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Home My WebLink Aboutx2019-3777 - PermitsCity of Newport Beach - Building Division II�IIIIIIII�III�lll�llllllllllllullllllll�llll III COMB Permit: X2019-3777 a 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2602-2019 Hit Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - MFP MECH ELEC PLUM Issued Date i 07/08/2020 , Inspection Area : 8 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0710912023 1 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 orf s`` - C !D Job Address: 1561 MESA DR NB 0 ®, s Description: MFR BLDG R8 (UNITS 9-12) REMODEL 2,400 SFy� Legal Desc.: 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 Lie: 787509 Engineer: VARELA BEN Address: 1990 S BUNDY #400 Lie Expire: 0613012021 Address: 6007 WASHINGTON BLVD LOS ANGELES CA 90067 Bus Lic: BT30072366 CULVER CITY CA 90232 Phone: 310-626-2100 Lie Exp Date: 07/31/2021 Phone: 424-208-4764 State Lic:S-005714 Code Edit: 2016 Type of Construction: VB Occupancy Group: R21U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Building Permit Fee: $973.00 Plan Check Fee: $846.51 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $3.00 TOTAL FEE: $2,017.11 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carder: STATE FUND Policy No: 9161474 Expire: 0612512021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / �arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $68.11 $38.92 $87.57 Plan Check Fee Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication: $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $803.88 Fee Due at Permit Issuance : $1,213.23 PUBLIC WORKS APPROVAL: - __.. PLAN CHECK BY: APPROVAL TO ISSUE: 00400 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 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 Iicensure 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 (_) 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 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 n roved 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 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). I am exempt from Iicensure 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, 1 cannot legalh 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:hftp://www.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 Section 7000) of Division 3 of the Busiiess and Professions C - Be is in full force nd effect. License Class License No a 7 a Con r Signature i - VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will mai n a certificate of consent to self -insure for workers' compensation, yamnance/gitp'a w i for which t ' ennit is issued. Policy No. 'have-a"n ainl ' w m' mpensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Trance c rn r d policy ber are: m of Agent certify that, in the performance of the if I should become subject to the wo lature of Applicant Policy Number issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Date for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worke s' compensation laws of California, and ogre ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. a 7—�� veby affirm under penalty of perX4 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 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owgve-iroeplerty I have read this application and the information I have pro I agree to comply with all applicable city and count<ter ancesatng to building cons I authorize representatives of this city cou the for inspection pug Signature of Property Owner or Authorized t Print Propery ACTION DATE BY DECLARATION COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LIEPA PERMIT EXTENDED AQMD PERMITFINAL BESTOS NOTIFICATI S NOT LICABLE TO CERTIFICATE OF ��.///ttt� ROPOSED DEMOLITIO OCCUPANCY ISSUED SIGNATURE: .� or Authorized AWnt's Name ,FFICE USE ONLY -7 c 2d