HomeMy WebLinkAboutx2019-3784 - Permits,wtv, City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
F Permit Counter Phone (949)644-3288
. Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM
COMB Permit: X2019-3784
III'�X 2 0 1 93�V7 8 4�� II
Project No : 2602-2019
Issued Date : 07/08/2020
Inspection Area: 8
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/09/2023 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: MFR BLDG R15 (UNITS 79-86) REMODEL 6,496 SF
Legal Desc.:
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
Applicant:
PADDOCK STEVE
Address:
1990 S BUNDY #400
LOS ANGELES CA 90067
Phone:
310-626-2100
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R2IU
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 8
Bldg Height: 0
Bldg Sprinklers: N
Construction
Building Permit Fee: $1,423.00
Plan Check Fee: $1,238.01
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 :
$6.00
TOTAL FEE: $2,951.61
Phone:
206-260-1509
Phone:
310-626-2100 State Lic:CO22032
Con State Lie:
787509
Engineer:
VARELA BEN
Lie Expire:
06/30/2021
Address:
6007 WASHINGTON BLVD
Bus Lie
BT30072366
CULVER CITY CA 90232
Lie Exp Date:
07/3112021
Phone:
424-208.4764 State Lic:S-005714
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9161474
Expire: 06125/2021
Building Setbacks
Zone:
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %,
Mechanical %:
Plumbing %:
Rear: I
Front: /
Left: I
Right: /
arking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$99.61
$56.92
$128.07
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee:
Fair Share :
SJH Trans :
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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
Plan Check Fee : $1,204.08 Fee Due at Permit Issuance : $1,747.53
PROCESSED BY: `0 PUBLIC WORKS APPROVAL: Mar 1000
,r�
ZONING APPROVAL: \khr*AQINYII1600 PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE: 4&en2!?
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)
(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).
111, as owner of the property, or my employees with wages as their sole compensation, will do U 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 the purpose of sale).
111, 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 Iicensure 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 legall)
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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfb.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secjjon 7000) of Division 3 of the By§iness and Professions Code nd y lic 's in full force
and effect. License Class License No Ullne ctor 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 THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES 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
ormance of the work for wh
have wor%ll Vt iniaai lwe
of Agent
ate 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
permit is issued. Policy No.
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'
are:
Policy Number
Date
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 agre
if I should become subject to the orkers' co ation pr ' ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �s
iatureof Appaprit D e C—g—Z-tS
�ECLARATIONIIWGARDING 9ONSTRUCT!RN LENDING AGENCY
hereby affirm under penalty oipedury 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 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 city or county to_o*r t - erty for inspection purposes.
of PrODertv Owner or AL
ACTION I DATE I N BY
PART 61 OF TITLE 40 AND AQMD
PERMIT EXPIRED
PERMITC,4NCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
.�wl
OCCUPANCVISSUED
TO
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