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Home My WebLink AboutXC2023-0249 - Permits�EwaoRr City of Newport Beach J111111111111111111111111111111111111111111111111111111111Jill COMB Permit : XC2023-0249 0 A Community Development Department- Building Division x C 2 0 2 3 0 2 4 9 F P 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1643 Permit CountE r Phone: (949) 718-1888 Issued Date : 07/1012023 newportbeacl-ca.gov/dvic Final Date: Combinatio Type - MECH Permit Status: Issued Work Class Other Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 20320 BIRCF ST Legal Desc : N TR 706 BILK LOT 128 TR 706 LOT 128 NELY 55 FT AND L C T Description: COMM REPLACE HEATING AND COOLING PLANT @ THE PARKING LOT Owner: BIRCH BUSINE Address : 20320 SW BIR, NEWPORT BE Phone: (949)955-2131 Applicant: MESA ENERGI Address : 2 CROMWELL IRVINE, CA 92E Phone: (949)244-1341 Owner/Builder : Address : Phone : Code Edition : 11 Type of Construction : V Occupancy Groups: U Bldg Height : Building Setbacks Flood Zone : X Use Zone : S PROCESSED BY: SPECIAL CONDITIONS: >S PROPERTIESLLC Contractor: MESA ENERGY SYSTEMS INC Architect 1 ST STE200 Address : 2 CROMWELL Address CH, CA 92660 IRVINE, CA 92618 Phone: (949)244-1341 Phone: Con State Lic : 611215 State Lic Lic Expire : 01/31/2025 SYSTEMS INC Bus Lic : BT98039750 Engineer : ALMQUIST GLENN N Bus Lic Expire : 12/31/2023 Address : 1400 QUAIL ST #245 NEWPORT BEACH, CA-92g60 IS Workers' Compensation Insurance Phone: (949) 261-6161 Carrier: CONTINENTAL INSURANCE COMPANY Policy No : WC734181601 Designer: GLENN ALMQUIST W. C. Expire : 10/1/2023 Address : 1400 QUAIL ST, 245 >> ° NEWPORT BEACH, CA 92,366 Phone: (949)261-6161 Fire Sprinklers : NO Construction Valuation : $30,030.0• ° Fire Hazard Zone : NO Added/NewlTI sq. ft. Bldg : 0 No of Units : 0 Alteration sq. ft. Bldg : No of Stories : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 - Santa Ana Heights Specific Plan aaa+as OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (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 lie 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 13oen8ure 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 L) all of or L,) portions of the work, and the structure is not intended or offered for sale (Section 70", 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). L -I 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 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 legalh sell a structure that I have builtas an owner -builder if it has not been constructed in its entirety by licensad contractors. I understand that a copy of the applicable law, Section 7C44 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/celaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SeqUon 7I 0 of Division 3 of the Business a i e Professions C and. my lnse is in full force and effect. License Class License No mho'-(/N9/23 Contracto nature NORKERS' COMPENSATION DECLARATION X RARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL Fe1E3 UP O ONE HUNORED THOUSAND DOLLARS (S1D04000), IN ADUTTION TO THE COST 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: have and will r,mi,da6n 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 rmance of the n-n* for which this permit is issued. Policy No. and will' malhtarn 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' carrier ur.d policy number are: Policy Number of Agent Date I cer'I'y 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 Califomia, and agre 't if I •'houl a subject t th rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q Inawreof AlpIlli�--tea= :CU r,f'.TION REGARDING CONSTRUCTION ENDING AGENCY. _.- ereby 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). ndprs Name Lender's Address my siq,Ialure Calgw, ; certify to each of the following: I am the propalty wrier 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 aly ounty to a above-/dayffied property for inspection purposes. 'I� mature of Property Owner or Authorized Ag /�-�� Print Property Owner's or Authorized Aaenfs Name iJt7f'bhrviA bPi /LiA Ci DATE Y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPMED I I I ❑ I SUBMITTED PERMIT EXTENDED _ i LJAQM_D PERMIT FINAL 'f �'r Ste'° ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF �!� ^/�1 [E PROP05ED DEMOLITION OCCUPANCY ISSUED l I /(ij SIGNATURE: