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Home My WebLink AboutXC2023-0132 - Permits�aEWPoRr City of Newport Beach p. A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C,G/F00.��P newportbeachca.gov/inspections Combination Type - ELEC MECH Work Class - Other X C 2 0 2 3 0 1 3 2II COMB Permit : XC2023-0132 Plan Check No : PC2023-0906 Issued Date : 04/20/2023 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 14 CORPORATE PLZ Legal Desc : P BK 93 PG 45 PAR 14 Description: COMM MECH REPLACE ROOFTOP BOILER AND PAD Owner: MARY ROBBERSTAD Address : NEWPORT BEACH, CA 92658 Phone Applicant: MESA ENERGY SYSTEMS INC Address: 2 CROMWELL IRVINE, CA 92618 Phone: (949)244-1341 Owner/Builder : Address : Phone Contractor: MESA ENERGY SYSTEMS INC Address : 2 CROMWELL IRVINE, CA 92618 Phone : (949) 244-1341 Con State Lie : 611215 Lie Expire : 01/31/2025 Bus Lie: BT98039750 Bus Lie Expire : 12/31/2023 Workers' Compensation Insurance Carrier: CONTINENTAL INSURANCE Policy No: WC734181601 W. C. Expire : 10/1/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 Bldg Height: No of Stories : 2 Building Setbacks Flood Zone : X Use Zone : PC - Corporate Plaza PROCESSED BY: qz, SPECIAL CONDITIONS: Architect : KENNETH MT VANDISSEL Address : 2 CROMWELL IRVINE, C\ 22618 Phone : (949) 460-0460 State Lie Engineer : ALMQUIST GLENN N ".. Address : 1400 QUAIL ST #245 . , . NEWPORT BEACH, CA92560 Phone: (949)261-6161 Designer Address Phone Construction Valuation : $7,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : D TOTAL sq. ft. : 0 A f 071 e-°e r--�-R-e-,, � a is:t. k %,.j 1 U� i i OWNEK-BUILUIcK UtULAKHI IUM I hereby affon under penalty of perjury that I out 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 he permit to file a signed statement that lie or she is hGonsed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and °rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7051.5 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). 1, as owner of the property, or my employees with Wages as their sole Compensation, will do U all of or L) portions of the work; and the structure is not intended or offered for sale (Section 7044, 3usfness 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 properly, provided that the mprovements 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 builtor mproved for the purpose of sale). 1 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), g-- "----_.—_...�--- By i am exempt from f acknowledge under the Contractors' State License Law for the hick Iin reason: By my signature below V 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 notbeen. 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:/iwww.leginfo.ca.gov/calaw.htmi. 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 Section 7 0 of Division 3 of the Business and Proles isr oysi¢gde, and my license is In full force and effect. Licens.:Gl�es License No Date Contractor Signature 7 /�i' W':.Aj:L:RS' CGFv]P._NSATION DECLARATION WARNING: FAILURE TO SC.bhE WORIKERS' 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 ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I ;lave and will r,laintalrl 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 Ih 7once of the x ak for which this permit is issued. Policy No. 1 ve 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' Compensatioi ronce carrier and policy number are: of Agent Policy Number Date ,trrtiry that, imthe persormance of the work for which this permit is Issued, I shall not employ any person in an manner so as to become subject to the workers' compensation laws of California, and _ L, if I should becurnzel bje"n,1,p the —workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date /J nature of CLARATION REG CONSTRUCTION LENDING AGENCY — sreby 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). )does 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 stale laws relating to building construction. I authorize representatives of this city or county to elrterhii%above-identified property for inspection purposes. o� fIf ff22''gqqqyy l{L^t.rr,�ntlI G �)�� ". I ... ., e._.,. A„U,..-F,.H An rn NamA :�E �h�. Gtrd410 Datelr/J/ PERMIT EXPIRED PERMITCA.NCELLED F€R,wiT EXTENDED PERMIT FINAL CERPFfCATE OF OCCUPANCY ISSUED DATE: I BY z3 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACINID RULE. NOTIFICATION TO 15NOTAPPOCABLE 1'0