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Home My WebLink AboutX2020-2177 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r+ Permit Counter Phone (949)644-3288 rtv Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIII�IXIIIIII�I0I�IIIIllllllll��llulll�llul71Jil COMB Permit: X2020-2177 Project No : 2602-2019 Issued Date : 10/1912020 Inspection Area: 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012012023 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: COMM "PALM MESA APARTMENTS' (3) TRASH ENCLOSURES *PHASE 2* �'FOR Legal Desc.: Owner: PALM MESA LTD Contractor: REFINO INC Architect: WINTERS PATRICK Address: 12121 WILSHIRE BLVD #700 Address: 9706 4TH AVE N E fW01 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: 06130/2021 Address: 6007 WASHINGTON BLVD LOS ANGELES CA 90067 Bus Lic: T30072366 CULVER CITY CA 90232 Phone: 310-626-2100 Lic Exp Date: 0 131/2021 Phone: 424-208-4764 State Lic:S-005714 ° ® a•aooa Code Edit: 2019 Worker's Compensation Ins}�rance Designer: ° Type of Construction: Canier: STATE FUND Address: ..... Occupancy Group: U Policy No: 9161474 .-. Added /New sq.ft. Bldg: 0 Expire: 0612512021 Phone: ° -� Added /New sq. ft. Garage: 0 a No of Stories: 0 Building Setbacks Rear: 25 Special Conditions: REV20-1481 ° ° 6 • "° 0 No of Units: 0 Front: 20 ®, Bldg Height: 0 Left: 5 ° ` Bldg Sprinklers: Right: 5 ooao Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ° Construction Valuation: $45,000.00 ° Building Permit Fee: $739.00 Excise Tax: $0.00 Planning Department - Fire Department ..... Plan Check Fee: $642.93 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 PIW Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee: $2.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $1,383.93 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,383.93 PROCESSED BY: - PUBLIC WORKS APPROVAL: '- ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: ° ooaeoo ° ° ooe® ° ooeoo °ooaao 0000�o ° 000 co 0 00 0 OWNER -BUILDER DECLARATION 1 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 f,(Jr is 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). 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, �usiness 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). 11, 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: ',y 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 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 �J hereby affirm under penalty of perjury that I am licensed under provisions of Ch Ater 9 (commencing with Se n 70 DMsi n 3 of the Business Professions � a is in full force nd effect. License Class License No 7 , D T ractor I lure �i/ COMPENSATION DECLARATION 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 1GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm-undel'penalty of perjury one of the following declarations: 31,have and 0417 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 erf brmance ofthe work for which this permit is issued. Policy No. and dwil'm'�intain 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' compensa I an arriE��J;r�alndrD.ol�ic—y number are: Erf.�Y:9 G%�F✓/y.%% Policy Number Expiration Date laps# of Agent. Phone # ]I eertify Ito ip the performance of th work for w ' this permit is issued, I shall not employ any person in any manner so as to become subject to the worker compensation laws of California, and a( r9 pif I should- ecom Ubject to th orker ' c e ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 i nature ofA nt to ��`�"'� iECLARATI S DING ONSTRUCTION LENDING AGENCY hereby affirm and 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 y 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 is correct. I agree to comply with all applicable city and county ordinan as ands I s relatin w / I authorize representatives of this cby or cgopty to enter71 b y for inspection purposes. /,A%7, ACTION PERMITGINCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED 7 BY I DEC ION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE US ONLY GULATIONS PART 61 OF TITLE 40 AND AQMD RULE APPLICABLE TO