The URL can be used to link to this page

Home My WebLink Aboutx2020-2773 - Permitsyr City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 - u - Inspection Requests Phone (949)644-3255 Combination Type - MFP IIIIII�I2I�IIIIIIIIIIIIIIIIIAIIIII�II�IIIIIIII Project No: Permit:019 020-2773 Issued Date: 0210412021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210512024 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 R19) REPLACE 8 BALCONIES `ADDITIONAL SCOPE" 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: 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: 06/30/2021 Address: 6007 WASHINGTON BLVD LOS ANGELES CA 90067 Bus Lic: BT30072366 CULVER CITY CA 90232 Phone: 310-626-2100 Lic Exp Date: 07/31/2021 Phone: 424-208-4764 State Lic:S-005714 Code Edit : 2016 Workers Compensation Insurance Designer: Type of Construction: VB Carrier., STATE FUND Address: Occupancy Group: R21U Policy No: 9161474 Added /New sq.ft. Bldg: 0 Expire: 06/25/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditigr $t ?C No of Units : 3 Front: / gW �-- i9 Bldg Height: 0 Left: / 1' Bldg Sprinklers: N Right: I Flood Zone: X - Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $32,000.00 Building Permit Fee: $583.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $607.21 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 P/W 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 %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,092.21 Plan Check Fee: $1,092.21 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: o ° °o °P;BLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 00 °o o°o t hereby affirm under penalty of perjury that 1 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) ;action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair any structure, prior toffs issuance, also requires the applicant for to 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 wnh Section 7000) of Division 3 of the Business and rofessiohs Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7091.5 by any applicant for a permit Subjects the applicant to a civil penally of of more. than five hundred dollars ($500). 31, 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, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' Or personal effort, builds or improves the property, provided that the nprovements are not intended or offered tot 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 n 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 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). 1 am exempt from Rcensure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for my persona residence in which I must have resided for at least one year prior to completion of the improvements covered by this Uermit, 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 Business and professions Code, is available upon request when this application is submitted or at the following Web site:httpJAVNw.leginfo.ca.gov/calaw.hlml. �Ignaiure of Property Owner or Authorized Agent D .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing With Section 7000) o1 Division 9 of the Business and Prof sl e, 1 s ce no effect. License Class License No Dal Contractor Signalur /ORKERS' COMPENSATION DECLARATION ARNNG: FALURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IOWAN). N ADDIMON TO TH OST OF COMPENSATIqU&INGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES 6,,rah y affirm ty of perjury one of the following declarations: p ntalna 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 Be work for which this permit is issued. PolicyNb. nd will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cotle, tot the performance of the work for which this permit is Issuetl. My workers' compensatic ce carder antl policy number are: Policy Number Date to of Agent Phone # certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should become subject tppp��ith orkers' compensation provisions of Section 3700 of the Laver Code, I shall forthwith comply with those provisions. tature of Applicant Dat� Heby 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). lder's Name Lender's Address my signature below, 1 certify to each of the following: I am the properly owner or authorized to act on the properly 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. n I authorize representatives of this city or courtly 19 ente(#W*oy"emIfied property for inspection purposes_ - V LI DP Jb- BY REGULATIONS PART fit OF TITLE 40 AND AOMD RULE 1403 FOR OFFICE USE ONLY PtKMII txltNUtU I L 11AQMD • • ••• ••• PEAMIr FINAL fST05 NOTIFICATIO 1 O1•APP CABLE d0• � � • CERTIFICATE OF �'$'l2 PROPOSED OEMOUTION � • u OCCUPANCY ISSUED > arisen roc./ • • • _ e o •• e e e e o00 00 oe e o e 0 0o doe