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Home My WebLink AboutX2021-0338 - Permitsw City of Newport Beach - Building Division *X2021-0338* COMB Permit: X2021-0338 %+ 100 Civic Center Drive, Newport Beach, CA 92660 Pf0)BCt NO : 0346-2021 . , n, Permit Counter Phone (949)644-3288 v:. Inspection Requests Phone (949)644-3255 ° txa - Combination Type - CIP ELEC MECH Issued Date : 03125/2021 0 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0312512024 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: 21103 NEWPORT COAST DR NB Description: COMM REPLACE (3) ROOF MOUNTED CONDENSERS AND (3) AIR HANDLERS .... ...... Legal Desc.: P SK 318 PG 27 PAR 2 Erb` 11 Owner: IRVINE COMPANY LLC Contractor: WEATHERITE CORPORATION Architect: VSt EGT-�°e;•,� Address: PO BOX 2450 Address: 21211 COMMERCE POINTE DRIVE Address: NEWPORT BEACH, CA 92668 WALNUT CA 91789 ° ° • " Phone: Phone: 909-598-8900 Phone: State Lic: °°•• • iz• _• Applicant: BECKLEY KATHLEEN Con State Lic: 451778 Engineer: HOFFMAYER JOSEPH ' ° ; •P.ab Address: 21211 COMMERCE POINT Lic Expire: 0113112022 Address: 4425 CANOGA AVE o ° • WALNUT CA 91789 Phone: 909-322-8510 Bus Lic: BT30072538 WOODLAND HILLS CA 91364 ..... 0 Lic Exp Date: 07/31/2021 Phone: 818-347-7008 State Lic:S-003935 • •. ; ' Code Edit : 2019 Workefs Compensation Insurance P Designer: ° Type of Construction: Carrier: CONTINENTIAL CAS Address: ° ° • � • Occupancy Group: U Policy No: WSD502951505 Added /New sq.ft. Bldg: 0 Expire: 04101/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $95,000.00 Building Permit Fee: $1,169.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $1,017.03 Additional Fee : $0.00 Plan check Fee : $92.50 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: $12.00 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 %: $306.04 San Dist: $0.00 Building Green Fee: $4.00 Mechanical %: $240.46 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $2,841.03 Plan Check Fee: $1,271.28 Fee Due at Permit Issuance : $1,569.75 PROCESSED BY: _ PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 (_) 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 tgL1Pd (;lse of sale). ❑ I, V owner 8f'thg property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 1y4o an ovine rofploperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exemptfrdrA licensure under the Contractors' State License Law for the following reason: ymy signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ell 50structure that I have built as an owner -builder if R 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 Pt4fe%ons Cdtle, & 4ailable upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. igrN#ure of Proegrty,Owner or Authorized Agent Date "GE91SED CONTRACTOR'S DECLARATION 1 berW affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Busine s d Profes ions Code, and rr�y license is in full force 0pd l;gvt. License Class License No i �S t3a 1 Contracto ature .I�t i✓ A ORftRS' G6N04NSATION DECLARATION VVJc ArEnW"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 POST OF60MPENS,RnON.IAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •��• I hereby affirm under penalty of perjury one of the following declarations: 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 th rmance of the work for which this permit is issued. Policy No. have and will 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' compensatiol in. urance carrier and policy number are: Carner _x'1S - n n� \%)�' — Policy Number WSZ) of :) q51 S 0 C. Expiration Date 4 Name of Agent "v..b Sn�:) I Phone # GLk4-C)Q::2, - I0�1. C certify that, in the 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 I, if I should becomes bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , % nature plicanh� iti1L 4Lc�� .\.9fate c�S-Ji� CL U;d REGAR NG CONSTRUCTION LENDING AGEN :reby 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 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this ity D ounty t enter the above -identified property for inspection purposes. nature of Property Owner or Autho d Agent operty Owners or Authorized Agent's a to TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 RMIT FXPIRFD HLJISLIBMITTEDASBESTOS NOTIFICATION TO PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED ASBESTOS NOTIFICATION IS NOT APPLICABLE TO )POSED DEMOLITION