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Home My WebLink Aboutx2019-3778 - PermitsygwPrJ City of Newport Beach - Building Division IIIIIIIIII�IIIIIIIIIIIIIIII��IIIIII�IIIIIIIII III COMB Permit: X2019-3778 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 7 7 8 Permit Counter Phone (949)644-3288 Project NO : 2602-2019 . - Inspection Requests Phone (949)644-3255 rN � * Combination Type - MFP MECH ELEC PLUM Issued Date: 07/0812020 9 Inspection Area: B PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0710912023 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: 1561 MESA DR NB Description: MFR BLDG R9 (UNITS 9-12) REMODEL 2,400 SF ., Legal Desc.: I Ol Owner: PALM MESA LTD Contractor: REFINO INC Architect: WINTERS PAT e«*� 0. Address: 12121 WILSHIRE BLVD #700 LOS ANGLES CA 90025 Address: 9706 4TH AVE N E #401 Address: 1990 S BUNDY #400 SEATTLE, WA 98115 LOS ANGELES CA 90067 Tw� Phone: Phone: 206-260-1509 Phone: 310.626-2100 State LicCO22032 J Applicant: PADDOCK STEVE Con State Lic: 787509 Engineer: VARELA BEN - Address: 1990 S BUNDY #400 Lic Expire: 0613012021 Address: 6007 WASHINGTON BLVD -. LOS ANGELES CA 90067 Bus Lic: BT30072366 CULVER CITY CA 90232 Phone: 310-626-2100 Lic Exp Date: 0713112021 Phone: 424-2084764 State Lic:S-006714 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE FUND Address: Occupancy Group: R2I1.1 Policy No: 9161474 Added Mew sq.ft. Bldg: 0 Expire: 06125/2021 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: I 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: $846.61 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 Plan Check Fee: $803.88 Fee Due at Permit Issuance : $1,213.23 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 46s 01" 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 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). 7 1, 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, 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). I 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 legall) 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:/An .leginfo.ca.gov/calaw.html. 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 70001of Division 3 of the Business and Professions C rid, nd m lic Is in full force and effect. License Class License No 0Q06- f1— tractor Signature VORKERS' COMPENSATION DECLARATION 1,01% rARNING: 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 ($100,000), IN ADDITION TO THE :DST 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: 7 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 the erformance gf the work for which this permit is issued. Policy No. I h e d 1 raranain 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' compensatiol artier policy number are: rrier Policy Number Expiration Date ,lame of Agent Phone # 3 certify that, in the performance of the work for which t 's permit is issued, I shall not employ any person in any manner so as to become subject to the wo ers' compensation laws of California, and agree hat, if I should become subject ttto�the wo rspe " ion ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Ap ant / /_. ;ate )ECLARATIO GARDIN13ON RUCTION LEND NG AGENCY hereby affirm un er 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). _ender'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 owner's behalf. I have read this application and the information I have provided ' I agree to comply with all applicable city, and county o as and stat elating to buildin structimn. I authorize representatives of this city or county to er the abov ntifi rty for inspection pu ses. Signature of Property Owner or Authors Agent Print Property wner's or Authorized Agent's ACTION DATE BY DECLARA26N OF COKAPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED QMD PERMITFINAL '61105P BESTOS NOTIFICATION IS NO PLI E TO CERTIFICATE OF �21- //j OPOSED DEMOLIT10 OCCUPANCYISSUED ---lll SIGNATURE: