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Home My WebLink AboutX2021-2729 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIullllllllllllllll II COMB Permit: X2021-2729 Tr 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 7 2 9 b p Project No : 2375-2021 ti Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 10/1312021 Combination Type - CIP MECH ELEC Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011312024 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: 396 SUPERIOR AVE NB Description: COMM - R/R 1 CONDENSER 8: 1 HEAT PUMP IN MECHANICAL ROOM @ UNION BANK Legal Desc.: P BK 9 PG 19 PAR A Owner: BANK CALIFORNIA FIRST Contractor: SUMMER SYSTEMS INC Address: PO BOX 7788 Address: 28942 HANCOCK PKWY NEWPORT BEACH, CA 92658 VALENCIA CA 91355 Phone: Phone: 661.257-4419 Applicant: WAGNER SCOTT Con State Lic: 560229 Address: 28942 HANCOCK PKWY Lic Expire: 04130/2022 VALENCIA CA 91355 Bus Lic: BT30069332 Phone: 661.257-4419 Lic Exp Date: 10/31/2022 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: V-B Carrier: TRAVELERS PROP Occupancy Group: B Policy No: UB4K792484 Added /New sq.ft. Bldg: 0 Expire: 12/31/2021 Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I No of Units : 0 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Construction Building Permit Fee: $642.00 Plan Check Fee: $558.54 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $20.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE : $1,574.68 PROCESSED BY: ZONING APPROVAL: Architect Address: Phone: State Lic Engineer: XIAO QIANG Address: 1520 BROOKHOLLOW DR#45 SANTA ANA CA 92705 Phone: 714.662-0510 State Lic:S-005289 Designer: Address: Phone: Special Conditions: Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 WQ Insp. Fee; $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $168.08 San Dist: $0.00 Mechanical %: $132.06 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee : $671.98 Fee Due at Permit Issuance : $902.70 V PUBLIC "A'ORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: E 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 L) all of or L) 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). ❑ 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 legally 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.leginfo.ce.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 Section 7000� Di isy n 3 e Business and Profession C y I c s s i ull force and effect. License Class License No Date 4 Contractor 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, 0 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 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 thl pyyfbrmance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number of Agent Date JI certify that, in the performance a wor f wh7htpe itis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre tat, if I should become subject to a n visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r��rtt ////// �� / ignature Of Applicant Daw / IECLARATION REGARDING O IRTI 1 G ENCY s a ns hereby affirm under penalty of perjury that there truction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act an the property owner's behalf. I have read this application and the information I have provided is orrect. agree to comply with all applicable city and county ordinanc s a d to ws relating to building construction. I authorize representatives of this city or county to n ' ntiV)property for inspection purposes. , ; % (' n 1��n r M n.r- //'1 17 ACTION DATE BY DECWRFTTIONIbF/CfJ,NI DANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONSP T OF TITLE 40 AND AQMD RULE 1403 U I SUBMITTED ASBESTOS NOTIFICATION f0 PERMITEXPIRED PERMIT CANCELLED UEPA PERMIT EXTENDED QMD PERMITFINAL /- ZI - TF ff fY (SU ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF EMOUTION OCCUPANCY ISSUED SIGNATURE: