HomeMy WebLinkAboutX2019-3780 - Permitsw r, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3780
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 7 8 0
u Permit Counter Phone (949)644-3288 Project No : 2602-2019
Inspection Requests Phone (949)644-3255
F�krwiF Combination Type - MFP MECH ELEC PLUM Issued Date :`67/08/2020
Inspection Area : 8
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/09/2023 OR PERMIT by1L'L &9JNVA0RT w
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 0:00 a.m. to 6:00 p.m. No work an Sundays„or (•lokdayq l r y
Job Address: 1561 MESA OR NIB
Description: MFR BLDG R11 (UNITS 99-102) REMODEL 2,400 SF
Legal Desc.: F2
Owner: PALM MESA LTD
Contractor:
REFINO INC
Architect:
WINTERS PATRICK
Address: 12121 WILSHIRE BLVD #700
Address:
9706 4TH AVE N E #401
Address:
1990 S BUNDY #400•
LOS ANGLES CA 90025
SEATTLE, WA 98115
LOS ANGELES CA 90067
Phone:
Phone:
206.260-1509
Phone:
310-626-2100 State Lic:CO22032
Applicant: PADDOCK STEVE
Con State Lic:
787509
Engineer:
VARELA BEN
Address: 1990 S BUNDY #400
Lic Expire:
06/3012021
Address:
6007 WASHINGTON BLVD
LOS ANGELES CA 90067
Bus Lic:
BT30072366
CULVER CITY CA 90232
Phone: 310-626-2100
Lic Exp Date:
07131/2021
Phone:
424-208-4764 State Lic:S-005714
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
STATE FUND
Address:
Occupancy Group: R21U
Policy No:
9161474
Added /New sq.ft. Bldg: 0
Expire:
0612512021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
No of Units : 4
Front: I
Bldg Height: 0
Left: /
Bldg Sprinklers: N
Right: /
Flood Zone: X
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $72.500.00
Building Permit Fee: $973.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $846.51
Additional Fee :
$0.00
Plan check Fee :
$0.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PAN Plan Check,
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$68.11
San Dist:
$0.00
-
Building Green Fee : $3.00
Mechanical %:
$38.92
NMUSD Fee: -
$0.00
$0.00
Plumbing %:
$87.57
$0.00
TOTAL FEE: $2,017.11
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee:
$803.88 Fee Due at Permit Issuance: $1,213.23
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: �rV
APPROVAL TO ISSUE:
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) -
3ection 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 U 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).
7 1 am exempt from licensure 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 lega%
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://w .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 Sec tjpn 700 J of Division 3 of the B siness and Profess' s de, I' nse is in full force
nd effect. License Class License No d�! a `" Co�ctor Signature
VORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1D0,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 thr
'ormance of the/yrM for f ch this permit is issued. Policy No.
have J ;i KnrIp n workers' compensation insurance, as required by Section 3700 of the Labor Code,
Trance car and p licy number are:
rier Policy Number
1e of Agent
certify that, in the performance of the work for
if I should become subject to the wor '
Jature of ADDlicale --?-
for the performance of the work for which this permit is issued. My workers'
Date
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
:ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Y
rreby affirm under penalty of p jury 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.
f have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and sta aws relating to building construction.
I authorize representatives of this city or
gpunty to enter the abgvV- _ I sea.
signature of Property Owner or AuthoriLlegent ' Pnnt Hro art U 's or HumonzeD H
ACTION DATE BY DECLA ON OF&KOLIANCE WITH CODE OF FEDERAL FOR NCE USE ONLY
REG TIONSPART61OFTITLE40ANI AQMD RULE
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EIEPA
PERMIT EXTENDED
AQMD
PERM/TFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
Onj �ql
SBESTOSNOTIFICATi WIS-V6 APPLICABLE TO
ROP DEMOjJTI f+(
ATURE: 7