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Home My WebLink AboutX2021-3163 - PermitsCity of Newport Beach - Building Division *X2021-3163* COMB Permit: X2021-3163 ��wrvay p'` •9f P 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2733-2021 I.'t Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 .�e+�r 4?w,,� S E "j E0 i m L Issued Date : 2022 z .. „t* <,�,„a Combination Type - CIP ELEC MECH i Area : Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210112025 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: 1062 IRVINE AVE NB Description: COMM ALTERATION PRIOR TO TI W/(2) NEW HVAC UNITS (ANCHORAGE ONLY) IN EXTG MECH YARD 3737 SF Legal Desc.: TR 4824 LOTS 8 TO 13 INC Owner: IRVINE CO Address: 110 INNOVATION IRVINE CA 92617 Phone Applicant: KENSEY LISA Address: 1590 SOUTH COAST HWY, STE 18 LAGUNA BEACH CA 92651 Phone: 949/494-8093 Code Edit : 2019 Type of Construction: V-B Occupancy Group: B Added /New sq.ft. Bldg: 3737 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $1,226.00 Plan Check Fee: $1,066.62 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $26.00 Energy Compliance: $70.00 CA Seismic Safety: $0.00 Disabled Access : $100.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE : $3,117.78 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: KN Contractor: MITCHELL GC INC Architect: BALLARD DONNA JEAN OLSEN Address: 52 TESLA Address: 1590 SOUTH COAST HWY, STE 18 IRVINE CA 92618 LAGUNA BEACH CA 92651 Phone: 949-554-9432 Phone: 949-494-8093 State Lic:C012942 Can State Lie: 831334 Engineer: MAESTAS, DAVID ELMER Lie Expire: 05/31/2022 Address: 9915 MIRA MESA BLVD, STE 200 > . Bus Lie: BT30075368 SAN DIEGO CA 92131 Lie Exp Date: 0513112022 Phone: 8581536-5166 State Lic:S-006773 „ Worker's Compensation Insurance Designer: -" Carrier: INS OF THE WEST Address: ... . Policy No: WSD504010803 ' Expire: 03/08/2022 Phone: ' Building Setbacks Rear: / Special Conditions: . Front: / Left: I Right: I Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $320.97 San Dist : $0.00 $0.00 Mechanical %: $252.19 NMUSD Fee: $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee : $1,551.28 Fee Due at Permit Issuance: $1,566.50 PUBLIC WORKS APPROVAL: PLAN CHECK BY: M k OD 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 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). ❑ 1 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 legal 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 Cod^, ir available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.html. Signature of Prorerty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm unde, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000j of Di isi n 3 of the Business and Profession ` nd my license is in full force and effect. License Class License No Date C ZZ Contractor Signature i'VORKERS' COMPENSATION DECLARATION RNIN 3: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOAND DOLLARS ($100,000), IN ADDITION TO THE S. OF UOMPENSA nON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. THOU arebv affirm urnter regally of perjury one of the following declarations: ! hcve 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 nrmance of the work for which this permit is issued. Policy No. and w,,l 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' carrier and policy nurpber are: is of Agent certify that, in the pi , if I should become Policy Number Expiration Date forwhich 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 agree compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant � AIM:GW - Date JECLARATION F RDIN ONSTRUCTION LENDING AGENCY hereby affirm under penalty f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender'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 owner's behalf. I have read this application and the information I have p ovided is correct. I agree to comply with all applicable city and county o mantes an state laws relating to building construction. I authorize representatives of this city or county to an, r the ab -identified property for inspection purposes. // Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name i� 1J Off- 4J e ACTION DATE BY D LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I II V I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LIAQMD if PERMITFINAL /Gy7� �/ ASBESTOS NOTIR ATIONIS TAPPLICABLE TO CERTIFICATEOF i !i ,f 7 PROPOSEDDEMOLIT N OCCUPANCYISSUED ///*A SIGNATURE: )C