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Home My WebLink AboutX2019-3786 - PermitsrrrJ� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3786 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 3 7 8 64 Project No :2602-2019 N Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 4 r 1+* Combination Type - MFP MECH ELEC PLUM Issued Date : 0710812020 Inspection Area : 8 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0710912023 OR PERMIT WILL BE INVALID O Job Address: 1561 MESA 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 of Hotttlayp NB Description: MFR BLDG R17 (UNITS76-78) REMODEL 2,400 SF - Legal Desc.: x rm v R 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:CO22037`"'''""" Applicant: PADDOCK STEVE Address: 1990 S BUNDY #400 Occupancy Group: LOS ANGELES CA 90067 Phone: 310-626-2100 Code Edit : 2016 Type of Construction: VB Occupancy Group: R2/U Added /New sq.ft. Bldg: $0.00 Added /New sq. ft. Garage: No of Stories: 2 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Building Permit Fee: $989.00 Plan Check Fee: $860.43 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: $2,050.23 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 787509 Lic Expire: 06/30/2021 Bus Lic: BT30072366 Lic Exp Date: 07/31/2021 Worker's Compensation Insurance Carrier: 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 W Plumbing %: Rear: / Front: I Left: I Right: I Engineer: VARELA BEN Address: 6007 WASHINGTON BLVD CULVER CITY CA 90232 Phone: 424-208-4764 State Lic:S-005714 Designer: $0.00 Address: Fair Share : Phone: Special Conditions: Hazard Zone : N $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Public Works Department- General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $69.23 San Dist: $0.00 $39.56 NMUSD Fee: $0.00 $0.00 $89.01 $0.00 Plan Check Fee: $816.06 Fee Due at Permit Issuance : $1,234.17 _ PUBLIC WORKS APPROVAL: _ PLAN CHECK BY: APPROVAL TO ISSUE: A. SA. OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable item(s) lection 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 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 Irofessions 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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). 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). 7 1 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 legallt 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:hltp://www.leginfo.ce.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 Sectft mOO) of Division 3 of the Business d d , Professions Cond y to ns is in full force nd effect. License Class License No DdC��'g �_ Contractor natured VORKERS' COMPENSATION DECLARATION IARNING: 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 ($700,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 thr rformanc�e of the ork f or/w�/t'ch this permit is issued. Policy No. hva ��d I.mejnttVry D�tw ers' 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 Isuranc car r a pol Y number are: is of Agent certify that, in the performance of the work for if I should become subject to the yprkeirj;Ae Policy Number Dale 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rreby 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 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 ordinances and state laws relatin construction. I authorize representatives of this city or county to enter thee p -1 y or inspection oses. [ /w ld s . /.G Signature of Property Owner or Auth ACTION DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED V I Print Propert, OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE / :D ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT FjPFLICABLE TO FOR OFFICE USE ONLY