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Home My WebLink AboutX2021-2674 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Ts.. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP MECH IIIII�I�I�II�IIIIII�II��III�I�I�II�IIIII�IIIII�IIIIII II COMB Permit: X2021-2674 x 2 0 2 1 2 6 7 4 Project No : 2316-2021 Issued Date : 10/01/2021 Inspection Area :7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010112024 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: 964 AVOCADO AVE NB Description: COMM CHANGE OUT ROOF TOP A/C UNIT Legal Desc.: P.M. 270-15 PAR 1 FOR PAR Owner: IRVINE CO Contractor: ONTARIO REFRIGERATION SVC Architect: Address: 550 NEWPORT CENTER DR Address: 635 SO MOUNTAIN AVE Address: NEWPORT BEACH, CA 92660 ONTARIO CA 91762 Phone: Phone: 909-984-2771 Phone: State Lic: Applicant: ONTARIO REFRIGERATION SERVICES/KELLY Con State Lic: 315638 Engineer: Address: 635 S MOUNTAIN AVE Lic Expire: 02/28/2023 Address: ONTARIO, CA 91762 Bus Lic: BT30076768 Phone: 714-546-6400 Lic Exp Date: 10131/2022 Phone: State Lic: Code Edit : 2019 Type of Construction: Occupancy Group: U 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: $7 510.00 Building Permit Fee: $215.00 Plan Check Fee: $187.05 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 Worker's Compensation Insurance Carrier: BENCHMARK Policy No: CST5021233 Expire: 03/15/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / arking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $44.23 $0.00 II TOTAL FEE: $447.28 Plan Check Fee PROCESSED BY: ..�1 ZONING APPROVAL: V!` GRADING APPROVAL: 0 Designer: JOLLY JOHN L III Address: 4000 VALLEY BLVD STE 103 WALNUT CA 91789 Phone: Special Conditions Hazard Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication: $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 IN Fire Department $0.00 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 $207.63 Fee Due at Permit Issuance : $239.65 PUBLIC WORKS APPROVALS o<. PLAN CHECK BY: APPROVAL TO ISSUE: o e �c cc 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) 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 ;he 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section d tha 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 the purpose of sale). ❑ 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legally sell 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 Professions Cade, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of D' isi n 3 of the Business and Professi ns C e d E1,,eies in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO AND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 x5Normance of the work for which this permit is issued. Policy No. ave 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 rance carrier and policy number are: Carrier Policy Number Expiration Date C Tle of Agent certify that, in the performance of the w r o which t permit is issued,-Lshall not employ any person in any manner so as to become subject to the workers' compensatio la of California, and ogre t, if I should become subject to the wor mpensa Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,,R j nature of Applicant Date % 91 CLARATION REGARDING ON CTI ING AGENCY :reby affirm under penalty of perju 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 o is behalf. I have read this application and the information I have provi is correct. I agree to comply with all applicable city and county ordin c and laws relating to building construction. y I authorize representatives of this city or county t enter -ide Ted property for inspection purposes. inature of ProDertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name c 1 �/ Date BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED ••• I fi111311 TTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED •:' .�• :pERMIi CANCELLED •:• •�• : •�-�PA• PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED PROPOSED DE • SI MATtOMEP NOTIFICATION IS NOT APPLICABLE TO