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Home My WebLink AboutXC2022-2089 - PermitsCity of Newport Beach �t?r ' '9 Community Development Department- Building Division 0'3 100 Civic Center Drive, Newport Beach, CA 92660 _ Permit Counter Phone: (949) 94 Inspection Requests Phone: (949) 9) 644 644-3255 newportbeachca.gov/Inspections Combination Type - ELEC MECH Work Class - Other COMB Permit : XC2022-2089 X C 2 0 2 2 2 0 8 9 Plan Check No: PC2022-3014 Issued Date : 02/13/2023 Inspection Area : 7 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 : 19 CORPORATE PLZ Legal Desc : P BK 102 PG 2 PAR 2 Description: COMM R/R 4 ROOFTOP HEATPUMP PACKAGE UNITS, 1 COOLING -ONLY PACKAGE UNIT Owner: MARK P ROBINSON JR LLC Address : 19 CORPORATE PLAZA DR NEWPORT BEACH, CA 92660 Phone Applicant: KHANH FLESHMAN Address: 265 MCCORMICK AV COSTA MESA, CA 92626 Phone: (714)352-2226 Owner/Builder : Address : Phone Contractor: ACCO ENGINEERED SYSTEMS INC Address : 888 EAST WALNUT ST PASADENA, CA 91101 Phone: (818)244-6571 Con State Lie : 120696 Lie Expire : 12/31/2023 Bus Lie: BT00004502 Bus Lie Expire : 12/31/2023 Workers' Compensation Insurance Carrier: LM INSURANCE CO Policy No: WA566DO67353011 W. C. Expire: 10/1/2023 Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : B No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone : X Use Zone : PC - Corporate Plaza PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address Phone: Designer Address Phone: PANEK GREG 138 W BORROMEO AVE PLACENTIA, CA 92870 ; NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $64,40WOD 0 0 0 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 ftem(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), 0 I, as owner of the property, or my employees withwages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended proffered 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 theproperty, 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 'mproved for the purpose of sale). 111. 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 doe's not apply to an owner of property who builds of 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: 3y 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 legall, soil a structure that I have bull. 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 ausinoss and �rofesslons Code, is available upon request when this application is submitted or at the following Web site;http:Iiwww.leginfo.ca.govlcalaw.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 Section 7000) of Division 3 of the Business and Prolessipnss o a and. rr y_cense is In full force and effect. License Class License No Date �T3COnGactor Signalers . -- MORKERS' COMPENSATION DECLARATION J YARNING: FAILURF FD SeCVRE WORKERS' COMPENSATION COVERAGE IS UNLAWFVL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES VP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE 'DST OF COMPENSr T'CN, bAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm ur9er},Lnalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent t0 self -insure for workers' compensation, Issued by the Director of Industrial Relations Be provided for by Section 3700 of the Labor Code., for th, Iefformance of the A•ork for which this permit is issued. Policy No. have and will rorintim workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' lance carrier and poiiey number are: Policy Number of Agent Date al cert'r;' 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 agre lit, If I snouid becums subject to the workers' corn ensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. of Applir:ant r,*ct r'PATCGN fiEG , ,TFING CANSTRIt ON LENDING AGENCY 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 8 en097, Civil Code). dai s Name Lenders Address y 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 applicablecity and county ordinances and state laws relating to building construction. I authorize representatives at this city or county �ry ter the above-identtDed property for Inspection purposes. ACTION DATE. BY 1 DECLARATIONS. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE IIf 140a PERMFF EXPfRED 1 SUBMITTED ASBESTOS NOTIFICATION TO PERAM1T CANCELLED EPA PERVFIT EXTFNDED �nQMD PCR'NrT FINAL CERTfFICATE /I_h�L� _j 'G ASBESTOS NOTI FICAHON IS NOTAPPLICABLE TO OF� PROPOSED DEMOLITION OCCUPANCY ISSUED %Ir. NArI IRF-