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 enter the Ooliie-identifiad property for inspection purposes. �^ / Signature of Property Owner or Authorized Agen—! Print Property Owner's or Authorized Agent's Na 4rYLY1 Date ACTION DATE BY DECLAR4Ti6N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED I I QM D PERMITFINAL 10- 51 -71LJASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: