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Home My WebLink AboutX2019-2346 - PermitsN1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2346 100 Civic Center Drive, Newport Beach, CA 92660 X 2 6 1 9 2 3 4 6 Permit Counter Phone (949)644-3288 Project No : 1681-2019 Inspection. Requests Phone (949)644-3255 Combination Type - CIP MECH Issued Date: 0712912019 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 2233 W BALBOA BLVD NIB Description: COMML- R/R (2) ROOFTOP AIC UNITS Legal Desc.: NEWPORT BEACH CITY LOT 9 BILK 22 AND LOTS 10.15 INCALL IN BLK 22 - Owner: AMERICAN COMMERCIAL Address: 22917 PACIFIC COAST HWY #300A MALIBU, CA 90265 Phone: Applicant: DE SHAZER MICHAEL Address: 11376 BLUEBIRD WY CORONA CA 92883 Phone: Code Edit : 2016 Type of Construction: Occupancy. Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $424.00 Plan Check Fee: $368.88 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 : $1.00 Contractor: THERMO WORKS Architect: Address: 11376 BLUE BIRD WY Address: Grading PC Consultant: CORONA CA 92883 Grading Permit Fee: Phone: 951.816-1973 Phone: State Lie: Con State Lic: 951251 Engineer: Lie Expire: 08/31/2020 Address: Bus Lie: BT30068200 $0.00 Lie Exp Date: 07/31/2020 Phone: State Lie: Workers Compensation Insurance Designer: Carrier: NORGUARD INS CO Address: Policy No: MIWC998097 Expire: 12/05/2019 Phone: Building Setbacks Rear: I Special Conditions: Front: Left: / Right: I Use Zone: Parkina Snaces: 0 Fire Hazard Znne : N Excise Tax: $0.00 Additional Fee ; $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee : $0.00 Electrical %: $0.00 Mechanical %: $46.64 Plumbing %: $0.00 TOTAL FEE: $880.52 Plan Check Fee PROCESSED BY: ° ° ZONING APPROVAL: GRADING APPROVAL: oc occ c c o° °° ooc oc Planning Department - Fire Department Plan check Fee $40.00 Fair Share: $0.00 SJH Trans : Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication: $0.00 PAN Plan Check: $0.00. San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fee Due at Permit Issuance : $880.52 PUBLIC WORKS APPROVAL: PLAN CHECK BY: Yr► Bc W APPROVAL TO ISSUE: Fire Department $40.00 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 $0.00 Fee Due at Permit Issuance : $880.52 PUBLIC WORKS APPROVAL: PLAN CHECK BY: Yr► Bc W 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) ction 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 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 fessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, driess 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 rovements 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 roved for the purpose of sale). 1, 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 ,ly 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). J 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 in 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 app Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of QQhapter 9 (commencing with Sect' 70 0) f Division 3 of the Business and nd effect. License Class License No `�'S r 2- S / D to 7 `z l 19 Contractor Signa YORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUI OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: nents covered by this permit, I cannot law, Section 7044 of the Business and is in full force DOLLARS ($100,000(, IN ADDITION TO 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 thi o�hve rmance of the work for which this permit is issued. Policy No. 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' compensation e carrier and policy number are: -7- / Policy Number Expiration Date ie of Agent Phone # certify that, in the performance o In work for i h 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 agree if I should become at object to th a 'cord a 'on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iatureof Applicant' /fit` `I ADATInN GPr_AhhIIJ- rrnNST011CTInN 1 FNrukir: Ar:PNCY hereby 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) 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 or Inances ands a laws relating to building construction. I authorize representatives of this city or county to entWj�the-abgve-id It jpd property for inspection purposes. DATE I BY ✓ P DECLARATION OF CMPLIANCE WITH CODE OF FEDER REGULATIONS PARTO61 OF TITLE 40 AN AQMD RULE AL FOR OFFICE USE ONLY PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO • • • : . • ; •: : • ••• ••• • PERMITCANCELLED UEPA PERMIT EXTENDED• QMD PERMITFINAL Z NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: • •