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Home My WebLink AboutX2020-0973 - Permitsno4 _ City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 t1 `3 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2020-0973 x 2 0 2 0 0 9 7 3 Project No: 0702-2020 Issued Date :04/21/2020 Inspection Area : 8 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE 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: 2141 MESA DR NB Description: SFR PRE -CAST CONCRETE WALL 6'X 200 LF (ON PIL,MARKERS ON SITE) Leaal Desc.: N TR 706 LOT 123 Owner: DAPRA-PIERCE Contractor: FOCUS CRAFT INC Architect: Address: 2141 MESA DR Address: 4470 W SUNSET BLVD, UNIT 300 Address: Disabled Access: NEWPORT BEACH, CA 92660 Hazardous Mat LOS ANGELES CA 90027 Building Green Fee : Phone: Mechanical %: Phone: 323-848.4750 Phone: Applicant: MANKO CHRIS Con State Lie: 1008949 Engineer: Address: 149 S SAN ANTONIO AVE Lie Expire: 11130/2021 Address: POMONA CA 91766 Bus Lie: BT30069384 Phone: 909-397-5350 Lie Exp Date: 10131/2020 Phone: Code Edit: 2019 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X 11 Construction Valuation: $3• Building Permit Fee: $412.00 Plan Check Fee: $365.00 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 : $2.00 TOTAL FEE: $929.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9244354 Expire: 01117/2021 Building Setbacks Rear: 25 Front: 20 Left: 5 Right: 5 Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee : $108.00 Electrical W $0.00 Mechanical %: $0.00 Plumbing %: $0.00 Plan Check Fee d- s Designer: Address: Phone: State Lie CHIESA STEVEN 333 FRESNO AVE MORRO BAY CA 93442 805-772.3500 State Lic:C-029044 Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share : Fire Plan Rev SJH Trans : Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 COSTA MESA SANITATION $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $405.00 Fee Due at Permit Issuance : $524.00 o ;PUBLIC WW3 APPROVAL: PLAN CHECK BY: ` APPROV'AL�]TO ISSUE: \ c` a 0 1 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $405.00 Fee Due at Permit Issuance : $524.00 o ;PUBLIC WW3 APPROVAL: PLAN CHECK BY: ` APPROV'AL�]TO ISSUE: \ c` a 0 1 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) 1 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 ie 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 1, 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 pply 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: ly 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 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, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi. ,1. tignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section".Divif the Business aand Pro fE o�9C emend my license js full force nd effect. License Class License No Dat Contractor Si nature%�� J /' VORKERS' COMPENSATION DECLARATION IARNING: 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 ($100,000), 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: 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 th ejFormance of the work for which this permit is issued. Policy No. F.II have and aintain 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 nsurance Carrie n �olicy nu are: lamer iijv NoRnber Expiration Date Vame of Agent - Phone # :1I certify that, in the performance o work for which the permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensate n law of California, and agree hat, if I should become ,s�ul[yect t/otf")e/��yorkers' comes on /sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. d/ ��20 Signature of Applicant 74:f f ,/ .y -i P� /1r) p y Da[ 7% / IECLARATION REGA ING - STRUCTION LENDING AGENCY 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 3y 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 ordinan and stat I s rel I to building construction. I authorize representatives of this city or count to nter�° ide y for inspection purposes. Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Name / Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY If REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED (SUBMITTED ASBESTO+R NOTIFICATION TO • : •`• PERMITCANCELLED r2EPA • • i • • ' • • .•i s s PERMIT EXTENDED QMD PERMITFINAL �'` .'7� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 7��/I PROPOSED DEMOLITION ••� ••• • • • s•• OCCUPANCYISSUED SIGNATURE: + +• e