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Home My WebLink AboutX2022-1372 - Permits(9) City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2022-1372 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 3 7 2 Project No : 1267-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG MECH ELEC Issued Date : 0610812022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 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: 592 SUPERIOR AVE NB St: 1 Description: COMM REMOVE/REPLACE (E) ROOF MOUNTED HEAT PUMP Legal Desc.: IRVINE SUB LOT 169 BLK 2 10 AC IN LOT-INC POR OF ST ADJ--EX FREE Owner: CITY OF NEWPORT BEACH Address: 100 CIVIC CENTER DR NEWPORT BEACH, CA 92660 Phone Applicant: MARRS JOSHUA Address: 265 MC CORMICK AVE COSTA MESA CA 92626 Phone: 949-205-9511 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Contractor: ACCO ENGINEERED SYSTEMS INC Address: 888 EAST WALNUT ST PASADENA CA 91101 Phone: 818-244-6571 Con State Lic: 120696 Lic Expire: 12/3112023 Bus Lic: BT00004502 Lic Exp Date: 12/31/2022 2019 Worker's Compensation Insurance Carrier: LM INS CORP. Policy No: WA566DO67353011 0 Expire: 10/01/2022 0 Building Setbacks Rear: / Front: / Left: / Right: / $30,000.00 Building Permit Fee: $570.00 Plan Check Fee: $496.90 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: BUDDNE B Address: 265 MCCORMICK AV COSTA MESA CA 92626 Phone: Special Conditions: CITY JOB FEES WAIVED Fire Hazard Zone : N 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 W $74.61 San Dist : $0.00 Mechanical W $42.64 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE : $1,185.15 Plan Check Fee PROCESSED BY: CQ73 �\ ZONING APPROVAL: T DA- Fire Department $0.00 Fire inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,185.15 PUBLIC N'AFKc'AnPRCVA.L: PLAN CHECK BY: OD GRADING APPROVAL: APPROVALTC ISSL',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 Drofessions 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 iot more than five hundred dollars ($500). ❑ I, 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, 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 'mproved 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 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 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.ca.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 700QQ) of Division 3 of the Business and P of ssio s Code, nd my license is in full force and effect. License Class License No Date ontractor Signatur i" 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 I$100,000I, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 pe rmance of the work for which this permit is issued. Policy No. I ave 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' compensatiol Insu nce carrier and policy number are: Policy Number Date ie of Agent rnone rr 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 to the workers' compensaton provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 14` ` of Applicant hereby 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). ender's Name Lender's Address y 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 to enter the above�-identi Ved roperty for inspection purposes. 9nnature of Prooertv Owner or Authorized ADent'li /-.��s/='� .� Print Property Owner's or Authorized Agent's Nam y 1 C!f P, 13( DATE BY V DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND. AQMD RULE PERMITEXPIRED - I LJIS,BtrIITiEG ASBESTOS NOTIFICATION TO PERMIT CANCELLED ❑L PA PERMIT EXTENDED LJAQVio PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED �` _ Ct .Z Z ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROOFED DEMOLITION SIPNATURE: 2!12 d- T 611y 9,