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Home My WebLink AboutX2022-1574 - PermitsCity of Newport Beach - Building Division .`, 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ., Inspection Requests Phone (949)644-3255 Combination Type - BLDG MECH ELEC *X2022-1574* COMB Permit: X2022-1574 Project No : 1427-2022 Issued Date : 0612112022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL E 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 of! ays Job Address: 2743 E COAST HWY NB Description: COMM CHANGE OUT (3) (E) ROOF TOP MOUNTED HEAT PUMPS Legal Desc.: N TR 323 BILK E LOT 5 Owner: LIDO PACIFIC LL Contractor: ALICIA A/C &HEATING INC Architect: Address: 441 N BEVERLY DR #207 Address: 26824 VISTA TERRACE Address: BEVERLY HILLS CA 90210 LAKE FOREST CA 92630 Phone: Phone: 949-770-2495 Phone: State Lic: III Applicant: LEBARTON PAUL Con State Lic: 525314 Address: 26842 VISTA TERRACE Lic Expire: 02/29/2024 LAKE FOREST CA 92630 Bus Lic: BT20102054 Phone: 949-770-2495 Lic Exp Date: 09/30/2022 Code Edit : 2019 Worker's Compensation Insurance Type of Construction: VB Carrier: EMPLOYEE SERVICE GRP Occupancy Group: U Policy No: WC038364882 Added /New sq.ft. Bldg: 0 Expire: 07/01/2022 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / No of Units : 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 11 Construction Valuation: $14,883.00 Building Permit Fee: $334.00 Plan Check Fee: $290.58 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $748.28 PROCESSED BY: ZONING APPROVAL: Engineer: Address: Phone: Designer: Address: Phone: SEIBEL BENJAMIN JOEL 14288 DANIELSON STREET STE 200 POWAY CA 92064 State Lic:C-069349 Special Conditions: HIGH DENSITY AREA Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check : $0.00 Electrical %: $43.72 San Dist: $0.00 Mechanical W $24.98 NMUSD Fee: $0.00 Plumbing %: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $400.69 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $347.59 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) (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). ❑ 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, 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). ❑ I 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 legall) sell a structure that I have built as an owner -builder if A 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.leginfo.ca.gov/calaw.htmi. 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 Division 3 of the Business and Profess Code, Code�nzd my license_ is in full force and effect. License Class GZo License No-Z�37C/ Date C 21 2 7 Contractor Signature i— WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SEC! IRE 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 COMPENSAr.3A, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I; hereby affirm urdu, penalty of perjury one of the following declarations: 12 1 trave 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 : erfc•rlance of the work for which this permit is issued. Policy No. eve and v,ill nnairtain 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' ,ice carrier and policy number are: . Date Policy Number e of Agent cer'ify 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 becuma subject to the worker enc�t^^ �r^� c'nns o_f ion 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date CLARATION P.EGKIkDING CONSTRUCTION LENDING AGENCY areby 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 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 relating to building construction. I authorize representatives of this city or county t nter th mve-identified property for inspection purposes. nature of Prcoertv Owner or Authorized Agen �—T �� Print Property Owner's or Authorized Agent's Name ACTION DATE B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I --I I SUBMITTED ASBESTOS NOTIFICATIUN I-U PERMIT CANCELLED EPA PERMIT EXTENDED QM D PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED _�(�� A58EST05 NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Civil Code). / Date