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Home My WebLink AboutX2019-2887 - Permitsts'rov, City of Newport Beach - Building Division c F 100 Civic Center Drive, Newport Beach, CA 92660 ., Permit Counter Phone (949)644-3288 F.. Inspection Requests Phone (949)644-3255 Combination Type - BLDG MECH iiX�o2o0 1 9 2 8 8� 7�ii re! COMB Permit: X2019-2887 Project No : 2040-2019 Issued Date : 12120/2019 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPEM49 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. Sundays or Holidays Job Address: 3141 E COAST HWY NB Description: COMM REPLACEMENT OF ROOF MOUNTED HVAC �n''y V /�' Legal Desc.: CORONA DEL MAR LOT 1 BLK 337(AND LOT 3 BLK 337 TNT _ � °1% C f Owner: MANP CDM LLC Contractor: ARTIC SERVICES LLC Architect: 17 Address: 250 NEWPORT CENTER OR #330 NEWPORT BEACH, CA 92660 Address: 10440 TARDEMARK ST Address: �r tv�r RANCHO CUCAMONGA CA 91730 �� Phone: Phone: 888-340-4822 Phone: State Lie: Applicant: ADEBEYO-YE FAITHFULNESS Con State Lic: 1051174 Engineer: TANG KENNETH t Address: 1390 W 6TH ST Lie Expire: 03/3112021 Address: 1390 W 6TH SREET #106 •d CORONA, CA 92882 Bus Lie: BT30067553 CORONA CA 92882 e� Phone: 951-283-2085 Lie Exp Date: 05/3112020 Phone: 951-283-7085 State Lic:C-062650 IO Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: HARTFORD FIRE INS Address: Occupancy Group: U Policy No: 72WEAAD7TRW Added /New sq.ft. Bldg: 0 Expire: 0311412020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: HIGH DENSITY No of Units : 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $392.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $341.04 Additional Fee: $0.00 Plan check Fee : $40.00 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: $20.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $56.00 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 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $29.32 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $879.36 Plan Check Fee: $394.68 Fee Due at Permit Issuance : $484.68 PROCESSED BY: - - :PUBLIS WDRKS APPROVAL: ZONING APPROVAL: ` PLAN CHECK BY: GRADING APPROVAL: - -_ APPHOV:4L30 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness 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). 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 )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). A J I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 Eateml ermit, 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, Sfe Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 'signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'SDECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) Gf Di ;�io 3 of the Business and Pr, fes ns o , license is in full force nd effect. License Class License No Date �/� l!I Contractor Signature VORKERS' 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 HUNDRED THOUSAND D LLA ($100,000(, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 thi rformance of the work for which this permit is issued. Policy No. I have and will me fain workers' compensati n insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior Isurance carrier d p [icy number are: :arrier P c N mb Expiration Date lame of Agent . Phone # �I certify that, in the pertorma a of the wo hich 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 lat, if I should becorr a $Object to the wor ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applican 1 Z/ZV/( I IFCI ARATION RF ARnING CONSTRII ION L NOING AGENCY Ireby affirm under penalty of perjury th�t there isla construction lending Ider's Name my signature below, I certify to each oflle foll ing: I am the property owner or authorized to ac on the pro owner b I have read this application and the information I have provided i corr I agree to comply with all applicable city and county ordinanc ietp I authorize representatives of this city or county venter the abo e nature of Prooertv Owner or Authorized Acent / ACTION DATE BY r DECLARA ION PERMIT EXPIRED U I sUBmmr PERMIT CANCELLED OEPA PERMIT EXTENDED OAQMD PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED ��1 (� ASBESTOS P OPOSED DE SIGNATURTt for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address is relating to building construction. ¢r 60 e*, , property for inspection purposes. ` , r, n Print Prooertv Owner's or Authorized Aoent's Nam�i( ��0—cq PLIANCE WITH :,DE OF FEDERAL OF TITLE 40 Add AQMD RULE TO FOR OFFICE USE ONLY